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2013年广东省梅毒孕产妇性伴接受梅毒检测及影响因素分析

Syphilis testing analysis among partners of syphilis infected pregnant women in Guangdong province in 2013

  • 摘要: 目的 了解梅毒感染孕产妇性伴梅毒检测情况,探讨相关影响因素,为广东省预防梅毒母婴传播项目工作持续改进提供参考依据。方法 常规收集2013年广东省各级助产机构发现并上报的梅毒感染孕产妇资料,通过国家预防艾滋病、梅毒和乙肝母婴传播管理信息系统报告并收集相关数据,运用χ2检验和多因素Logistic回归分析梅毒感染孕产妇性伴接受检测情况和感染状况的影响因素。结果 共计1476例梅毒感染孕产妇及其性伴纳入本次研究。仅获得25.3%的感染孕产妇性伴梅毒感染资料,性伴梅毒感染率为24.7%。与21~35岁年龄组孕产妇相比,≥36岁年龄组孕产妇性伴梅毒感染状态得到明确诊断的可能性小(调整OR=0.61,95%CI:0.43~0.88);同教育程度不详的感染孕产妇相比,孕产妇学历明确其性伴接受梅毒检测的可能性大,且教育程度在大学及以上者性伴接受梅毒检测情况的可能性最大(调整OR=5.97,95%CI:2.51~14.19);感染孕产妇既往有感染史者,其性伴接受检测的可能性大(调整OR=1.92,95%CI:1.47~2.51);与孕早期诊断相比,孕产妇梅毒诊断时期越晚其性伴接受梅毒检测的可能性也越小,且产后及其他时期诊断者性伴接受梅毒检测的可能性最小(调整OR=0.36,95%CI:0.21~0.63);与性传播相比,孕产妇感染途径不详或其他,其性伴梅毒感染可能性小(调整OR=0.25,95%CI:0.16~0.42)。结论 广东省梅毒感染孕产妇性伴梅毒检测率较低,应重点加强对高龄孕产妇、教育程度较低孕产妇及其性伴梅毒检测意义的宣传教育,促进孕产妇及其性伴主动筛查治疗,避免孕产妇梅毒反复感染对胎婴儿的危害。

     

    Abstract: Objective To investigate the syphilis testing situation among partners of syphilis infected pregnant women in Guangdong province,and to analysis the associated factors about syphilis testing,in order to provide a reference of continuous improvement for Project of Syphilis Prevention of Mother-to-child Transmission (PMTCT) in Guangdong.Methods All data were collected from national integrated PMTCT surveillance system.Chi-square test and multinomial Logistic regression were employed to analysis the influence factors about the syphilis testing and infection status among partners of syphilis infected pregnant women.Results A total of 1476 cases of syphilis infected pregnant women and their sexual partners were involved in this study.Only 25.3% of sexual partners' syphilis infection status had been diagnosed,and their syphilis infection rate was 24.7%.Compared with the group of 21-35 age,the partners of pregnant women infected and elder than 36 age were less likely to have a clear diagnosis (adjusted OR=0.61,95%CI:0.43-0.88).Compared with the pregnant women infected unknown education degree,partners of pregnant women with a degree of education in the university or higher were more likely have their status diagnosed (adjusted OR=5.97,95%CI:2.51-14.19);Partners of pregnant women with infection history were more likely to had a clear diagnosis (adjusted OR=1.92,95%CI:1.47-2.51).Compared with the first trimester,the later periods the pregnant women diagnosed,the less possibility their partner could be recognized,and the pregnant women diagnose in postpartum period or other stages had the least likely with a identified partner (adjusted OR=0.36,95%CI:0.21-0.63).Compared with sexually transmitted,pregnant women infected unknown or others,their partners had less a syphilis infected partner (adjusted OR=0.25,95%CI:0.16-0.42).Conclusion The syphilis testing rate among partners of syphilis infected pregnant women in Guangdong was very low.It should be strengthened propaganda and education on the elder and lower education level pregnant women,to promoting active syphilis screening and treatment among pregnant women and their sexual partner,and to avoid the harm for infant of the pregnant women l repeated infection.

     

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