目的 了解围产门诊孕妇艾滋病自愿咨询检测的知晓度、服务现状及存在的问题,为进一步提高预防控制工作提供依据.方法 对2010年1月～12月在武汉市江岸区妇幼保健院围产门诊首次建立围产保健手册的1 264位孕妇进行问卷调查与宣传,其中1 249位孕妇自愿接受了血清学检测.结果 孕妇对艾滋病病毒的传播途径知晓率为66.03%,对妇幼保健机构能提供免费艾滋病病毒筛查的知晓率为33.33%,艾滋病病毒检测率达98.81%,检测阳性为零.若要求自费筛查艾滋病抗体,只有38.05%的孕妇愿意主动接受检测,61.95%的孕妇拒绝自费检测.结论 对妇幼保健机构能提供免费艾滋病病毒筛查的知晓率较低,在涉及到自费筛查时,拒查的比例较高.因此,要进一步加强艾滋病知识的宣传力度,提高孕妇主动自愿咨询检测是减少母婴垂直传播的有效方法 和措施.%Objective To investigate awareness of pregnant women for HIV voluntary counseling and testing (VCT) in perinatal clinic,current service situation and existing problems so as to provide a basis for further improving AIDS prevention and control work. Methods I 264 pregnant women whose perinatal health document was firstly established in perinatal clinic of Maternal and Child Health Hospital of Jiang'an District of Wuhan City in a period from January 2010 to December were investigated with questionnaires and propagated. Of them, 1249 pregnant women accepted the serological testing. Results The awareness rate of pregnant women for transmission pathway of HIV was 66.03％, and their awareness rate for fact that maternal and child health institutions could provide free HIV screening was 33.33％, HIV testing coverage rate was 98. 81％, no positive HIV was found, If the fee of HIV antibody screening was paid by themselves, only 38.05％ of the pregnant women intented to accept the HIV testing and 61.95％ of the pregnant women would refuse the HIV testing. Conclusion The awareness rate of pregnant women for fact that maternal and child health institutions could provide free HIV screening is low, especially if the fee of HIV antibody screening is paid by themselves, the proportion of pregnant women who refuse the HIV testing is higher. So, publicity force of AIDS knowledge should be strengthed further, because voluntary HIV counseling and testing is an effecftive method and measure to reduce vertical transmission of HIV.
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