怀孕期间的艾滋病毒感染:抗逆转录病毒疗法和与移民身份的关联
Zhen Liu1, Kexin Dong1, Mengting Sun2
1Department of Sociology, Zhejiang University, 866 Yu-hang-tang Road, Xihu District, Hangzhou, 310058, China.
BMC public health
|December 4, 2025
概括
移民身份影响艾滋病毒感染孕妇获得医疗保健. 省际移民的抗逆转录病毒疗法 (ART) 吸收率较低,因此需要针对这一弱势群体进行有针对性的干预.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染病研究 传染病研究
背景情况:
- 移民身份和艾滋病毒感染对获得产前医疗保健构成重大障碍.
- 了解这些障碍对于改善母亲和儿童健康结果至关重要.
研究的目的:
- 根据中国东部的移民身份,研究艾滋病毒感染的孕妇的特征和时间趋势.
- 确定与这些女性服用抗逆转录病毒疗法 (ART) 相关的因素.
主要方法:
- 利用了江省预防母婴艾滋病毒传播信息系统 (2011-2021) 的数据.
- 根据移民身份将参与者分为四组:永久居民 (在江境内/境外),省际移民和省内移民.
主要成果:
- 包括2500多名感染艾滋病毒的孕妇;65.74%是省际移民.
- 与当地居民 (95.72%) 相比,省际移民的增长趋势和ART覆盖率 (84.74%) 显著下降.
- 多变量分析显示,在江以外的移民妇女中,ART使用的几率较低 (OR=0.340).
结论:
- 与移民身份相关的社会人口差异影响了艾滋病毒感染的孕妇获得ART的机会.
- 有针对性的干预措施对于改善移民人口获得和保留艾滋病毒治疗至关重要.
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