| Objective:Investigate pregnant women’s awareness of relevant knowledge of AIDS and, in particular, the knowledge of the mother to child transmission of AIDS as well as the measures of prevention mother to child transmission of HIV,and analysis the differences of related knowledge who in middle pregnancy and late pregnancy.In order to provide effective information for carrying out a healthy education of AIDS for pregnant women.Methods:From October 2014 to February 2015, the methods of the one-on-one and face-to-face talks in a consulting room and giving out and recycling questionnaires on the spot after informed consent have been adopted, sampling at an interval of 20 women according to the registered order of the pregnant women in the prenatal obstetric clinic in a Maternal and Child Care Service Center of Nanning. The EpiData3.1 was adopted to establish a database on the basis of the collected data and input the data twice. SPSS 16.0 statistical software was used to analyze and process the data, with statistical analysis methods mainly including descriptive statistical analysis, t test, chi-square test, analysis of variance, multivariate linear regression analysis and logistic regression analysis.Results:1. Altogether 730 pregnant and lying-in women received the questionnaire investigation; 404 pregnant women in early and middle pregnancy stages; pregnant women in late stage and lying-in women are 326 people in total, amongst whom, the youngest is 17 years old, the oldest is 44, and the average age is 28.33±4.46; mostly married, which takes up 92.05%; 71.37% are above the education background of junior high school.2. The awareness rate of the basic knowledge of AIDS is 85.46%, which meets the standard of its public awareness rate of 85% set by the state; as for the basic knowledge of AIDS:the window period, national policies and so on, the degree of understanding is not high, and the overall awareness rate is 60.25%. Both the awareness rate of the basic knowledge and the awareness rate of other knowledge of the late pregnancy group are higher than those of the early and middle pregnancy group, and the differences are of statistical significance, P<0.05.3. The average score of AIDS basic knowledge is 6.84±1.28 and that of other knowledge is 6.02±2.33; and analyses with single factor:age, home address, education level, vocational distribution, pregnancy time and whether HIV antibody test is once carried out are found out to be the influencing factors on pregnant women’s scores of AIDS basic knowledge and other knowledge of AIDS, p<0.05. In addition, marital status is also the factors influencing the understanding of the AIDS basic knowledge.4. The result of multivariate linear regression shows that the degree of education has the greatest influence on the pregnant women’s scores of the basic knowledge of AIDS and other knowledge of AIDS.5.90.14% of the respondents say that if they suspect themselves infected with HIV, they are willing to take the HIV antibody test. The result of multi-factor logistic regression analysis shows that the willingness of HIV testing is related with the distribution of the age, the level of education and occupations.6. Pregnant women had some discrimination against HIV-infected persons. They had different attitudes toward the infected people of their family and the stranger ones; for the members of family, they could actively cooperate them for the treatment, but for the stranger infected ones, they had severe discrimination. Intervention group had a better attitude toward HIV infected persons.7. The pregnant women from both the late pregnant group and the early and mid pregnancy group had insufficient knowledge about mother-infant spread of AIDS and the prevention measures.Conclusion:Pregnant women have a moderate mastery of the basic knowledge of AIDS, but the rate of awareness of other knowledge of AIDS is not high. There still exist many vague understandings of non-transmission route of AIDS and few preventive measures of mother-infant AIDS transmission. The willingness to take the HIV test also needs to be strengthened. The mastering degree of the related knowledge of pregnant women in the late pregnancy group is higher than that of the early and middle pregnancy group. Therefore, the publicity and education of the pregnant women’s knowledge on AIDS, especially the knowledge of mother-infant AIDS transmission and preventive measures should be reinforced, so as to advance pregnant women’s acceptance and utilization degree of the services for preventing mother-infant AIDS transmission, and help and guide HIV positive pregnant women towards making correct decisions; thus, we can reach the target of 100% blocking out AIDS virus transmitted through mothers and infants. |
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