Epidemiological characteristics and intervention services of pregnant women infected with AIDS and syphilis in Sichuan Province
Objective To analyze the epidemiological characteristics and intervention services of pregnant women infected with HIV and syphilis in Sichuan Province from 2013 to 2021 in order to provide a scientific basis for formulating work strategies.Methods Data of pregnant women with AIDS or syphilis and their children in Sichuan Province from 2013 to 2021 were collected.Descriptive statistics were performed to analyze the basic information of pregnant women with AIDS and syphilis,and trend chi-square was used to analyze the intervention services of pregnant women with AIDS and syphilis and their children with the test level α=0.05.Results The average age of 470 HIV-infected pregnant women with syphilis was 29.80±5.93 years old,the education level of primary school or below accounted for 74.25%,and the pregnancy outcome was childbirth accounted for 73.83%.The rate of taking anti-HIV drugs in women with HIV and syphilis in early pregnancy increased from 8.33%in 2013 to 96.05%in 2021(x2=168.635,P<0.001),and the rate of syphilis treatment in early pregnancy increased from 0%in 2013 to 31.58%in 2021(x2=30.113,P<0.001).The rate of anti-HIV drugs and preventive syphilis treatment increased from 83.33%in 2013 to 100.00%in 2021(x2=18.341,P<0.001),and the rate of preventive syphilis treatment increased from 50.00%in 2013 to 97.37%in 2021(x2=15.316,P<0.001).Conclusions The indicators of intervention services for prevention of mother-to-child transmission have been significantly improved in Sichuan province,but the timeliness of syphilis treatment and the frequency of maternal care services need to be strengthened.It is necessary to improve the quality of maternal health care services and strengthen the treatment of pregnant women with syphilis infection.