凉山州艾滋病感染孕产妇所生婴儿安全人工喂养及 .doc

四川省凉山州所生婴儿安全人工喂养及影响因素研究 马永娟1，乔亚萍2，布的尔坡1，唐英1，彭竞1，林霞1 （1.凉山州妇幼保健计划生育服务中心，四川 西昌 615000； 2.中国疾病预防控制中心妇幼保健中心，北京 100089） 摘要：目的 在艾滋病疫情严重的四川凉山州开展艾滋病病毒（HIV）感染产妇所生婴儿喂养方式调查，为制定适合该地区艾滋病暴露儿童安全喂养策略提供依据。方法 调查及所生婴儿接受预防艾滋病母婴传播服务和保健服务的相关信息，了解婴儿人工喂养现状，分析安全人工喂养的相关影响因素。结果 2014年凉山州308例的所生婴儿人工喂养率为92.2%(284/308)，其中仅21.6%(62/284)符合安全人工喂养行为。母亲或抚养人实施人工喂养时，不能每次洗手和清洗喂养容器是调查地区最常见的不安全人工喂养行为。多因素Logistic回归分析显示：家庭收入相对较高与安全人工喂养有关（同5000元以下家庭收入相比，家庭收入在5000～10000元和10000元以上安全喂养比例高。）（调整后OR分别为0.33，95%CI:0.137～0.778和0.35，95%CI: 0.149～0.81）水源为不安全饮用水的家庭发生非安全人工喂养的风险是水源为安全饮用水家庭的（OR=3.88 95%CI:1.253～12.003）。结论 凉山州所生婴儿人工喂养比例高，但是符合安全人工喂养要求的比例低，存在威胁儿童健康的安全隐患。 关键词：艾滋病病毒 母婴传播 人工喂养 Study on the safety of formula feeding and its influencing factors among infants born to HIV-positive mother in Liangshan Prefecture, Sichuan Province. MA Yong-juan1, QIAO Ya-ping2, B D-E-PO1, et al.( 1 Liangshan Yi Autonomous Prefecture center for maternal and child care and family planning service, Xichang 615000,Sichuan,china; 2 The National center for women and children’s health, China CDC, beijing, 100089,China) Corresponding author: PENG Jing,Email:lszhmb@126.com Support by NHFPC-UNICEF program on prevention of mother-to-child transmission of HIV, syphilis, and HBV Abstract: Objective The investigation on the infant feeding modes among infants born to HIV-positive mothers was conducted in Liangshan where the HIV prevalence is serious, in order to provide scientific evidence to develop appropriate strategy on the safety feeding among children born to HIV-positive mothers. Methods the information on services of prevention of mother-to-child transmission of HIV (PMTCT) and maternal and children health care that received by HIV-positive pregnant women and their infants were collected, as well as the way of feeding the infants. The influenced factors on the safety formula feeding were analyzed. Results The formula feeding rate among 308 infants born to HIV-positive pregnant women in 2014 was 92.2%, among which, only 21.6% perfo