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Factors Associated with Maternal-Child Transmission of HIV-1 in Southeastern Brazil: A Retrospective Study.
- Source :
- AIDS & Behavior; Jul2018 Supplement 1, Vol. 22, p92-98, 7p, 1 Diagram, 2 Charts, 1 Graph
- Publication Year :
- 2018
-
Abstract
- Mother-to-child transmission (MTCT) is the main mode of HIV-1 acquisition among young children worldwide. The goals of this study were to estimate the proportion of HIV MTCT and to identify factors associated with transmission. We reviewed data for HIV-infected pregnant women that had been reported to the National Information on Reportable Diseases System (SINAN) in Espírito Santo state, Brazil, between January 2007 and December 2012. HIV cases in children were followed until age 18 months. The proportion of women who transmitted HIV to their babies was 14% (95% CI 11-17%). In a multivariate logistic regression model, pregnant women who had lower than primary school education (OR 2.74; 95% CI 1.31-5.71), had 2 or more pregnancies during the study period (OR 2.28; 95% CI 1.07-4.84), had emergency cesarean delivery (OR 4.32; 95% CI 1.57-11.9), and did not receive antiretroviral therapy during prenatal care (OR 2.41; 95% CI 1.09-5.31) had higher odds of HIV MTCT. Effort should be made to encourage health care workers and pregnant women to use services for the prevention of MTCT. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV infection transmission
THERAPEUTICS
HIV infections
VERTICAL transmission (Communicable diseases)
CESAREAN section
CONFIDENCE intervals
HIV
HIV-positive persons
MEDICAL personnel
MULTIVARIATE analysis
PREGNANT women
PRENATAL care
LOGISTIC regression analysis
EDUCATIONAL attainment
HIGHLY active antiretroviral therapy
RETROSPECTIVE studies
ODDS ratio
PREVENTION
Subjects
Details
- Language :
- English
- ISSN :
- 10907165
- Volume :
- 22
- Database :
- Complementary Index
- Journal :
- AIDS & Behavior
- Publication Type :
- Academic Journal
- Accession number :
- 130694324
- Full Text :
- https://doi.org/10.1007/s10461-018-2172-8