Prevalence of HIV and Treponema pallidum infections in pregnant women in Campinas and their association with socio-demographic factors

Detalhes bibliográficos
Autor(a) principal: Amaral,Eliana
Data de Publicação: 1996
Outros Autores: Faúndes,Anibal, Gonçales,Neiva Sellan Lopes, Pellegrino Jr.,Jordão, Souza,Carmino Antonio de, Silva,João Luiz Pinto e
Tipo de documento: Artigo
Idioma: eng
Título da fonte: São Paulo medical journal (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801996000200002
Resumo: The anonymous seroprevalence of HIV and syphilis was studied by collecting umbilical cord blood samples from 5,815 women who gave birth in Campinas' hospitals throughout a six-month period. ELISA and Western blot were used for HIV, and VDRL and TPHA for Treponema pallidum screening. While maintaining the anonymity of the women, information was recorded on the hospital of origin, divided into university (public) and private hospitals, as well as on the form of payment (social security, private insurance or direct payment), age, marital status, education, employment and place of residence. Seroprevalence was 0.42 percent for HIV and 1.16 percent for syphilis. There was a significant correlation between a positive reaction to the two infections (p=0.02). After univariate and logistic regression analysis, only university hospitals were shown to be associated with seropositivity for HIV, whereas the same variable and an older age were associated with syphilis. All positive reactions were found either in public hospitals or among social security patients treated at private institutions. The conclusion was that HIV infection is becoming almost as prevalent as syphilis among this population, and affects primarily the lower socio-economic strata. This suggests that routine, voluntary HIV serology should be considered and discussed with patients during prenatal or delivery care whenever a population shows a seroprevalence close to or greater than 1 percent.
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spelling Prevalence of HIV and Treponema pallidum infections in pregnant women in Campinas and their association with socio-demographic factorsHuman immunodeficiency virusHIVprevalence womengestationUmbilical cord bloodThe anonymous seroprevalence of HIV and syphilis was studied by collecting umbilical cord blood samples from 5,815 women who gave birth in Campinas' hospitals throughout a six-month period. ELISA and Western blot were used for HIV, and VDRL and TPHA for Treponema pallidum screening. While maintaining the anonymity of the women, information was recorded on the hospital of origin, divided into university (public) and private hospitals, as well as on the form of payment (social security, private insurance or direct payment), age, marital status, education, employment and place of residence. Seroprevalence was 0.42 percent for HIV and 1.16 percent for syphilis. There was a significant correlation between a positive reaction to the two infections (p=0.02). After univariate and logistic regression analysis, only university hospitals were shown to be associated with seropositivity for HIV, whereas the same variable and an older age were associated with syphilis. All positive reactions were found either in public hospitals or among social security patients treated at private institutions. The conclusion was that HIV infection is becoming almost as prevalent as syphilis among this population, and affects primarily the lower socio-economic strata. This suggests that routine, voluntary HIV serology should be considered and discussed with patients during prenatal or delivery care whenever a population shows a seroprevalence close to or greater than 1 percent.Associação Paulista de Medicina - APM1996-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801996000200002Sao Paulo Medical Journal v.114 n.2 1996reponame:São Paulo medical journal (Online)instname:Associação Paulista de Medicinainstacron:APM10.1590/S1516-31801996000200002info:eu-repo/semantics/openAccessAmaral,ElianaFaúndes,AnibalGonçales,Neiva Sellan LopesPellegrino Jr.,JordãoSouza,Carmino Antonio deSilva,João Luiz Pinto eeng2008-11-19T00:00:00Zoai:scielo:S1516-31801996000200002Revistahttp://www.scielo.br/spmjhttps://old.scielo.br/oai/scielo-oai.phprevistas@apm.org.br1806-94601516-3180opendoar:2008-11-19T00:00São Paulo medical journal (Online) - Associação Paulista de Medicinafalse
dc.title.none.fl_str_mv Prevalence of HIV and Treponema pallidum infections in pregnant women in Campinas and their association with socio-demographic factors
title Prevalence of HIV and Treponema pallidum infections in pregnant women in Campinas and their association with socio-demographic factors
spellingShingle Prevalence of HIV and Treponema pallidum infections in pregnant women in Campinas and their association with socio-demographic factors
Amaral,Eliana
Human immunodeficiency virus
HIV
prevalence women
gestation
Umbilical cord blood
title_short Prevalence of HIV and Treponema pallidum infections in pregnant women in Campinas and their association with socio-demographic factors
title_full Prevalence of HIV and Treponema pallidum infections in pregnant women in Campinas and their association with socio-demographic factors
title_fullStr Prevalence of HIV and Treponema pallidum infections in pregnant women in Campinas and their association with socio-demographic factors
title_full_unstemmed Prevalence of HIV and Treponema pallidum infections in pregnant women in Campinas and their association with socio-demographic factors
title_sort Prevalence of HIV and Treponema pallidum infections in pregnant women in Campinas and their association with socio-demographic factors
author Amaral,Eliana
author_facet Amaral,Eliana
Faúndes,Anibal
Gonçales,Neiva Sellan Lopes
Pellegrino Jr.,Jordão
Souza,Carmino Antonio de
Silva,João Luiz Pinto e
author_role author
author2 Faúndes,Anibal
Gonçales,Neiva Sellan Lopes
Pellegrino Jr.,Jordão
Souza,Carmino Antonio de
Silva,João Luiz Pinto e
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Amaral,Eliana
Faúndes,Anibal
Gonçales,Neiva Sellan Lopes
Pellegrino Jr.,Jordão
Souza,Carmino Antonio de
Silva,João Luiz Pinto e
dc.subject.por.fl_str_mv Human immunodeficiency virus
HIV
prevalence women
gestation
Umbilical cord blood
topic Human immunodeficiency virus
HIV
prevalence women
gestation
Umbilical cord blood
description The anonymous seroprevalence of HIV and syphilis was studied by collecting umbilical cord blood samples from 5,815 women who gave birth in Campinas' hospitals throughout a six-month period. ELISA and Western blot were used for HIV, and VDRL and TPHA for Treponema pallidum screening. While maintaining the anonymity of the women, information was recorded on the hospital of origin, divided into university (public) and private hospitals, as well as on the form of payment (social security, private insurance or direct payment), age, marital status, education, employment and place of residence. Seroprevalence was 0.42 percent for HIV and 1.16 percent for syphilis. There was a significant correlation between a positive reaction to the two infections (p=0.02). After univariate and logistic regression analysis, only university hospitals were shown to be associated with seropositivity for HIV, whereas the same variable and an older age were associated with syphilis. All positive reactions were found either in public hospitals or among social security patients treated at private institutions. The conclusion was that HIV infection is becoming almost as prevalent as syphilis among this population, and affects primarily the lower socio-economic strata. This suggests that routine, voluntary HIV serology should be considered and discussed with patients during prenatal or delivery care whenever a population shows a seroprevalence close to or greater than 1 percent.
publishDate 1996
dc.date.none.fl_str_mv 1996-04-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801996000200002
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31801996000200002
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/S1516-31801996000200002
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Paulista de Medicina - APM
publisher.none.fl_str_mv Associação Paulista de Medicina - APM
dc.source.none.fl_str_mv Sao Paulo Medical Journal v.114 n.2 1996
reponame:São Paulo medical journal (Online)
instname:Associação Paulista de Medicina
instacron:APM
instname_str Associação Paulista de Medicina
instacron_str APM
institution APM
reponame_str São Paulo medical journal (Online)
collection São Paulo medical journal (Online)
repository.name.fl_str_mv São Paulo medical journal (Online) - Associação Paulista de Medicina
repository.mail.fl_str_mv revistas@apm.org.br
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