Prenatal testing and prevalence of HIV infection during pregnancy: data from the "Birth in Brazil" study, a national hospital-based study

Detalhes bibliográficos
Autor(a) principal: Domingues, Rosa Maria Soares Madeira
Data de Publicação: 2015
Outros Autores: Szwarcwald, Celia Landmann, Souza, Paulo Roberto Borges, Leal, Maria do Carmo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/29619
Resumo: Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
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spelling Domingues, Rosa Maria Soares MadeiraSzwarcwald, Celia LandmannSouza, Paulo Roberto BorgesLeal, Maria do Carmo2018-10-17T18:59:58Z2018-10-17T18:59:58Z2015DOMINGUES, Rosa Maria Soares Madeira et al. Prenatal Testing and Prevalence of HIV Infection during Pregnancy: Data from the ‘Birth in Brazil’ Study, a National Hospital-Based Study. BMC Infectious Diseases, v. 15, p. 1-11, 2015.1471-2334https://www.arca.fiocruz.br/handle/icict/2961910.1186/s12879-015-0837-8engPrenatal testing and prevalence of HIV infection during pregnancy: data from the "Birth in Brazil" study, a national hospital-based studyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto de Comunicação e Informação Científica e Tecnológica em Saúde. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, Brasil.Background: The rate of vertical HIV transmission has decreased in Brazil, but regional inequalities suggest problems in implementing control measures during pregnancy and delivery. The aims of this study were to ascertain the coverage of HIV testing during prenatal care and estimate the prevalence of HIV infection during pregnancy in Brazil. Methods: This was a national hospital-based study of 23,894 women that was conducted in 2011–2012. The data came from interviews with mothers during postpartum hospitalization, from hospital medical files and from prenatal cards. All the pregnant women with reactive serological results for HIV infection marked on their cards or with diagnoses of HIV infection during the hospital stay for delivery were considered cases of HIV infection. Univariate and multivariable logistic regression were performed to investigate factors associated with the prevalence of HIV infection and with performing at least one HIV test during pregnancy. Results: Among participating women, the coverage of testing for HIV infection was 81.7% among those who presented with prenatal card and the prevalence of HIV infection among pregnant women was 0.4% (95% CI: 0.32-0.51%). In the adjusted analysis, there was higher coverage of testing among women living in the South and Southeast regions; of women aged 35 years and over; with greater schooling levels; who self-reported as white; with prenatal care provided in private services; with an early start to prenatal care; and with an adequate number of consultations, defined as a minimum of six for a term pregnancy. In the adjusted analyses there was a greater odds ratio of HIV infection among women living in the South region, aged 35 years and over, with schooling of less than 8 years, who self-reported race as black, without a partner, with syphilis coinfection and who were attended by public services. Conclusions: The prevalence of HIV infection among pregnant women in Brazil remains below 1% and the coverage of testing for HIV infection is over 80%. However, the regional and social inequalities in access to healthcare services and the missed opportunities for diagnoses of HIV infection indicate the importance of strengthening HIV infection control programs during pregnancy.HIV seroprevalencePregnancyPrenatal careSerological testingVertical transmission of infectious diseaseBrazilinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83099https://www.arca.fiocruz.br/bitstream/icict/29619/1/license.txt586c046dcfeef936e32f0323bb9a47c0MD51ORIGINALPrenatal testing and prevalence of HIV infection during pregnancy_Rosa_Domingues_etal_INI_Lapclin-AIDS_2015.pdfPrenatal testing and prevalence of HIV infection during 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dc.title.pt_BR.fl_str_mv Prenatal testing and prevalence of HIV infection during pregnancy: data from the "Birth in Brazil" study, a national hospital-based study
title Prenatal testing and prevalence of HIV infection during pregnancy: data from the "Birth in Brazil" study, a national hospital-based study
spellingShingle Prenatal testing and prevalence of HIV infection during pregnancy: data from the "Birth in Brazil" study, a national hospital-based study
Domingues, Rosa Maria Soares Madeira
HIV seroprevalence
Pregnancy
Prenatal care
Serological testing
Vertical transmission of infectious disease
Brazil
title_short Prenatal testing and prevalence of HIV infection during pregnancy: data from the "Birth in Brazil" study, a national hospital-based study
title_full Prenatal testing and prevalence of HIV infection during pregnancy: data from the "Birth in Brazil" study, a national hospital-based study
title_fullStr Prenatal testing and prevalence of HIV infection during pregnancy: data from the "Birth in Brazil" study, a national hospital-based study
title_full_unstemmed Prenatal testing and prevalence of HIV infection during pregnancy: data from the "Birth in Brazil" study, a national hospital-based study
title_sort Prenatal testing and prevalence of HIV infection during pregnancy: data from the "Birth in Brazil" study, a national hospital-based study
author Domingues, Rosa Maria Soares Madeira
author_facet Domingues, Rosa Maria Soares Madeira
Szwarcwald, Celia Landmann
Souza, Paulo Roberto Borges
Leal, Maria do Carmo
author_role author
author2 Szwarcwald, Celia Landmann
Souza, Paulo Roberto Borges
Leal, Maria do Carmo
author2_role author
author
author
dc.contributor.author.fl_str_mv Domingues, Rosa Maria Soares Madeira
Szwarcwald, Celia Landmann
Souza, Paulo Roberto Borges
Leal, Maria do Carmo
dc.subject.en.pt_BR.fl_str_mv HIV seroprevalence
Pregnancy
Prenatal care
Serological testing
Vertical transmission of infectious disease
Brazil
topic HIV seroprevalence
Pregnancy
Prenatal care
Serological testing
Vertical transmission of infectious disease
Brazil
description Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
publishDate 2015
dc.date.issued.fl_str_mv 2015
dc.date.accessioned.fl_str_mv 2018-10-17T18:59:58Z
dc.date.available.fl_str_mv 2018-10-17T18:59:58Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv DOMINGUES, Rosa Maria Soares Madeira et al. Prenatal Testing and Prevalence of HIV Infection during Pregnancy: Data from the ‘Birth in Brazil’ Study, a National Hospital-Based Study. BMC Infectious Diseases, v. 15, p. 1-11, 2015.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/29619
dc.identifier.issn.pt_BR.fl_str_mv 1471-2334
dc.identifier.doi.none.fl_str_mv 10.1186/s12879-015-0837-8
identifier_str_mv DOMINGUES, Rosa Maria Soares Madeira et al. Prenatal Testing and Prevalence of HIV Infection during Pregnancy: Data from the ‘Birth in Brazil’ Study, a National Hospital-Based Study. BMC Infectious Diseases, v. 15, p. 1-11, 2015.
1471-2334
10.1186/s12879-015-0837-8
url https://www.arca.fiocruz.br/handle/icict/29619
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/29619/1/license.txt
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