Prevalence and risk factors for Hepatitis C and HIV-1 infections among pregnant women in Central Brazil
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2009 |
| Outros Autores: | , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/27853 |
Resumo: | Programa de Proteção a Gestante do Estado de Goiás, APAE e Projeto-OPAS / OMS BR / LOA / 0600188.001. A CMTM e a WVS receberam bolsas de estudo do CNPq (307963 / 2004-7) e (307484 / 2007-6), respectivamente. |
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Costa, Zelma B.Machado, Gustavo C.Avelino, Mariza M.Gomes Filho, ClidenorMacedo Filho, Jose V.Minuzzi, Ana L.Turchi, Marilia D.Stefani, Mariane M. A.Souza, Wayner Vieira deMartelli, Celina MT2018-08-06T12:33:07Z2018-08-06T12:33:07Z2009COSTA, Zelma B. et al. Prevalence and Risk Factors for Hepatitis C and HIV-1 Infections among Pregnant Women in Central Brazil. BMC Infectious Diseases, v. 9, p. 116, 27 jul. 2009.1471-2334https://www.arca.fiocruz.br/handle/icict/2785310.1186/1471-2334-9-116Programa de Proteção a Gestante do Estado de Goiás, APAE e Projeto-OPAS / OMS BR / LOA / 0600188.001. A CMTM e a WVS receberam bolsas de estudo do CNPq (307963 / 2004-7) e (307484 / 2007-6), respectivamente.Federal University of Goiás. Faculty of Medicine. Goiás, Brazil.Federal University of Goiás. Faculty of Medicine. Goiás, Brazil.Federal University of Goiás. Faculty of Medicine. Goiás, Brazil.Secretaria de Saúde do Estado de Goiás. Associação de Pais e Amigos dos Excepcionais de Goiânia – APAE. Goiânia, GO, Brazil.Secretaria de Saúde do Estado de Goiás. Associação de Pais e Amigos dos Excepcionais de Goiânia – APAE. Goiânia, GO, Brazil.Secretaria de Saúde do Estado de Goiás. Associação de Pais e Amigos dos Excepcionais de Goiânia – APAE. Goiânia, GO, Brazil.Federal University of Goiás. Institute of Tropical Medicine and Public Health. Goiás, Brazil.Federal University of Goiás. Institute of Tropical Medicine and Public Health. Goiás, Brazil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.Federal University of Goiás. Institute of Tropical Medicine and Public Health. Goiás, Brazil.BACKGROUND: Hepatitis C (HCV) and human immunodeficiency virus (HIV) infections are a major burden to public health worldwide. Routine antenatal HIV-1 screening to prevent maternal-infant transmission is universally recommended. Our objectives were to evaluate the prevalence of and potential risk factors for HCV and HIV infection among pregnant women who attended prenatal care under the coverage of public health in Central Brazil. METHODS: Screening and counselling for HIV and HCV infections was offered free of charge to all pregnant women attending antenatal clinic (ANC) in the public health system, in Goiania city (~1.1 million inhabitants) during 2004-2005. Initial screening was performed on a dried blood spot collected onto standard filter paper; positive or indeterminate results were confirmed by a second blood sample. HCV infection was defined as a positive or indeterminate sample (EIA test) and confirmed HCV-RNA technique. HIV infection was defined according to standard criteria. Factors associated with HIV and HCV infections were identified with logistic regression. The number needed to screen (NNS) to prevent one case of infant HIV infection was calculated using the Monte Carlo simulation method. RESULTS: A total of 28,561 pregnant women were screened for HCV and HIV-1 in ANC. Mean maternal age was 23.9 years (SD = 5.6), with 45% of the women experiencing their first pregnancy. Prevalence of HCV infection was 0.15% (95% CI 0.11%-0.20%), and the risk increased with age (p < 0.01). The prevalence of anti-HIV infection was 0.09% (95% CI 0.06%-0.14%). Black women had a 4.9-fold (95% CI 1.42-16.95) greater risk of HIV-1 infection compared to non-black women. NNS to prevent one case of infant HIV infection ranged from 4,141 to 13,928. CONCLUSION: The prevalence of HIV and HCV infections were low among pregnant women, with high acceptability rates in the opt-in strategy in primary care. Older maternal age was a risk factor for HCV and antenatal HCV testing does not fulfill the requirements for screening recommendation. The finding of higher risk of HIV-1 infection among black women despite being in consonance with the HIV-1 ethnic pattern in some American regions cannot be ruled out to be a surrogate marker of socio-economic condition.engVírus da imunodeficiência humanaMulher grávidaInfecção pelo Vírus da Imunodeficiência HumanaMulher negraResultado IndeterminadoHuman Immunodeficiency VirusPregnant WomanHuman Immunodeficiency Virus InfectionBlack WomanIndeterminate ResultAdolescenteAdultoIdadeFatores Brasil / epidemiologiaEstudos TransversaisFêmeaInfecções por HIV / epidemiologiaHIV-1HepacivirusHepatite C / epidemiologiaHumanosTriagem em massaVigilância da PopulaçãoGravidezComplicações na Gravidez Infecciosa / epidemiologiaComplicações na Gravidez Infecciosa / virologiaCuidados pré-nataisPrevalênciaFatores de RiscoSaúde da mulherAdulto jovemPrevalence and risk factors for Hepatitis C and HIV-1 infections among pregnant women in Central 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| dc.title.pt_BR.fl_str_mv |
Prevalence and risk factors for Hepatitis C and HIV-1 infections among pregnant women in Central Brazil |
| title |
Prevalence and risk factors for Hepatitis C and HIV-1 infections among pregnant women in Central Brazil |
| spellingShingle |
Prevalence and risk factors for Hepatitis C and HIV-1 infections among pregnant women in Central Brazil Costa, Zelma B. Vírus da imunodeficiência humana Mulher grávida Infecção pelo Vírus da Imunodeficiência Humana Mulher negra Resultado Indeterminado Human Immunodeficiency Virus Pregnant Woman Human Immunodeficiency Virus Infection Black Woman Indeterminate Result Adolescente Adulto Idade Fatores Brasil / epidemiologia Estudos Transversais Fêmea Infecções por HIV / epidemiologia HIV-1 Hepacivirus Hepatite C / epidemiologia Humanos Triagem em massa Vigilância da População Gravidez Complicações na Gravidez Infecciosa / epidemiologia Complicações na Gravidez Infecciosa / virologia Cuidados pré-natais Prevalência Fatores de Risco Saúde da mulher Adulto jovem |
| title_short |
Prevalence and risk factors for Hepatitis C and HIV-1 infections among pregnant women in Central Brazil |
| title_full |
Prevalence and risk factors for Hepatitis C and HIV-1 infections among pregnant women in Central Brazil |
| title_fullStr |
Prevalence and risk factors for Hepatitis C and HIV-1 infections among pregnant women in Central Brazil |
| title_full_unstemmed |
Prevalence and risk factors for Hepatitis C and HIV-1 infections among pregnant women in Central Brazil |
| title_sort |
Prevalence and risk factors for Hepatitis C and HIV-1 infections among pregnant women in Central Brazil |
| author |
Costa, Zelma B. |
| author_facet |
Costa, Zelma B. Machado, Gustavo C. Avelino, Mariza M. Gomes Filho, Clidenor Macedo Filho, Jose V. Minuzzi, Ana L. Turchi, Marilia D. Stefani, Mariane M. A. Souza, Wayner Vieira de Martelli, Celina MT |
| author_role |
author |
| author2 |
Machado, Gustavo C. Avelino, Mariza M. Gomes Filho, Clidenor Macedo Filho, Jose V. Minuzzi, Ana L. Turchi, Marilia D. Stefani, Mariane M. A. Souza, Wayner Vieira de Martelli, Celina MT |
| author2_role |
author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Costa, Zelma B. Machado, Gustavo C. Avelino, Mariza M. Gomes Filho, Clidenor Macedo Filho, Jose V. Minuzzi, Ana L. Turchi, Marilia D. Stefani, Mariane M. A. Souza, Wayner Vieira de Martelli, Celina MT |
| dc.subject.other.pt_BR.fl_str_mv |
Vírus da imunodeficiência humana Mulher grávida Infecção pelo Vírus da Imunodeficiência Humana Mulher negra Resultado Indeterminado |
| topic |
Vírus da imunodeficiência humana Mulher grávida Infecção pelo Vírus da Imunodeficiência Humana Mulher negra Resultado Indeterminado Human Immunodeficiency Virus Pregnant Woman Human Immunodeficiency Virus Infection Black Woman Indeterminate Result Adolescente Adulto Idade Fatores Brasil / epidemiologia Estudos Transversais Fêmea Infecções por HIV / epidemiologia HIV-1 Hepacivirus Hepatite C / epidemiologia Humanos Triagem em massa Vigilância da População Gravidez Complicações na Gravidez Infecciosa / epidemiologia Complicações na Gravidez Infecciosa / virologia Cuidados pré-natais Prevalência Fatores de Risco Saúde da mulher Adulto jovem |
| dc.subject.en.pt_BR.fl_str_mv |
Human Immunodeficiency Virus Pregnant Woman Human Immunodeficiency Virus Infection Black Woman Indeterminate Result |
| dc.subject.decs.pt_BR.fl_str_mv |
Adolescente Adulto Idade Fatores Brasil / epidemiologia Estudos Transversais Fêmea Infecções por HIV / epidemiologia HIV-1 Hepacivirus Hepatite C / epidemiologia Humanos Triagem em massa Vigilância da População Gravidez Complicações na Gravidez Infecciosa / epidemiologia Complicações na Gravidez Infecciosa / virologia Cuidados pré-natais Prevalência Fatores de Risco Saúde da mulher Adulto jovem |
| description |
Programa de Proteção a Gestante do Estado de Goiás, APAE e Projeto-OPAS / OMS BR / LOA / 0600188.001. A CMTM e a WVS receberam bolsas de estudo do CNPq (307963 / 2004-7) e (307484 / 2007-6), respectivamente. |
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2009 |
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2009 |
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2018-08-06T12:33:07Z |
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2018-08-06T12:33:07Z |
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info:eu-repo/semantics/article |
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COSTA, Zelma B. et al. Prevalence and Risk Factors for Hepatitis C and HIV-1 Infections among Pregnant Women in Central Brazil. BMC Infectious Diseases, v. 9, p. 116, 27 jul. 2009. |
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https://www.arca.fiocruz.br/handle/icict/27853 |
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1471-2334 |
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10.1186/1471-2334-9-116 |
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COSTA, Zelma B. et al. Prevalence and Risk Factors for Hepatitis C and HIV-1 Infections among Pregnant Women in Central Brazil. BMC Infectious Diseases, v. 9, p. 116, 27 jul. 2009. 1471-2334 10.1186/1471-2334-9-116 |
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