Hierarchical analysis of determinants of HIV vertical transmission: a case-control study
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Saúde Materno Infantil (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292020000400985 |
Resumo: | Abstract Objectives: to analyze the association of socioeconomic, obstetric, pediatric and prophylactic factors to the vertical transmission of HIV in children followed at a reference service in Recife between 2010 and 2015. Methods: case-control nested the cohort of children exposed to vertical transmission of HIV. A univariate and multivariate statistical analysis was performed on the association of socioeconomic, obstetric, pediatric and prophylactic measures with the outcome. We considered two multivariate approaches, conventional and hierarchical, the latter made it possible to consider different levels of determination. Results: 46.5% of the mothers had low schooling, 69.6% without work-related wages and 35.7% received a family grant. Women with postpartum diagnosis and less than 6 prenatal appointments had a greater chance of vertical transmission. Prophylactic measures were statistically associated with prevention of transmission (p<0.1%). Conclusions: vertical risk factors for HIV transmission were identified: no sewage system, at least six prenatal consultations, first care of the child with more than two months and no prophylaxis in pregnancy and childbirth. Determining factors for which specific policies and programs exist and their non-access social determination evidence of HIV vertical transmission. |
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Hierarchical analysis of determinants of HIV vertical transmission: a case-control studyVertical transmission of infectious diseaseHIVRisk factorsMultivariate analysis.Abstract Objectives: to analyze the association of socioeconomic, obstetric, pediatric and prophylactic factors to the vertical transmission of HIV in children followed at a reference service in Recife between 2010 and 2015. Methods: case-control nested the cohort of children exposed to vertical transmission of HIV. A univariate and multivariate statistical analysis was performed on the association of socioeconomic, obstetric, pediatric and prophylactic measures with the outcome. We considered two multivariate approaches, conventional and hierarchical, the latter made it possible to consider different levels of determination. Results: 46.5% of the mothers had low schooling, 69.6% without work-related wages and 35.7% received a family grant. Women with postpartum diagnosis and less than 6 prenatal appointments had a greater chance of vertical transmission. Prophylactic measures were statistically associated with prevention of transmission (p<0.1%). Conclusions: vertical risk factors for HIV transmission were identified: no sewage system, at least six prenatal consultations, first care of the child with more than two months and no prophylaxis in pregnancy and childbirth. Determining factors for which specific policies and programs exist and their non-access social determination evidence of HIV vertical transmission.Instituto de Medicina Integral Prof. Fernando Figueira2020-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292020000400985Revista Brasileira de Saúde Materno Infantil v.20 n.4 2020reponame:Revista Brasileira de Saúde Materno Infantil (Online)instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)instacron:IMIPFF10.1590/1806-93042020000400005info:eu-repo/semantics/openAccessSiqueira,Poliana Germano Bezerra de SáMiranda,Gabriella Morais DuarteSouza,Wayner Vieira deSilva,Gerlane Alves Pontes daMendes,Antonio da Cruz Gouveiaeng2021-01-29T00:00:00Zoai:scielo:S1519-38292020000400985Revistahttp://www.scielo.br/rbsmihttps://old.scielo.br/oai/scielo-oai.php||revista@imip.org.br1806-93041519-3829opendoar:2021-01-29T00:00Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF)false |
dc.title.none.fl_str_mv |
Hierarchical analysis of determinants of HIV vertical transmission: a case-control study |
title |
Hierarchical analysis of determinants of HIV vertical transmission: a case-control study |
spellingShingle |
Hierarchical analysis of determinants of HIV vertical transmission: a case-control study Siqueira,Poliana Germano Bezerra de Sá Vertical transmission of infectious disease HIV Risk factors Multivariate analysis. |
title_short |
Hierarchical analysis of determinants of HIV vertical transmission: a case-control study |
title_full |
Hierarchical analysis of determinants of HIV vertical transmission: a case-control study |
title_fullStr |
Hierarchical analysis of determinants of HIV vertical transmission: a case-control study |
title_full_unstemmed |
Hierarchical analysis of determinants of HIV vertical transmission: a case-control study |
title_sort |
Hierarchical analysis of determinants of HIV vertical transmission: a case-control study |
author |
Siqueira,Poliana Germano Bezerra de Sá |
author_facet |
Siqueira,Poliana Germano Bezerra de Sá Miranda,Gabriella Morais Duarte Souza,Wayner Vieira de Silva,Gerlane Alves Pontes da Mendes,Antonio da Cruz Gouveia |
author_role |
author |
author2 |
Miranda,Gabriella Morais Duarte Souza,Wayner Vieira de Silva,Gerlane Alves Pontes da Mendes,Antonio da Cruz Gouveia |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Siqueira,Poliana Germano Bezerra de Sá Miranda,Gabriella Morais Duarte Souza,Wayner Vieira de Silva,Gerlane Alves Pontes da Mendes,Antonio da Cruz Gouveia |
dc.subject.por.fl_str_mv |
Vertical transmission of infectious disease HIV Risk factors Multivariate analysis. |
topic |
Vertical transmission of infectious disease HIV Risk factors Multivariate analysis. |
description |
Abstract Objectives: to analyze the association of socioeconomic, obstetric, pediatric and prophylactic factors to the vertical transmission of HIV in children followed at a reference service in Recife between 2010 and 2015. Methods: case-control nested the cohort of children exposed to vertical transmission of HIV. A univariate and multivariate statistical analysis was performed on the association of socioeconomic, obstetric, pediatric and prophylactic measures with the outcome. We considered two multivariate approaches, conventional and hierarchical, the latter made it possible to consider different levels of determination. Results: 46.5% of the mothers had low schooling, 69.6% without work-related wages and 35.7% received a family grant. Women with postpartum diagnosis and less than 6 prenatal appointments had a greater chance of vertical transmission. Prophylactic measures were statistically associated with prevention of transmission (p<0.1%). Conclusions: vertical risk factors for HIV transmission were identified: no sewage system, at least six prenatal consultations, first care of the child with more than two months and no prophylaxis in pregnancy and childbirth. Determining factors for which specific policies and programs exist and their non-access social determination evidence of HIV vertical transmission. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-01 |
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=S1519-38292020000400985 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1519-38292020000400985 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1806-93042020000400005 |
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 |
Instituto de Medicina Integral Prof. Fernando Figueira |
publisher.none.fl_str_mv |
Instituto de Medicina Integral Prof. Fernando Figueira |
dc.source.none.fl_str_mv |
Revista Brasileira de Saúde Materno Infantil v.20 n.4 2020 reponame:Revista Brasileira de Saúde Materno Infantil (Online) instname:Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) instacron:IMIPFF |
instname_str |
Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) |
instacron_str |
IMIPFF |
institution |
IMIPFF |
reponame_str |
Revista Brasileira de Saúde Materno Infantil (Online) |
collection |
Revista Brasileira de Saúde Materno Infantil (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Saúde Materno Infantil (Online) - Instituto de Medicina Integral Prof. Fernando Figueira (IMIPFF) |
repository.mail.fl_str_mv |
||revista@imip.org.br |
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1752129930397745152 |