HIV infection among pregnant women attended in testing and counseling centers for AIDS
Autor(a) principal: | |
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Data de Publicação: | 2007 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/32370 |
Resumo: | OBJECTIVE: To estimate HIV prevalence and identify high-risk sexual behavior for infection in pregnant women who were given prenatal assistance. METHODS: Cross-sectional study based on attendance records of 8,002 pregnant women (25% of all municipalities) who lived in 27 municipalities in Southern Brazil in 2003 and had anti-HIV tests done in a testing and counseling center that performed prenatal assistance. Sociodemographic and behavioral data were gathered, as well as syphilis and HIV test results, during the individual counseling sessions registered in the data bank of the Sistema de Informações dos Centros de Testagem e Aconselhamento (Information System on Testing and Counseling Centers). Women who sought the centers for confirmation of previous serology or were referred to this service due to the presence of AIDS symptoms were excluded from the data base. RESULTS: A total of 0.5% of all the pregnant women analyzed (CI 95%=0.3;0.6) were HIV positive. The only variable associated with HIV seropositivity was schooling. The majority of them were basically exposed through unprotected sexual intercourse with the only partner they had a steady relationship with. Younger pregnant women who were single, unemployed and had lower level of education constituted the group with highest exposure. CONCLUSIONS: The Sistema de Informações dos Centros de Testagem e Aconselhamento turned out to be useful for the epidemiological surveillance of HIV infection and high-risk behavior among pregnant women and could also be useful as regards other populations. |
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HIV infection among pregnant women attended in testing and counseling centers for AIDS Infecção pelo HIV entre gestantes atendidas nos centros de testagem e aconselhamento em Aids Acquired immunodeficiency syndromeHIV infections^i2^sepidemiolHIV infections^i2^sprevention & contPregnant womenPrenatal careRisk factorsSocioeconomic factorsEpidemiologic SurveillanceCross-sectional studiesSíndrome de imunodeficiência adquiridaInfecções por HIV^i1^sepidemioloInfecções por HIV^i1^sprevenção e contrGestantesCuidado pré-natalFatores de riscoFatores socioeconômicosVigilância epidemiológicaEstudos transversais OBJECTIVE: To estimate HIV prevalence and identify high-risk sexual behavior for infection in pregnant women who were given prenatal assistance. METHODS: Cross-sectional study based on attendance records of 8,002 pregnant women (25% of all municipalities) who lived in 27 municipalities in Southern Brazil in 2003 and had anti-HIV tests done in a testing and counseling center that performed prenatal assistance. Sociodemographic and behavioral data were gathered, as well as syphilis and HIV test results, during the individual counseling sessions registered in the data bank of the Sistema de Informações dos Centros de Testagem e Aconselhamento (Information System on Testing and Counseling Centers). Women who sought the centers for confirmation of previous serology or were referred to this service due to the presence of AIDS symptoms were excluded from the data base. RESULTS: A total of 0.5% of all the pregnant women analyzed (CI 95%=0.3;0.6) were HIV positive. The only variable associated with HIV seropositivity was schooling. The majority of them were basically exposed through unprotected sexual intercourse with the only partner they had a steady relationship with. Younger pregnant women who were single, unemployed and had lower level of education constituted the group with highest exposure. CONCLUSIONS: The Sistema de Informações dos Centros de Testagem e Aconselhamento turned out to be useful for the epidemiological surveillance of HIV infection and high-risk behavior among pregnant women and could also be useful as regards other populations. OBJETIVO: Estimar a prevalência do HIV e identificar comportamentos sexuais de risco para a infecção em gestantes que realizaram rotina da assistência pré-natal. MÉTODOS: Estudo transversal com base em registros de atendimentos de 8.002 gestantes (25% do total dos municípios) residentes em 27 municípios da Região Sul do Brasil, em 2003, que realizaram testes anti-HIV em Centro de Testagem e Aconselhamento que realizavam pré-natal. Foram coletadas informações sociodemográficas e comportamentais, além dos resultados de testes para sífilis e HIV, nas consultas de aconselhamento individual registradas em banco de dados do Sistema de Informações dos Centros de Testagem e Aconselhamento. Foram excluídas da base de dados as gestantes que buscaram os Centros para confirmação de sorologia anterior e aquelas encaminhadas ao serviço por apresentarem sintomas de Aids. RESULTADOS: Do total de gestantes estudadas, 0,5% (IC 95%=0,3-0,6) foram positivas para o HIV. A única variável associada com a soropositividade para o HIV foi o nível de escolaridade. A maioria das gestantes se expôs basicamente por meio de relações sexuais sem preservativos com o parceiro único com quem mantinham relação estável. As gestantes mais jovens, solteiras, desempregadas e de menor escolaridade constituíram o grupo de maior exposição. CONCLUSÕES: O Sistema de Informações dos Centros de Testagem e Aconselhamento revelou-se útil à vigilância epidemiológica da infecção pelo HIV e dos comportamentos de risco no segmento de gestantes e pode vir a sê-lo em relação a outras populações. Universidade de São Paulo. Faculdade de Saúde Pública2007-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3237010.1590/S0034-89102007000900016Revista de Saúde Pública; Vol. 41 No. suppl.2 (2007); 101-108 Revista de Saúde Pública; Vol. 41 Núm. suppl.2 (2007); 101-108 Revista de Saúde Pública; v. 41 n. suppl.2 (2007); 101-108 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32370/34571https://www.revistas.usp.br/rsp/article/view/32370/34572Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessCardoso, Antônio José CostaGriep, Rosane HarterCarvalho, Heráclito Barbosa deBarros, AlessandroSilva, Sônia Baptista daRemien, Robert H.2012-07-09T00:49:58Zoai:revistas.usp.br:article/32370Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-09T00:49:58Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
HIV infection among pregnant women attended in testing and counseling centers for AIDS Infecção pelo HIV entre gestantes atendidas nos centros de testagem e aconselhamento em Aids |
title |
HIV infection among pregnant women attended in testing and counseling centers for AIDS |
spellingShingle |
HIV infection among pregnant women attended in testing and counseling centers for AIDS Cardoso, Antônio José Costa Acquired immunodeficiency syndrome HIV infections^i2^sepidemiol HIV infections^i2^sprevention & cont Pregnant women Prenatal care Risk factors Socioeconomic factors Epidemiologic Surveillance Cross-sectional studies Síndrome de imunodeficiência adquirida Infecções por HIV^i1^sepidemiolo Infecções por HIV^i1^sprevenção e contr Gestantes Cuidado pré-natal Fatores de risco Fatores socioeconômicos Vigilância epidemiológica Estudos transversais |
title_short |
HIV infection among pregnant women attended in testing and counseling centers for AIDS |
title_full |
HIV infection among pregnant women attended in testing and counseling centers for AIDS |
title_fullStr |
HIV infection among pregnant women attended in testing and counseling centers for AIDS |
title_full_unstemmed |
HIV infection among pregnant women attended in testing and counseling centers for AIDS |
title_sort |
HIV infection among pregnant women attended in testing and counseling centers for AIDS |
author |
Cardoso, Antônio José Costa |
author_facet |
Cardoso, Antônio José Costa Griep, Rosane Harter Carvalho, Heráclito Barbosa de Barros, Alessandro Silva, Sônia Baptista da Remien, Robert H. |
author_role |
author |
author2 |
Griep, Rosane Harter Carvalho, Heráclito Barbosa de Barros, Alessandro Silva, Sônia Baptista da Remien, Robert H. |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Cardoso, Antônio José Costa Griep, Rosane Harter Carvalho, Heráclito Barbosa de Barros, Alessandro Silva, Sônia Baptista da Remien, Robert H. |
dc.subject.por.fl_str_mv |
Acquired immunodeficiency syndrome HIV infections^i2^sepidemiol HIV infections^i2^sprevention & cont Pregnant women Prenatal care Risk factors Socioeconomic factors Epidemiologic Surveillance Cross-sectional studies Síndrome de imunodeficiência adquirida Infecções por HIV^i1^sepidemiolo Infecções por HIV^i1^sprevenção e contr Gestantes Cuidado pré-natal Fatores de risco Fatores socioeconômicos Vigilância epidemiológica Estudos transversais |
topic |
Acquired immunodeficiency syndrome HIV infections^i2^sepidemiol HIV infections^i2^sprevention & cont Pregnant women Prenatal care Risk factors Socioeconomic factors Epidemiologic Surveillance Cross-sectional studies Síndrome de imunodeficiência adquirida Infecções por HIV^i1^sepidemiolo Infecções por HIV^i1^sprevenção e contr Gestantes Cuidado pré-natal Fatores de risco Fatores socioeconômicos Vigilância epidemiológica Estudos transversais |
description |
OBJECTIVE: To estimate HIV prevalence and identify high-risk sexual behavior for infection in pregnant women who were given prenatal assistance. METHODS: Cross-sectional study based on attendance records of 8,002 pregnant women (25% of all municipalities) who lived in 27 municipalities in Southern Brazil in 2003 and had anti-HIV tests done in a testing and counseling center that performed prenatal assistance. Sociodemographic and behavioral data were gathered, as well as syphilis and HIV test results, during the individual counseling sessions registered in the data bank of the Sistema de Informações dos Centros de Testagem e Aconselhamento (Information System on Testing and Counseling Centers). Women who sought the centers for confirmation of previous serology or were referred to this service due to the presence of AIDS symptoms were excluded from the data base. RESULTS: A total of 0.5% of all the pregnant women analyzed (CI 95%=0.3;0.6) were HIV positive. The only variable associated with HIV seropositivity was schooling. The majority of them were basically exposed through unprotected sexual intercourse with the only partner they had a steady relationship with. Younger pregnant women who were single, unemployed and had lower level of education constituted the group with highest exposure. CONCLUSIONS: The Sistema de Informações dos Centros de Testagem e Aconselhamento turned out to be useful for the epidemiological surveillance of HIV infection and high-risk behavior among pregnant women and could also be useful as regards other populations. |
publishDate |
2007 |
dc.date.none.fl_str_mv |
2007-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/32370 10.1590/S0034-89102007000900016 |
url |
https://www.revistas.usp.br/rsp/article/view/32370 |
identifier_str_mv |
10.1590/S0034-89102007000900016 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/32370/34571 https://www.revistas.usp.br/rsp/article/view/32370/34572 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 41 No. suppl.2 (2007); 101-108 Revista de Saúde Pública; Vol. 41 Núm. suppl.2 (2007); 101-108 Revista de Saúde Pública; v. 41 n. suppl.2 (2007); 101-108 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221786918354944 |