Deficiencies in diagnosing HIV-infection during pregnancy in Brazil, 1998
Autor(a) principal: | |
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Data de Publicação: | 2002 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/31527 |
Resumo: | OBJECTIVE: The increasing number of women with AIDS in the state of São Paulo has lead to the implementation of a series of measures to reduce mother-to-child HIV transmission. The objective of this study was to evaluate these measures' deficiencies regarding coverage and quality of prenatal care in some HIV reference services in the state of São Paulo. METHODS: All HIV-positive women, aged 18 years or more, who gave birth in 1998 were interviewed when they came for a visit with an infectologist or a pediatrician in three cities (São Paulo, Santos and São José do Rio Preto) of the state of São Paulo. A structured questionnaire was applied. Prenatal care and time of their HIV infection diagnosis (before, during or after pregnancy) were assessed. RESULTS: Of 116 women interviewed, 109/116 (94%) had attended a prenatal care service during pregnancy, 64% had their first visit in the first trimester and 80% had 3 or more visits during pregnancy. The mean age of those who attended a prenatal service was 29.1 years, higher than those who did not attend any service (24.3 years). The HIV-positive status was known by 45%, 38% and 17% of the women before pregnancy, during pregnancy and after delivery, respectively. HIV testing was offered to 82% who did not know their serologic status, and among these, only 56% were informed about the importance of getting tested. The basic health care units (UBS) were less efficient in conveying information to the mothers about their children's infection risk (p=0.037) and their treatment needs (p=0.014). CONCLUSIONS: The main deficiencies identified were lack of HIV testing during pregnancy and inadequate information. Though basic health care units are the most important source of care for this population, its contribution to the understanding of risks and treatment needs was the most unsatisfactory. |
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Deficiencies in diagnosing HIV-infection during pregnancy in Brazil, 1998 Falhas na identificação da infecção pelo HIV durante a gravidez em São Paulo, SP, 1998 Síndrome de imunodeficiência adquirida^i1^sdiagnóstInfecções por HIV^i1^sdiagnóstCuidado pré-natalQualidade dos cuidados de saúdeComplicações na gravidezServiços de saúde maternaSoropositividade para HIV^i1^sdiagnóstConhecimentosatitudes e práticaAcquired immunodeficiency syndrome^i2^sdiagnosHIV infections^i2^sdiagnosPrenatal careQuality of health carePregnancy complicationsMaternal health servicesHIV seropositivity^i2^sdiagnosKnowledgeattitudespractice OBJECTIVE: The increasing number of women with AIDS in the state of São Paulo has lead to the implementation of a series of measures to reduce mother-to-child HIV transmission. The objective of this study was to evaluate these measures' deficiencies regarding coverage and quality of prenatal care in some HIV reference services in the state of São Paulo. METHODS: All HIV-positive women, aged 18 years or more, who gave birth in 1998 were interviewed when they came for a visit with an infectologist or a pediatrician in three cities (São Paulo, Santos and São José do Rio Preto) of the state of São Paulo. A structured questionnaire was applied. Prenatal care and time of their HIV infection diagnosis (before, during or after pregnancy) were assessed. RESULTS: Of 116 women interviewed, 109/116 (94%) had attended a prenatal care service during pregnancy, 64% had their first visit in the first trimester and 80% had 3 or more visits during pregnancy. The mean age of those who attended a prenatal service was 29.1 years, higher than those who did not attend any service (24.3 years). The HIV-positive status was known by 45%, 38% and 17% of the women before pregnancy, during pregnancy and after delivery, respectively. HIV testing was offered to 82% who did not know their serologic status, and among these, only 56% were informed about the importance of getting tested. The basic health care units (UBS) were less efficient in conveying information to the mothers about their children's infection risk (p=0.037) and their treatment needs (p=0.014). CONCLUSIONS: The main deficiencies identified were lack of HIV testing during pregnancy and inadequate information. Though basic health care units are the most important source of care for this population, its contribution to the understanding of risks and treatment needs was the most unsatisfactory. OBJETIVO: O aumento de casos de Aids em mulheres no Estado de São Paulo desencadeou uma série de medidas para reduzir a transmissão materno-infantil do HIV. Assim, realizou-se estudo com o objetivo de avaliar falhas na implantação dessas medidas, do ponto de vista da cobertura e da qualidade do pré-natal, em serviços de referência que atendem mulheres soropositivas no Estado de São Paulo. MÉTODOS: Foram entrevistadas, por meio de questionário estruturado, todas as mulheres soropositivas de três cidades do Estado de São Paulo (São Paulo, Santos e São José do Rio Preto). Todas as mulheres possuíam no mínimo 18 anos de idade, tiveram filhos em 1998 e fizeram consulta com infectologista (ela mesma ou seu filho). As mulheres foram avaliadas quanto à realização do pré-natal e ao conhecimento da soropositividade para o HIV antes, durante ou após a gestação. RESULTADOS: Do total de 116 mulheres, 109 (94%) fizeram pré-natal, 64% procuraram os serviços durante o primeiro trimestre, e o número de consultas foi de pelo menos três em 80% dos casos. A idade média das mulheres que fizeram pré-natal foi de 29,1 anos, estatisticamente maior do que a das mulheres que não o fizeram (24,3 anos). Sabiam ser soropositivas antes de engravidar 45% das mulheres, 38% souberam durante a gravidez, e 17%, após o nascimento da criança. O teste para o HIV foi oferecido para 82% das mulheres que não conheciam seu status sorológico. Destas, apenas 56% receberam explicação sobre a importância do teste. As unidades básicas de saúde (UBS) foram os locais onde a informação menos ajudou a conhecer o risco para a criança (p=0,037) e a necessidade de tratamento (p=0,0142). CONCLUSÕES: As principais falhas identificadas foram o não-oferecimento do teste HIV durante a gestação e a inadequada qualidade da informação. O principal local de atendimento para essas pessoas são as UBS. Estas foram as que menos contribuíram para a compreensão dos riscos e da necessidade de tratamento. Universidade de São Paulo. Faculdade de Saúde Pública2002-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/.pdfhttps://www.revistas.usp.br/rsp/article/view/3152710.1590/S0034-89102002000400003Revista de Saúde Pública; Vol. 36 No. 4 (2002); 385-392 Revista de Saúde Pública; Vol. 36 Núm. 4 (2002); 385-392 Revista de Saúde Pública; v. 36 n. 4 (2002); 385-392 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporhttps://www.revistas.usp.br/rsp/article/view/31527/33412Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessMarques, HHSLatorre, MRDODellaNegra, MPluciennik, AMASalomão, MLM2012-07-08T14:39:06Zoai:revistas.usp.br:article/31527Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T14:39:06Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Deficiencies in diagnosing HIV-infection during pregnancy in Brazil, 1998 Falhas na identificação da infecção pelo HIV durante a gravidez em São Paulo, SP, 1998 |
title |
Deficiencies in diagnosing HIV-infection during pregnancy in Brazil, 1998 |
spellingShingle |
Deficiencies in diagnosing HIV-infection during pregnancy in Brazil, 1998 Marques, HHS Síndrome de imunodeficiência adquirida^i1^sdiagnóst Infecções por HIV^i1^sdiagnóst Cuidado pré-natal Qualidade dos cuidados de saúde Complicações na gravidez Serviços de saúde materna Soropositividade para HIV^i1^sdiagnóst Conhecimentos atitudes e prática Acquired immunodeficiency syndrome^i2^sdiagnos HIV infections^i2^sdiagnos Prenatal care Quality of health care Pregnancy complications Maternal health services HIV seropositivity^i2^sdiagnos Knowledge attitudes practice |
title_short |
Deficiencies in diagnosing HIV-infection during pregnancy in Brazil, 1998 |
title_full |
Deficiencies in diagnosing HIV-infection during pregnancy in Brazil, 1998 |
title_fullStr |
Deficiencies in diagnosing HIV-infection during pregnancy in Brazil, 1998 |
title_full_unstemmed |
Deficiencies in diagnosing HIV-infection during pregnancy in Brazil, 1998 |
title_sort |
Deficiencies in diagnosing HIV-infection during pregnancy in Brazil, 1998 |
author |
Marques, HHS |
author_facet |
Marques, HHS Latorre, MRDO DellaNegra, M Pluciennik, AMA Salomão, MLM |
author_role |
author |
author2 |
Latorre, MRDO DellaNegra, M Pluciennik, AMA Salomão, MLM |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Marques, HHS Latorre, MRDO DellaNegra, M Pluciennik, AMA Salomão, MLM |
dc.subject.por.fl_str_mv |
Síndrome de imunodeficiência adquirida^i1^sdiagnóst Infecções por HIV^i1^sdiagnóst Cuidado pré-natal Qualidade dos cuidados de saúde Complicações na gravidez Serviços de saúde materna Soropositividade para HIV^i1^sdiagnóst Conhecimentos atitudes e prática Acquired immunodeficiency syndrome^i2^sdiagnos HIV infections^i2^sdiagnos Prenatal care Quality of health care Pregnancy complications Maternal health services HIV seropositivity^i2^sdiagnos Knowledge attitudes practice |
topic |
Síndrome de imunodeficiência adquirida^i1^sdiagnóst Infecções por HIV^i1^sdiagnóst Cuidado pré-natal Qualidade dos cuidados de saúde Complicações na gravidez Serviços de saúde materna Soropositividade para HIV^i1^sdiagnóst Conhecimentos atitudes e prática Acquired immunodeficiency syndrome^i2^sdiagnos HIV infections^i2^sdiagnos Prenatal care Quality of health care Pregnancy complications Maternal health services HIV seropositivity^i2^sdiagnos Knowledge attitudes practice |
description |
OBJECTIVE: The increasing number of women with AIDS in the state of São Paulo has lead to the implementation of a series of measures to reduce mother-to-child HIV transmission. The objective of this study was to evaluate these measures' deficiencies regarding coverage and quality of prenatal care in some HIV reference services in the state of São Paulo. METHODS: All HIV-positive women, aged 18 years or more, who gave birth in 1998 were interviewed when they came for a visit with an infectologist or a pediatrician in three cities (São Paulo, Santos and São José do Rio Preto) of the state of São Paulo. A structured questionnaire was applied. Prenatal care and time of their HIV infection diagnosis (before, during or after pregnancy) were assessed. RESULTS: Of 116 women interviewed, 109/116 (94%) had attended a prenatal care service during pregnancy, 64% had their first visit in the first trimester and 80% had 3 or more visits during pregnancy. The mean age of those who attended a prenatal service was 29.1 years, higher than those who did not attend any service (24.3 years). The HIV-positive status was known by 45%, 38% and 17% of the women before pregnancy, during pregnancy and after delivery, respectively. HIV testing was offered to 82% who did not know their serologic status, and among these, only 56% were informed about the importance of getting tested. The basic health care units (UBS) were less efficient in conveying information to the mothers about their children's infection risk (p=0.037) and their treatment needs (p=0.014). CONCLUSIONS: The main deficiencies identified were lack of HIV testing during pregnancy and inadequate information. Though basic health care units are the most important source of care for this population, its contribution to the understanding of risks and treatment needs was the most unsatisfactory. |
publishDate |
2002 |
dc.date.none.fl_str_mv |
2002-08-01 |
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/31527 10.1590/S0034-89102002000400003 |
url |
https://www.revistas.usp.br/rsp/article/view/31527 |
identifier_str_mv |
10.1590/S0034-89102002000400003 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/31527/33412 |
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 |
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. 36 No. 4 (2002); 385-392 Revista de Saúde Pública; Vol. 36 Núm. 4 (2002); 385-392 Revista de Saúde Pública; v. 36 n. 4 (2002); 385-392 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 |
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1800221780626898944 |