Document Detail


Disparities in rates and trends of HIV/AIDS during pregnancy across the decade, 1998-2007.
MedLine Citation:
PMID:  20729744     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To examine trends in HIV/AIDS prevalence rates among pregnant women over the previous decade and across subpopulations in the state of Florida.
METHODS: We analyzed all Florida births from 1998 to 2007 (n = 1,700,734) using hospital discharge data linked to birth certificate records.
RESULTS: The prevalence of HIV/AIDS in pregnancy decreased from 298 per 100,000 births to 252 per 100,000 births (P for trend < 0.04), representing a 15% decrease from 1998 to 2007. Hispanic mothers had twice the rate of HIV/AIDS compared with white mothers (adjusted rate ratio = 2.2; 95% confidence interval = 1.9 to 2.5), whereas black mothers had about 11 times the rate of white mothers (adjusted rate ratio = 10.8; 95% confidence interval = 9.8 to 12.0). The rate of HIV/AIDS coinfections in pregnancy increased 88.8% (P for trend = <0.0001) among hepatitis B-positive women and 635% (P for trend = <0.0001) among hepatitis C-positive women.
CONCLUSIONS: Although HIV/AIDS rates in pregnancy have decreased, black and Hispanic mothers and those infected with hepatitis B and C still have disproportionately high rates of HIV/AIDS. Our findings serve as a call for increased and intensified HIV/AIDS prevention interventions among minority women of childbearing age and those at risk for hepatitis B and C infections.
Authors:
Hamisu M Salihu; Kara M Stanley; Alfred K Mbah; Euna M August; Amina P Alio; Phillip J Marty
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of acquired immune deficiency syndromes (1999)     Volume:  55     ISSN:  1944-7884     ISO Abbreviation:  J. Acquir. Immune Defic. Syndr.     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-15     Completed Date:  2010-11-04     Revised Date:  2011-09-06    
Medline Journal Info:
Nlm Unique ID:  100892005     Medline TA:  J Acquir Immune Defic Syndr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  391-6     Citation Subset:  IM; X    
Affiliation:
Department of Epidemiology and Biostatistics, College of Public Health, University of South Florida, Tampa, FL 33613, USA. hamisu.salihu@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Comorbidity
Ethnic Groups
Female
Florida / epidemiology
HIV Infections / epidemiology*
Hepatitis B / epidemiology
Hepatitis C / epidemiology
Humans
Incidence
Infant, Newborn
Pregnancy
Pregnancy Complications, Infectious / epidemiology*
Prevalence
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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