Document Detail

The association between ethnicity and late presentation to antenatal care among pregnant women living with HIV in the UK and Ireland.
MedLine Citation:
PMID:  22519823     Owner:  NLM     Status:  MEDLINE    
UK and Ireland guidelines state that all pregnant women should have their first antenatal care appointment by 13 weeks of pregnancy (antenatal booking). We present the results of an analysis looking at the association between maternal ethnicity and late antenatal booking in HIV-positive women in the UK and Ireland. We analysed data from the National Study of HIV in Pregnancy and Childhood (NSHPC). We included all pregnancies in women who were diagnosed with HIV before delivery and had an estimated delivery date between 1 January 2008 and 31 December 2009. Late booking was defined as antenatal booking at 13 weeks or later. The baseline reference group for all analyses comprised women of "white" ethnicity. Logistic regression models were fitted to estimate adjusted odds ratios (AOR). There were 2721 eligible reported pregnancies; 63% (1709) had data available on antenatal care booking date. In just over 50% of pregnancies (871/1709), the antenatal booking date was ≥13 weeks of pregnancy (i.e., late booking). Women diagnosed with HIV during the current pregnancy were more likely to present for antenatal care late than those previously diagnosed (59.1% vs. 47.5%, p<0.001). Where women knew their HIV status prior to becoming pregnant, the risk of late booking was raised for those of African ethnicity (AOR 1.80; 95% confidence interval (CI) 1.14, 2.82; p=0.011). In women diagnosed with HIV during pregnancy, the risk of late booking was also higher for women of African ethnicity (AOR 2.98: 95% CI 1.45, 6.11; p=0.003) and for women of other black ethnicity (AOR 3.74: 95% CI 1.28, 10.94; p=0.016). Overall, women of African or other black ethnicity were more likely to book late for antenatal care compared with white women, regardless of timing of diagnosis. This may have an adverse effect on maternal and infant outcomes, including mother-to-child transmission of HIV.
Shema Tariq; Jonathan Elford; Mario Cortina-Borja; Pat A Tookey;
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-04-23
Journal Detail:
Title:  AIDS care     Volume:  24     ISSN:  1360-0451     ISO Abbreviation:  AIDS Care     Publication Date:  2012  
Date Detail:
Created Date:  2012-07-03     Completed Date:  2012-09-24     Revised Date:  2013-04-29    
Medline Journal Info:
Nlm Unique ID:  8915313     Medline TA:  AIDS Care     Country:  England    
Other Details:
Languages:  eng     Pagination:  978-85     Citation Subset:  IM; X    
Department of Public Health, City University London, London, UK.
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MeSH Terms
Great Britain
HIV Infections / complications,  ethnology*
Patient Acceptance of Health Care / ethnology*
Pregnancy Complications, Infectious / ethnology*
Prenatal Care / utilization*
Time Factors
Young Adult
Grant Support
G0701648//Medical Research Council; G0701648 ID 85538//Medical Research Council; G0701648(85538)//Medical Research Council

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