HIV infection and prevention of mother-to-child transmission in childbearing women: La Romana, Dominican Republic, 2002-2006 Infección por el VIH en parturientas y prevención de la transmisión madre-hijo en La Romana, República Dominicana, 2002-2006
OBJECTIVES: To strengthen prevention of mother-to-child HIV transmission (pMTCT) program implementation in La Romana (LR) province, by estimating HIV prevalence and identifying characteristics associated with HIV infection in parturients. METHODS: Umbilical cord blood samples were collected at seven...
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ftdoajarticles:oai:doaj.org/article:fafae2a8d08e462d867eee4c08177ef4 2023-05-15T15:17:55+02:00 HIV infection and prevention of mother-to-child transmission in childbearing women: La Romana, Dominican Republic, 2002-2006 Infección por el VIH en parturientas y prevención de la transmisión madre-hijo en La Romana, República Dominicana, 2002-2006 José Román-Poueriet Aracelis D. Fernandez Consuelo M. Beck-Sagué René García Szabó Fermin Mercedes William Duke Anny Martinez Stephen Nicholas 2009-10-01T00:00:00Z https://doaj.org/article/fafae2a8d08e462d867eee4c08177ef4 EN ES PT eng spa por Pan American Health Organization http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892009001000005 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/fafae2a8d08e462d867eee4c08177ef4 Revista Panamericana de Salud Pública, Vol 26, Iss 4, Pp 315-323 (2009) Infecciones por VIH transmisión vertical de enfermedad infecciosa República Dominicana HIV infections infectious disease transmission vertical Dominican Republic Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2009 ftdoajarticles 2022-12-31T04:21:37Z OBJECTIVES: To strengthen prevention of mother-to-child HIV transmission (pMTCT) program implementation in La Romana (LR) province, by estimating HIV prevalence and identifying characteristics associated with HIV infection in parturients. METHODS: Umbilical cord blood samples were collected at seven obstetrical sites where over 95% of LR's deliveries occur during four phases (pilot, expanded pilot, full study, and pMTCT program monitoring) from 2 August 2002 to 30 September 2006. Results were linked to data abstracted from delivery records. RESULTS: HIV seroprevalence was 2.6% (263/10 040 overall; 114/4 452, full-study phase (95% confidence interval = 2.1%-3.1%)). Most HIV-infected parturients were Dominican (68.9%) and urban (64.0%). However, prevalence was higher among Haitians (3.7%) than Dominicans (2.3% (p < 0.001)), especially those aged 21-25 years (5.2% vs. 2.3% (p < 0.001)), and among rural, batey, and peri-urban (vs. urban) parturients (3.4% vs. 2.3%, (p = 0.003)). HIV prevalence was associated with commercial sex work (reported by only 0.4%), and prior pregnancy. In logistic regression analysis, commercial sex work, Haitian nationality, and prior pregnancy were independently associated with HIV infection. Caesarean deliveries were more frequent, and rose in the last years of the study, among HIV seropositives; however, most deliveries among seropositives (57.5%) were vaginal. CONCLUSIONS: HIV prevalence among LR parturients was higher than the estimated prevalence in the Dominican Republic (0.8%-1.0%) and, in contrast to past studies, predominantly affected urban Dominicans. HIV prevalence among LR Haitian parturients was higher than among Dominican counterparts and prenatal clinic attendees in Haiti (who had a rate of 3.1%). Consistently implemented, targeted pMTCT interventions are needed. OBJETIVOS: Fortalecer el programa de prevención de la transmisión de la infección por el VIH madre-hijo (PPTIMH) en la provincia de La Romana (LR), mediante la estimación de la prevalencia y la ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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English Spanish Portuguese |
topic |
Infecciones por VIH transmisión vertical de enfermedad infecciosa República Dominicana HIV infections infectious disease transmission vertical Dominican Republic Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Infecciones por VIH transmisión vertical de enfermedad infecciosa República Dominicana HIV infections infectious disease transmission vertical Dominican Republic Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 José Román-Poueriet Aracelis D. Fernandez Consuelo M. Beck-Sagué René García Szabó Fermin Mercedes William Duke Anny Martinez Stephen Nicholas HIV infection and prevention of mother-to-child transmission in childbearing women: La Romana, Dominican Republic, 2002-2006 Infección por el VIH en parturientas y prevención de la transmisión madre-hijo en La Romana, República Dominicana, 2002-2006 |
topic_facet |
Infecciones por VIH transmisión vertical de enfermedad infecciosa República Dominicana HIV infections infectious disease transmission vertical Dominican Republic Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
OBJECTIVES: To strengthen prevention of mother-to-child HIV transmission (pMTCT) program implementation in La Romana (LR) province, by estimating HIV prevalence and identifying characteristics associated with HIV infection in parturients. METHODS: Umbilical cord blood samples were collected at seven obstetrical sites where over 95% of LR's deliveries occur during four phases (pilot, expanded pilot, full study, and pMTCT program monitoring) from 2 August 2002 to 30 September 2006. Results were linked to data abstracted from delivery records. RESULTS: HIV seroprevalence was 2.6% (263/10 040 overall; 114/4 452, full-study phase (95% confidence interval = 2.1%-3.1%)). Most HIV-infected parturients were Dominican (68.9%) and urban (64.0%). However, prevalence was higher among Haitians (3.7%) than Dominicans (2.3% (p < 0.001)), especially those aged 21-25 years (5.2% vs. 2.3% (p < 0.001)), and among rural, batey, and peri-urban (vs. urban) parturients (3.4% vs. 2.3%, (p = 0.003)). HIV prevalence was associated with commercial sex work (reported by only 0.4%), and prior pregnancy. In logistic regression analysis, commercial sex work, Haitian nationality, and prior pregnancy were independently associated with HIV infection. Caesarean deliveries were more frequent, and rose in the last years of the study, among HIV seropositives; however, most deliveries among seropositives (57.5%) were vaginal. CONCLUSIONS: HIV prevalence among LR parturients was higher than the estimated prevalence in the Dominican Republic (0.8%-1.0%) and, in contrast to past studies, predominantly affected urban Dominicans. HIV prevalence among LR Haitian parturients was higher than among Dominican counterparts and prenatal clinic attendees in Haiti (who had a rate of 3.1%). Consistently implemented, targeted pMTCT interventions are needed. OBJETIVOS: Fortalecer el programa de prevención de la transmisión de la infección por el VIH madre-hijo (PPTIMH) en la provincia de La Romana (LR), mediante la estimación de la prevalencia y la ... |
format |
Article in Journal/Newspaper |
author |
José Román-Poueriet Aracelis D. Fernandez Consuelo M. Beck-Sagué René García Szabó Fermin Mercedes William Duke Anny Martinez Stephen Nicholas |
author_facet |
José Román-Poueriet Aracelis D. Fernandez Consuelo M. Beck-Sagué René García Szabó Fermin Mercedes William Duke Anny Martinez Stephen Nicholas |
author_sort |
José Román-Poueriet |
title |
HIV infection and prevention of mother-to-child transmission in childbearing women: La Romana, Dominican Republic, 2002-2006 Infección por el VIH en parturientas y prevención de la transmisión madre-hijo en La Romana, República Dominicana, 2002-2006 |
title_short |
HIV infection and prevention of mother-to-child transmission in childbearing women: La Romana, Dominican Republic, 2002-2006 Infección por el VIH en parturientas y prevención de la transmisión madre-hijo en La Romana, República Dominicana, 2002-2006 |
title_full |
HIV infection and prevention of mother-to-child transmission in childbearing women: La Romana, Dominican Republic, 2002-2006 Infección por el VIH en parturientas y prevención de la transmisión madre-hijo en La Romana, República Dominicana, 2002-2006 |
title_fullStr |
HIV infection and prevention of mother-to-child transmission in childbearing women: La Romana, Dominican Republic, 2002-2006 Infección por el VIH en parturientas y prevención de la transmisión madre-hijo en La Romana, República Dominicana, 2002-2006 |
title_full_unstemmed |
HIV infection and prevention of mother-to-child transmission in childbearing women: La Romana, Dominican Republic, 2002-2006 Infección por el VIH en parturientas y prevención de la transmisión madre-hijo en La Romana, República Dominicana, 2002-2006 |
title_sort |
hiv infection and prevention of mother-to-child transmission in childbearing women: la romana, dominican republic, 2002-2006 infección por el vih en parturientas y prevención de la transmisión madre-hijo en la romana, república dominicana, 2002-2006 |
publisher |
Pan American Health Organization |
publishDate |
2009 |
url |
https://doaj.org/article/fafae2a8d08e462d867eee4c08177ef4 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 26, Iss 4, Pp 315-323 (2009) |
op_relation |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892009001000005 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 https://doaj.org/article/fafae2a8d08e462d867eee4c08177ef4 |
_version_ |
1766348167553482752 |