Incidence and prevalence of human immunodeficiency virus infection in a prenatal population undergoing routine voluntary human immunodeficiency virus screening, July 1987 to June 1990
To characterize the epidemiologic characteristics of human immunodeficiency virus type 1 infection in an urban prenatal population in the southeastern United States, we conducted serial routine voluntary antenatal human immunodeficiency virus antibody testing and obtained self-reported human immunod...
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Veröffentlicht in: | American journal of obstetrics and gynecology 1991-10, Vol.165 (4), p.961-964 |
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creator | Lindsay, Michael K. Peterson, Herbert B. Willis, Susan Slade, Barbara A. Gramling, Joanne Williams, Harriet Klein, Luella |
description | To characterize the epidemiologic characteristics of human immunodeficiency virus type 1 infection in an urban prenatal population in the southeastern United States, we conducted serial routine voluntary antenatal human immunodeficiency virus antibody testing and obtained self-reported human immunodeficiency virus risk behavior profiles on women registering for prenatal care. From July 1987 to June 1990, 23,432 women registered for prenatal care. The majority of women (95%) consented to human immunodeficiency virus antibody testing and completed risk behavior profiles. The cumulative incidence of human immunodeficiency virus infection increased from 3.5 per 1000 in 1987 and 1988 to 5.3 per 1000 in 1989 and 1990. A history of “crack” cocaine use emerged as a significant risk factor for infection (p \lt 0.01). The majority (70%) of human immunodeficiency virus-infected women did not self-acknowledge risk factors for infection and would not have been identified if screening had been targeted. The increasing incidence of human immunodeficiency virus type 1 infection in our prenatal population reinforces the need for our continued routine voluntary antenatal human immunodeficiency virus screening and risk behavior assessment. |
doi_str_mv | 10.1016/0002-9378(91)90448-Z |
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From July 1987 to June 1990, 23,432 women registered for prenatal care. The majority of women (95%) consented to human immunodeficiency virus antibody testing and completed risk behavior profiles. The cumulative incidence of human immunodeficiency virus infection increased from 3.5 per 1000 in 1987 and 1988 to 5.3 per 1000 in 1989 and 1990. A history of “crack” cocaine use emerged as a significant risk factor for infection (p \lt 0.01). The majority (70%) of human immunodeficiency virus-infected women did not self-acknowledge risk factors for infection and would not have been identified if screening had been targeted. The increasing incidence of human immunodeficiency virus type 1 infection in our prenatal population reinforces the need for our continued routine voluntary antenatal human immunodeficiency virus screening and risk behavior assessment.</description><identifier>ISSN: 0002-9378</identifier><identifier>EISSN: 1097-6868</identifier><identifier>DOI: 10.1016/0002-9378(91)90448-Z</identifier><identifier>PMID: 1951563</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Acquired Immunodeficiency Syndrome - epidemiology ; Adolescent ; Adult ; AIDS/HIV ; Female ; Georgia - epidemiology ; HIV-1 ; Humans ; Incidence ; Incidence of human immunodeficiency virus infection ; Pregnancy ; Pregnancy Complications, Infectious - epidemiology ; Prenatal Care ; Prevalence ; Risk Factors ; Urban Population ; voluntary antenatal antibody screening ; “crack” cocaine</subject><ispartof>American journal of obstetrics and gynecology, 1991-10, Vol.165 (4), p.961-964</ispartof><rights>1991 Mosby</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c388t-4e552f6d4c4064d52f0407b517ab957543f39077ba301f42bea11722dc4fe13a3</citedby><cites>FETCH-LOGICAL-c388t-4e552f6d4c4064d52f0407b517ab957543f39077ba301f42bea11722dc4fe13a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/0002-9378(91)90448-Z$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,45974</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/1951563$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lindsay, Michael K.</creatorcontrib><creatorcontrib>Peterson, Herbert B.</creatorcontrib><creatorcontrib>Willis, Susan</creatorcontrib><creatorcontrib>Slade, Barbara A.</creatorcontrib><creatorcontrib>Gramling, Joanne</creatorcontrib><creatorcontrib>Williams, Harriet</creatorcontrib><creatorcontrib>Klein, Luella</creatorcontrib><title>Incidence and prevalence of human immunodeficiency virus infection in a prenatal population undergoing routine voluntary human immunodeficiency virus screening, July 1987 to June 1990</title><title>American journal of obstetrics and gynecology</title><addtitle>Am J Obstet Gynecol</addtitle><description>To characterize the epidemiologic characteristics of human immunodeficiency virus type 1 infection in an urban prenatal population in the southeastern United States, we conducted serial routine voluntary antenatal human immunodeficiency virus antibody testing and obtained self-reported human immunodeficiency virus risk behavior profiles on women registering for prenatal care. From July 1987 to June 1990, 23,432 women registered for prenatal care. The majority of women (95%) consented to human immunodeficiency virus antibody testing and completed risk behavior profiles. The cumulative incidence of human immunodeficiency virus infection increased from 3.5 per 1000 in 1987 and 1988 to 5.3 per 1000 in 1989 and 1990. A history of “crack” cocaine use emerged as a significant risk factor for infection (p \lt 0.01). The majority (70%) of human immunodeficiency virus-infected women did not self-acknowledge risk factors for infection and would not have been identified if screening had been targeted. The increasing incidence of human immunodeficiency virus type 1 infection in our prenatal population reinforces the need for our continued routine voluntary antenatal human immunodeficiency virus screening and risk behavior assessment.</description><subject>Acquired Immunodeficiency Syndrome - epidemiology</subject><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS/HIV</subject><subject>Female</subject><subject>Georgia - epidemiology</subject><subject>HIV-1</subject><subject>Humans</subject><subject>Incidence</subject><subject>Incidence of human immunodeficiency virus infection</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious - epidemiology</subject><subject>Prenatal Care</subject><subject>Prevalence</subject><subject>Risk Factors</subject><subject>Urban Population</subject><subject>voluntary antenatal antibody screening</subject><subject>“crack” cocaine</subject><issn>0002-9378</issn><issn>1097-6868</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1991</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFUc2K1TAYDaKM19E3UMhKFKwmTdo0mwEZ_BkZcKOb2YQ0-TJG2qQmzYX7ZL6e6b2D7sZVcjg_H5yD0HNK3lJC-3eEkLaRTAyvJH0tCedDc_MA7SiRoumHfniIdn8lj9GTnH9usJXtGTqjsqNdz3bo91Uw3kIwgHWweEmw19MRRod_lFkH7Oe5hGjBeeMrc8B7n0rGPjgwq49VELDenEGvesJLXMqkj0QJFtJt9OEWp1hWHwDv41TCqtPh_vBsEkCoxjf4S5kOmMpB4DVWUDOolOQpeuT0lOHZ3XuOvn_88O3yc3P99dPV5fvrxrBhWBsOXde63nLDSc9t_RNOxNhRoUfZiY4zxyQRYtSMUMfbETSlom2t4Q4o0-wcvTzlLin-KpBXNftsYJp0gFiyEi0XgyDsv0La04Ex0lUhPwlNijkncGpJfq6NKErUNqzaZlLbakpSdRxW3VTbi7v8Ms5g_5lOS1b-4sRDbWPvIal8bBSsT3UnZaO__8AfXPi1og</recordid><startdate>19911001</startdate><enddate>19911001</enddate><creator>Lindsay, Michael K.</creator><creator>Peterson, Herbert B.</creator><creator>Willis, Susan</creator><creator>Slade, Barbara A.</creator><creator>Gramling, Joanne</creator><creator>Williams, Harriet</creator><creator>Klein, Luella</creator><general>Mosby, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U2</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>7X8</scope></search><sort><creationdate>19911001</creationdate><title>Incidence and prevalence of human immunodeficiency virus infection in a prenatal population undergoing routine voluntary human immunodeficiency virus screening, July 1987 to June 1990</title><author>Lindsay, Michael K. ; Peterson, Herbert B. ; Willis, Susan ; Slade, Barbara A. ; Gramling, Joanne ; Williams, Harriet ; Klein, Luella</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c388t-4e552f6d4c4064d52f0407b517ab957543f39077ba301f42bea11722dc4fe13a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1991</creationdate><topic>Acquired Immunodeficiency Syndrome - epidemiology</topic><topic>Adolescent</topic><topic>Adult</topic><topic>AIDS/HIV</topic><topic>Female</topic><topic>Georgia - epidemiology</topic><topic>HIV-1</topic><topic>Humans</topic><topic>Incidence</topic><topic>Incidence of human immunodeficiency virus infection</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Infectious - epidemiology</topic><topic>Prenatal Care</topic><topic>Prevalence</topic><topic>Risk Factors</topic><topic>Urban Population</topic><topic>voluntary antenatal antibody screening</topic><topic>“crack” cocaine</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lindsay, Michael K.</creatorcontrib><creatorcontrib>Peterson, Herbert B.</creatorcontrib><creatorcontrib>Willis, Susan</creatorcontrib><creatorcontrib>Slade, Barbara A.</creatorcontrib><creatorcontrib>Gramling, Joanne</creatorcontrib><creatorcontrib>Williams, Harriet</creatorcontrib><creatorcontrib>Klein, Luella</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>American journal of obstetrics and gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lindsay, Michael K.</au><au>Peterson, Herbert B.</au><au>Willis, Susan</au><au>Slade, Barbara A.</au><au>Gramling, Joanne</au><au>Williams, Harriet</au><au>Klein, Luella</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Incidence and prevalence of human immunodeficiency virus infection in a prenatal population undergoing routine voluntary human immunodeficiency virus screening, July 1987 to June 1990</atitle><jtitle>American journal of obstetrics and gynecology</jtitle><addtitle>Am J Obstet Gynecol</addtitle><date>1991-10-01</date><risdate>1991</risdate><volume>165</volume><issue>4</issue><spage>961</spage><epage>964</epage><pages>961-964</pages><issn>0002-9378</issn><eissn>1097-6868</eissn><abstract>To characterize the epidemiologic characteristics of human immunodeficiency virus type 1 infection in an urban prenatal population in the southeastern United States, we conducted serial routine voluntary antenatal human immunodeficiency virus antibody testing and obtained self-reported human immunodeficiency virus risk behavior profiles on women registering for prenatal care. From July 1987 to June 1990, 23,432 women registered for prenatal care. The majority of women (95%) consented to human immunodeficiency virus antibody testing and completed risk behavior profiles. The cumulative incidence of human immunodeficiency virus infection increased from 3.5 per 1000 in 1987 and 1988 to 5.3 per 1000 in 1989 and 1990. A history of “crack” cocaine use emerged as a significant risk factor for infection (p \lt 0.01). The majority (70%) of human immunodeficiency virus-infected women did not self-acknowledge risk factors for infection and would not have been identified if screening had been targeted. The increasing incidence of human immunodeficiency virus type 1 infection in our prenatal population reinforces the need for our continued routine voluntary antenatal human immunodeficiency virus screening and risk behavior assessment.</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>1951563</pmid><doi>10.1016/0002-9378(91)90448-Z</doi><tpages>4</tpages></addata></record> |
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source | MEDLINE; Elsevier ScienceDirect Journals Complete |
subjects | Acquired Immunodeficiency Syndrome - epidemiology Adolescent Adult AIDS/HIV Female Georgia - epidemiology HIV-1 Humans Incidence Incidence of human immunodeficiency virus infection Pregnancy Pregnancy Complications, Infectious - epidemiology Prenatal Care Prevalence Risk Factors Urban Population voluntary antenatal antibody screening “crack” cocaine |
title | Incidence and prevalence of human immunodeficiency virus infection in a prenatal population undergoing routine voluntary human immunodeficiency virus screening, July 1987 to June 1990 |
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