Disparities in Rates and Trends of HIV/AIDS During Pregnancy Across the Decade, 1998-2007
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. RESULT...
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| Veröffentlicht in: | Journal of acquired immune deficiency syndromes (1999) 2010-11, Vol.55 (3), p.391-396 |
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| container_title | Journal of acquired immune deficiency syndromes (1999) |
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| creator | Salihu, Hamisu M Stanley, Kara M Mbah, Alfred K August, Euna M Alio, Amina P Marty, Phillip J |
| description | 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 = |
| doi_str_mv | 10.1097/QAI.0b013e3181f0cccf |
| format | Article |
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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.</description><identifier>ISSN: 1525-4135</identifier><identifier>EISSN: 1944-7884</identifier><identifier>DOI: 10.1097/QAI.0b013e3181f0cccf</identifier><identifier>PMID: 20729744</identifier><identifier>CODEN: JDSRET</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Acquired immune deficiency syndrome ; Adolescent ; Adult ; AIDS ; AIDS/HIV ; Biological and medical sciences ; Comorbidity ; Disease prevention ; Ethnic Groups ; Female ; Florida - epidemiology ; Hepatitis B - epidemiology ; Hepatitis C - epidemiology ; HIV ; HIV Infections - epidemiology ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Incidence ; Infant, Newborn ; Infectious diseases ; Maternal & child health ; Medical sciences ; Pregnancy ; Pregnancy Complications, Infectious - epidemiology ; Prevalence ; Trends ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids ; Young Adult</subject><ispartof>Journal of acquired immune deficiency syndromes (1999), 2010-11, Vol.55 (3), p.391-396</ispartof><rights>2010 Lippincott Williams & Wilkins, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Nov 1, 2010</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c490f-460a32d927969e452e84a06367a8a8ae507b019deccd645d2a1c8bb01eb695f83</citedby><cites>FETCH-LOGICAL-c490f-460a32d927969e452e84a06367a8a8ae507b019deccd645d2a1c8bb01eb695f83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27922,27923</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23376847$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20729744$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Salihu, Hamisu M</creatorcontrib><creatorcontrib>Stanley, Kara M</creatorcontrib><creatorcontrib>Mbah, Alfred K</creatorcontrib><creatorcontrib>August, Euna M</creatorcontrib><creatorcontrib>Alio, Amina P</creatorcontrib><creatorcontrib>Marty, Phillip J</creatorcontrib><title>Disparities in Rates and Trends of HIV/AIDS During Pregnancy Across the Decade, 1998-2007</title><title>Journal of acquired immune deficiency syndromes (1999)</title><addtitle>J Acquir Immune Defic Syndr</addtitle><description>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.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS</subject><subject>AIDS/HIV</subject><subject>Biological and medical sciences</subject><subject>Comorbidity</subject><subject>Disease prevention</subject><subject>Ethnic Groups</subject><subject>Female</subject><subject>Florida - epidemiology</subject><subject>Hepatitis B - epidemiology</subject><subject>Hepatitis C - epidemiology</subject><subject>HIV</subject><subject>HIV Infections - epidemiology</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Incidence</subject><subject>Infant, Newborn</subject><subject>Infectious diseases</subject><subject>Maternal & child health</subject><subject>Medical sciences</subject><subject>Pregnancy</subject><subject>Pregnancy Complications, Infectious - epidemiology</subject><subject>Prevalence</subject><subject>Trends</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><subject>Young Adult</subject><issn>1525-4135</issn><issn>1944-7884</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkdtqFEEQhhtRzEHfQKQRJDdO0ofq0-WSTcxCwFMUvGp6e2qyE2dn1u4ZQt7e1l0TyIVSF1UUXxX110_IK86OOXPm5NNsccyWjEuU3PKGxRibJ2SfO4DKWAtPS62EqoBLtUcOcr5hjGsA95zsCWaEMwD75Pu8zZuQ2rHFTNuefg5jKUJf06uEfZ3p0NCLxbeT2WL-hc6n1PbX9GPC6z708Y7OYhpypuMK6RxjqPEd5c7ZSjBmXpBnTegyvtzlQ_L1_Ozq9KK6_PB-cTq7rCI41lSgWZCidsI47RCUQAuBaalNsCVQMVNEuhpjrDWoWgQe7bK0cKmdaqw8JEfbvZs0_Jwwj37d5ohdF3ocpuwtVwq40vq_pFHWSi2dKOSbR-TNMKW-yPBGSyYsOFUg2EJ_npCw8ZvUrkO685z53xb5YpF_bFEZe73bPS3XWN8P_fWkAG93QMgxdE0qr27zAyel0RZM4eyWux26EVP-0U23mPwKQzeu_n3DL5fNqVM</recordid><startdate>20101101</startdate><enddate>20101101</enddate><creator>Salihu, Hamisu M</creator><creator>Stanley, Kara M</creator><creator>Mbah, Alfred K</creator><creator>August, Euna M</creator><creator>Alio, Amina P</creator><creator>Marty, Phillip J</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><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>7T5</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><scope>7U1</scope><scope>7U2</scope></search><sort><creationdate>20101101</creationdate><title>Disparities in Rates and Trends of HIV/AIDS During Pregnancy Across the Decade, 1998-2007</title><author>Salihu, Hamisu M ; Stanley, Kara M ; Mbah, Alfred K ; August, Euna M ; Alio, Amina P ; Marty, Phillip J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c490f-460a32d927969e452e84a06367a8a8ae507b019deccd645d2a1c8bb01eb695f83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adolescent</topic><topic>Adult</topic><topic>AIDS</topic><topic>AIDS/HIV</topic><topic>Biological and medical sciences</topic><topic>Comorbidity</topic><topic>Disease prevention</topic><topic>Ethnic Groups</topic><topic>Female</topic><topic>Florida - epidemiology</topic><topic>Hepatitis B - epidemiology</topic><topic>Hepatitis C - epidemiology</topic><topic>HIV</topic><topic>HIV Infections - epidemiology</topic><topic>Human immunodeficiency virus</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infant, Newborn</topic><topic>Infectious diseases</topic><topic>Maternal & child health</topic><topic>Medical sciences</topic><topic>Pregnancy</topic><topic>Pregnancy Complications, Infectious - epidemiology</topic><topic>Prevalence</topic><topic>Trends</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Salihu, Hamisu M</creatorcontrib><creatorcontrib>Stanley, Kara M</creatorcontrib><creatorcontrib>Mbah, Alfred K</creatorcontrib><creatorcontrib>August, Euna M</creatorcontrib><creatorcontrib>Alio, Amina P</creatorcontrib><creatorcontrib>Marty, Phillip J</creatorcontrib><collection>Pascal-Francis</collection><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>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>Risk Abstracts</collection><collection>Safety Science and Risk</collection><jtitle>Journal of acquired immune deficiency syndromes (1999)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Salihu, Hamisu M</au><au>Stanley, Kara M</au><au>Mbah, Alfred K</au><au>August, Euna M</au><au>Alio, Amina P</au><au>Marty, Phillip J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Disparities in Rates and Trends of HIV/AIDS During Pregnancy Across the Decade, 1998-2007</atitle><jtitle>Journal of acquired immune deficiency syndromes (1999)</jtitle><addtitle>J Acquir Immune Defic Syndr</addtitle><date>2010-11-01</date><risdate>2010</risdate><volume>55</volume><issue>3</issue><spage>391</spage><epage>396</epage><pages>391-396</pages><issn>1525-4135</issn><eissn>1944-7884</eissn><coden>JDSRET</coden><abstract>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.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>20729744</pmid><doi>10.1097/QAI.0b013e3181f0cccf</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of acquired immune deficiency syndromes (1999), 2010-11, Vol.55 (3), p.391-396 |
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| source | Journals@Ovid Ovid Autoload; Journals@OVID; MEDLINE; Open Access: Freely Accessible Journals by multiple vendors |
| subjects | Acquired immune deficiency syndrome Adolescent Adult AIDS AIDS/HIV Biological and medical sciences Comorbidity Disease prevention Ethnic Groups Female Florida - epidemiology Hepatitis B - epidemiology Hepatitis C - epidemiology HIV HIV Infections - epidemiology Human immunodeficiency virus Human viral diseases Humans Incidence Infant, Newborn Infectious diseases Maternal & child health Medical sciences Pregnancy Pregnancy Complications, Infectious - epidemiology Prevalence Trends Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids Young Adult |
| title | Disparities in Rates and Trends of HIV/AIDS During Pregnancy Across the Decade, 1998-2007 |
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