Migrant women living with HIV in Europe: are they facing inequalities in the prevention of mother-to-child-transmission of HIV?
| Autor: | Heather Bailey, A Soriano-Arandes, Fiona Burns, Claire Thorne, G Favarato, Luis Prieto |
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| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
Pregnancy medicine.medical_specialty Pediatrics Inequality business.industry media_common.quotation_subject Public Health Environmental and Occupational Health Psychological intervention virus diseases Prenatal care medicine.disease Logistic regression 030112 virology 03 medical and health sciences 0302 clinical medicine Family medicine Cohort Medicine 030212 general & internal medicine business Viral load Cohort study media_common |
| Zdroj: | European Journal of Public Health. 28:55-60 |
| ISSN: | 1464-360X 1101-1262 |
| DOI: | 10.1093/eurpub/ckx048 |
| Popis: | Background In pregnancy early interventions are recommended for prevention of mother-to-child-transmission (PMTCT) of HIV. We examined whether pregnant women who live with HIV in Europe and are migrants encounter barriers in accessing HIV testing and care. Methods Four cohorts within the European Pregnancy and Paediatric HIV Cohort Collaboration provided data for pooled analysis of 11 795 pregnant women who delivered in 2002-12 across ten European countries. We defined a migrant as a woman delivering in a country different from her country of birth and grouped the countries into seven world regions. We compared three suboptimal PMTCT interventions (HIV diagnosis in late pregnancy in women undiagnosed at conception, late anti-retroviral therapy (ART) start in women diagnosed but untreated at conception and detectable viral load (VL) at delivery in women on antenatal ART) in native and migrant women using multivariable logistic regression models. Results Data included 9421 (79.9%) migrant women, mainly from sub-Saharan Africa (SSA); 4134 migrant women were diagnosed in the current pregnancy, often (48.6%) presenting with CD4 count |
| Databáze: | OpenAIRE |
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