Prevalence and risk factors for HIV, hepatitis B virus, and syphilis among pregnant women in Mayotte, Indian Ocean, 2008-2009

Autor: Philippe Vanhems, Marine Giard, Thomas Bénet, Nicolas Voirin, Abdoulkarim Abaine, Maoulide Saindou, Didier Troalen
Přispěvatelé: Hôpital de la Croix-Rousse [CHU - HCL], Hospices Civils de Lyon (HCL), Laboratoire de Biométrie et Biologie Evolutive - UMR 5558 (LBBE), Université Claude Bernard Lyon 1 (UCBL), Université de Lyon-Université de Lyon-Institut National de Recherche en Informatique et en Automatique (Inria)-VetAgro Sup - Institut national d'enseignement supérieur et de recherche en alimentation, santé animale, sciences agronomiques et de l'environnement (VAS)-Centre National de la Recherche Scientifique (CNRS), Service d'Hygiène, Epidémiologie et Prévention [Hôpital Edouard Herriot - HCL], Hôpital Edouard Herriot [CHU - HCL], Hospices Civils de Lyon (HCL)-Hospices Civils de Lyon (HCL)
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Hemagglutination
[SDV]Life Sciences [q-bio]
Human immunodeficiency virus (HIV)
HIV Infections
Logistic regression
medicine.disease_cause
Rapid plasma reagin
Comoros
MESH: Comoros
0302 clinical medicine
MESH: Pregnancy
MESH: Health Surveys
Pregnancy
Risk Factors
MESH: Risk Factors
Surveys and Questionnaires
Prevalence
030212 general & internal medicine
Pregnancy Complications
Infectious
Treponema
MESH: Middle Aged
medicine.diagnostic_test
biology
Obstetrics and Gynecology
General Medicine
MESH: HIV Infections
Middle Aged
Hepatitis B
3. Good health
MESH: Young Adult
Population study
Educational Status
Female
Adult
Adolescent
030231 tropical medicine
03 medical and health sciences
Young Adult
MESH: Cross-Sectional Studies
medicine
Humans
MESH: Pregnancy Complications
Infectious
Syphilis
MESH: Prevalence
Hepatitis B virus
MESH: Adolescent
Hepatitis B Surface Antigens
MESH: Humans
MESH: Hepatitis B
business.industry
MESH: Questionnaires
MESH: Adult
biology.organism_classification
medicine.disease
Health Surveys
MESH: Hepatitis B Surface Antigens
Cross-Sectional Studies
MESH: Syphilis
Immunology
business
MESH: Educational Status
MESH: Female
Demography
Zdroj: International Journal of Gynecology and Obstetrics
International Journal of Gynecology and Obstetrics, Elsevier, 2012, 119 (1), pp.61-5. ⟨10.1016/j.ijgo.2012.05.020⟩
International Journal of Gynecology and Obstetrics, 2012, 119 (1), pp.61-5. ⟨10.1016/j.ijgo.2012.05.020⟩
ISSN: 0020-7292
DOI: 10.1016/j.ijgo.2012.05.020⟩
Popis: International audience; OBJECTIVE: To assess the prevalence and risk factors for HIV, hepatitis B virus (HBV), and syphilis among pregnant women living on the Indian Ocean island of Mayotte. METHODS: A cross-sectional survey was conducted among 671 pregnant women at 11 prenatal clinics on Mayotte between September 15, 2008, and September 27, 2009. Sociodemographic and behavioral characteristics were collected by interviewer-administered questionnaire. Blood samples were obtained for HIV, HBV, and syphilis testing. Risk factors were analyzed by exact logistic regression. RESULTS: No prevalent case of HIV infection was detected among the study population. The prevalence of HBV surface antigen and active syphilis (defined as a positive test result by both rapid plasma reagin and Treponema pallidum hemagglutination assays) was 3.4% and 2.1%, respectively. A positive HBV surface antigen test was associated with being born in Comoros and having sex with a casual partner during the previous year. Lack of education and a history of sexually transmitted infections in the past 5 years were associated with active syphilis. CONCLUSION: The continuing low prevalence of HIV and high prevalence of sexually transmitted infections among pregnant women on Mayotte confirmed the so-called "Indian Ocean paradox."
Databáze: OpenAIRE
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