Epidemiologic and clinical characteristics of pregnant women living with HIV/AIDS in a region of Southern Brazil where the subtype C of HIV-1 infection predominates
Autor: | Luís Fernando de Macedo Brígido, Rosângela Rodrigues, Sandra Aparecida Manenti, Roberto Teixeira Oenning, Jeverson Moreira, João Galato Júnior, Pedro R. T. Romão, Priscyla Waleska Targino de Azevedo Simões, Elizângela da Silva Silveira, Celine M. Fochesato |
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Jazyk: | angličtina |
Rok vydání: | 2011 |
Předmět: |
Sexually transmitted disease
Microbiology (medical) Adult Male Unprotected Sexual Intercourse Adolescent Sexual Behavior Population Prevalence lcsh:QR1-502 HIV Infections lcsh:Microbiology Men who have sex with men lcsh:Infectious and parasitic diseases Young Adult Acquired immunodeficiency syndrome (AIDS) Pregnancy Risk Factors medicine Outpatient clinic Humans lcsh:RC109-216 Pregnancy Complications Infectious education HIV-1 subtype C Medicine(all) serodiagnosis education.field_of_study business.industry medicine.disease AIDS Sexual intercourse Parity Infectious Diseases Cross-Sectional Studies Socioeconomic Factors Immunology HIV-1 Southern Brazil Female pregnancy business Brazil Demography HIV infections |
Zdroj: | Brazilian Journal of Infectious Diseases v.15 n.4 2011 Brazilian Journal of Infectious Diseases Brazilian Society of Infectious Diseases (BSID) instacron:BSID Brazilian Journal of Infectious Diseases, Volume: 15, Issue: 4, Pages: 349-355, Published: AUG 2011 Brazilian Journal of Infectious Diseases, Vol 15, Iss 4, Pp 349-355 ResearcherID Brazilian Journal of Infectious Diseases, Vol 15, Iss 4, Pp 349-355 (2011) |
Popis: | Southern Brazil has the highest prevalence rate of AIDS in the country and is the only region in the Americas where HIV-1 subtype C prevails. Objective: We evaluated the epidemiologic and clinical characteristics of pregnant women living with HIV/AIDS in the South region of Santa Catarina, Brazil. Methods: All pregnant women with HIV infection attending the obstetric outpatient clinic of Criciúma, State of Santa Catarina, in 2007 (n = 46) were invited to participate. Data of 36 eligible participants were obtained through a standardized questionnaire. Results: The great majority were young, with a steady partner, low family income, low education level and referring early first sexual intercourse. Many reported use of illicit non-injecting drugs (55.5%) and unprotected sex with partners that were HIV-positive (57.7%), injecting drug user (22.2%), male inmate (19.4%), truck driver (13.8%), with history of sexually transmitted disease (11.1%) or men who have sex with men (MSM) (2.8%). Most (66.7%) of the participants had their HIV diagnosis done during the pregnancy, 7 (19.4%) had a previous history of HIV mother-to-child transmission. Therapy based on highly active antiretroviral therapy (94%) was initiated at 19.3 weeks on average and 33% showed irregular antiretroviral adherence. Conclusion: These results confirm previous data on HIV epidemiology in Brazil and suggest that the women partners’ sexual behavior and unprotected sexual intercourse are important aspects of HIV epidemic. Additional efforts in education, prophylaxis and medication adherence are needed. Keywords: AIDS, serodiagnosis, HIV infections, pregnancy, HIV-1 subtype C, Southern Brazil |
Databáze: | OpenAIRE |
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