Please use this identifier to cite or link to this item:
https://www.arca.fiocruz.br/handle/icict/62952
RISK FACTORS FOR HIV AMONG LATE-PRESENTING PREGNANT WOMEN IN PORTO ALEGRE (POA), SOUTHERN, AND RIO DE JANEIRO (RJ), SOUTHEASTERN BRAZIL
Author
Affilliation
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
UCLA. Los Angeles, CA, USA.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Centro de Referência e Universidade de Nova Iguaçu. Nova Iguaçu, RJ, Brasil.
Hospital dos Servidores do Estado. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Centro Municipal de Saúde de Porto Alegre. Porto Alegre, RS, Brasil.
Hospital Fêmina. Porto Alegre, RS, Brasil.
Hospital Nossa Senhora da Conceição. Porto Alegre, RS, Brasil.
Hospital Maternidade Praça XV. Rio de Janeiro, RJ, Brasil.
UCLA. Los Angeles, CA, USA.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
UCLA. Los Angeles, CA, USA.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Rio de Janeiro, RJ, Brasil / Centro de Referência e Universidade de Nova Iguaçu. Nova Iguaçu, RJ, Brasil.
Hospital dos Servidores do Estado. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Nacional de Infectologia Evandro Chagas. Laboratório de Pesquisa Clínica em DST/AIDS. Rio de Janeiro, RJ, Brasil.
Centro Municipal de Saúde de Porto Alegre. Porto Alegre, RS, Brasil.
Hospital Fêmina. Porto Alegre, RS, Brasil.
Hospital Nossa Senhora da Conceição. Porto Alegre, RS, Brasil.
Hospital Maternidade Praça XV. Rio de Janeiro, RJ, Brasil.
UCLA. Los Angeles, CA, USA.
Abstract
Backgrõund: The South (SO) and southeastern (SE) regions of Brazil have demonstrated different profiles of the HIV epidemic
since the mid-1990s. While the cpidemic has reached a plateau in SE metropolitan cities, it has been escalating in the SO.
Disadvantaged women and/or those injecting drugs have been particularly affected in this area.
Methods: As part of a research project targeting pregnant women in the peripartum period who attended prenatal care in an
irregular way & were unaware of their HIV status, 4,562 women were recruited from 6 maternities in the metropolitan area of RY
(n=3,458) and POA (n=979), counseled and tested for HIV using Determine® rapid tost, and answered a brief questionnaire. Risk
factors for those women testing positive for HIV (rapid test + WB) were assessed through contingence table statistics and logistic
Tegression
Results: HIV prevalence was high in POA (6.1%), 4 times higher than in RJ (1.4%), approximately 4x (POA) and 2x (RJ) higher
than surveillance data for pregnant women regularly attending prenatal care in these respective areas. The following risk factors
were independently associated with HIV seroprevalence: in RJ: monthly family income less than USS$ 40.00 (AOR 2.96; 95%CI
1.30-6.78); history of miscarriages (AOR 1.96; 95%CT 1,09-3.55); less than 3 consults during prenatal care (AOR 2.76; 95%CL
1.46-5.18), being of younger age (<21 y) was negatively associated (AOR 0.31; 95C1% 0.13-0.74); in POA the major risk factors
were monthly familiar income less than US$40.00 (AOR 4.14; 95CI% 1.46-11.71) and being Afro-Brazilian (AOR 2.62; 95%CI
1.48-4.65).
Conclusions: While Brazilian efforis to curb HIV epidemic have been successful in different populations, high prevalence among
women living in dire poverty is of particular concern, especially in the south, and all efforts must be made to enroll them in
comprehensive prenatal care and to fmplement intervention strategies in vulnerable communities.
Share