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Perinatal HIV Prevention Outcomes in U.S.-Born Versus Foreign-Born Blacks, PSD Cohort, 1995-2004.
- Source :
- Journal of Immigrant & Minority Health; Aug2015, Vol. 17 Issue 4, p1010-1018, 9p
- Publication Year :
- 2015
-
Abstract
- We examined differences in HIV-infected U.S.-born and foreign-born black mothers who delivered perinatally HIV-exposed and -infected children during 1995-2004 in the Pediatric Spectrum of HIV Disease Project, a longitudinal cohort study. Prevalence ratios were calculated to explain differences in perinatal HIV prevention opportunities comparing U.S.-born to foreign-born and African-born to Caribbean-born black mothers. U.S.-born compared with foreign-born HIV-infected black mothers were significantly more likely to have used cocaine or other non-intravenous illicit drugs, exchanged money or drugs for sex, known their HIV status before giving birth, received intrapartum antiretroviral (ARV) prophylaxis, and delivered a premature infant; and were significantly less likely to have received prenatal care or delivered an HIV-infected infant. African-born compared with Caribbean-born black mothers were more likely to receive intrapartum ARV prophylaxis. These differences by maternal geographical origin have important implications for perinatal HIV transmission prevention, and highlight the validity of disaggregating data by racial/ethnic subgroups. [ABSTRACT FROM AUTHOR]
- Subjects :
- HIV prevention
ANTIRETROVIRAL agents
VERTICAL transmission (Communicable diseases)
BIRTHPLACES
BLACK people
CONFIDENCE intervals
HIV-positive persons
LONGITUDINAL method
MEDICAL cooperation
MOTHERS
POPULATION geography
PRENATAL care
RESEARCH
RESEARCH funding
RISK-taking behavior
DATA analysis software
DESCRIPTIVE statistics
PREVENTION
Subjects
Details
- Language :
- English
- ISSN :
- 15571912
- Volume :
- 17
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Journal of Immigrant & Minority Health
- Publication Type :
- Academic Journal
- Accession number :
- 109830995
- Full Text :
- https://doi.org/10.1007/s10903-014-0034-7