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HIV infection among Quebec women giving birth to live infants.
CMAJ. 1990 Nov 01; 143(9):885-93.CMAJ

Abstract

This is the first anonymous unlinked seroprevalence study in Canada to use serum samples from newborns to determine the seroprevalence rate of human immunodeficiency virus (HIV) infection among childbearing women. Of the 68,808 samples tested 42 were confirmed as positive, for an overall crude seroprevalence rate of 6.1 per 10,000 live births (95% confidence interval [CI] 4.4 to 8.3), or 1 woman in 1638. Women who lived on Montreal island had an overall rate of 17.9 per 10,000 live births (95% CI 12.2 to 25.4), or 1 woman in 559. We observed a significant association between revenue index and seroprevalence; the rates were as high as 46.4 per 10,000 live births (95% CI 18.7 to 95.3), or 1 woman in 216, for Montreal island postal code areas with revenue indexes 20% or more below the provincial median. Extrapolation of the data suggested that 56 women with HIV infection gave birth to a live infant during 1989 in Quebec. Even though attempts to generalize the data from childbearing women to women of childbearing age have an inherent conservative bias, the results of our study suggest that 988 women (95% CI 713 to 1336) aged 15 to 44 years in Quebec had HIV infection in 1989. The actual number is likely substantially higher. The need for well-designed, creative interventions to prevent further HIV transmission to women is evident. Planning for the provision of medical and psychosocial services sensitive to specific needs of women who are already infected should start immediately.

Authors+Show Affiliations

Centre d'études sur le SIDA, Département de santé communautaire, hôpital général de Montréal.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

2224716

Citation

Hankins, C A., et al. "HIV Infection Among Quebec Women Giving Birth to Live Infants." CMAJ : Canadian Medical Association Journal = Journal De l'Association Medicale Canadienne, vol. 143, no. 9, 1990, pp. 885-93.
Hankins CA, Laberge C, Lapointe N, et al. HIV infection among Quebec women giving birth to live infants. CMAJ. 1990;143(9):885-93.
Hankins, C. A., Laberge, C., Lapointe, N., Lai Tung, M. T., Racine, L., & O'Shaughnessy, M. (1990). HIV infection among Quebec women giving birth to live infants. CMAJ : Canadian Medical Association Journal = Journal De l'Association Medicale Canadienne, 143(9), 885-93.
Hankins CA, et al. HIV Infection Among Quebec Women Giving Birth to Live Infants. CMAJ. 1990 Nov 1;143(9):885-93. PubMed PMID: 2224716.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - HIV infection among Quebec women giving birth to live infants. AU - Hankins,C A, AU - Laberge,C, AU - Lapointe,N, AU - Lai Tung,M T, AU - Racine,L, AU - O'Shaughnessy,M, PY - 1990/11/1/pubmed PY - 1990/11/1/medline PY - 1990/11/1/entrez SP - 885 EP - 93 JF - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne JO - CMAJ VL - 143 IS - 9 N2 - This is the first anonymous unlinked seroprevalence study in Canada to use serum samples from newborns to determine the seroprevalence rate of human immunodeficiency virus (HIV) infection among childbearing women. Of the 68,808 samples tested 42 were confirmed as positive, for an overall crude seroprevalence rate of 6.1 per 10,000 live births (95% confidence interval [CI] 4.4 to 8.3), or 1 woman in 1638. Women who lived on Montreal island had an overall rate of 17.9 per 10,000 live births (95% CI 12.2 to 25.4), or 1 woman in 559. We observed a significant association between revenue index and seroprevalence; the rates were as high as 46.4 per 10,000 live births (95% CI 18.7 to 95.3), or 1 woman in 216, for Montreal island postal code areas with revenue indexes 20% or more below the provincial median. Extrapolation of the data suggested that 56 women with HIV infection gave birth to a live infant during 1989 in Quebec. Even though attempts to generalize the data from childbearing women to women of childbearing age have an inherent conservative bias, the results of our study suggest that 988 women (95% CI 713 to 1336) aged 15 to 44 years in Quebec had HIV infection in 1989. The actual number is likely substantially higher. The need for well-designed, creative interventions to prevent further HIV transmission to women is evident. Planning for the provision of medical and psychosocial services sensitive to specific needs of women who are already infected should start immediately. SN - 0820-3946 UR - https://www.unboundmedicine.com/medline/citation/2224716/HIV_infection_among_Quebec_women_giving_birth_to_live_infants_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/2224716/ DB - PRIME DP - Unbound Medicine ER -