Missed opportunities for congenital syphilis and HIV perinatal transmission prevention

To estimate the prevalence of missed opportunities for congenital syphilis and HIV prevention in pregnant women who had access to prenatal care and to assess factors associated to non-testing of these infections. Cross-sectional study comprising a randomly selected sample of 2,145 puerperal women wh...

Full description

Saved in:
Bibliographic Details
Published in:Revista de saúde pública 2008-10, Vol.42 (5), p.851-858
Main Authors: Rodrigues, Celeste Souza, Guimarães, Mark Drew Crosland, César, Cibele Comini
Format: Article
Language:English
Subjects:
AIDS Serodiagnosis - statistics & numerical data
Brazil - epidemiology
Cross-Sectional Studies
Female
Health Policy & Services
HIV Infections - diagnosis
HIV Infections - prevention & control
HIV Infections - transmission
Human immunodeficiency virus
Humans
Infectious Disease Transmission, Vertical - prevention & control
Mass Screening
Multivariate Analysis
Patient Acceptance of Health Care - statistics & numerical data
Pregnancy
Pregnancy Complications, Infectious - diagnosis
Pregnancy Complications, Infectious - epidemiology
Prenatal Care - statistics & numerical data
Reproductive History
Socioeconomic Factors
Syphilis Serodiagnosis - statistics & numerical data
Syphilis, Congenital - diagnosis
Syphilis, Congenital - prevention & control
Treponema pallidum
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To estimate the prevalence of missed opportunities for congenital syphilis and HIV prevention in pregnant women who had access to prenatal care and to assess factors associated to non-testing of these infections. Cross-sectional study comprising a randomly selected sample of 2,145 puerperal women who were admitted in maternity hospitals for delivery or curettage and had attended at least one prenatal care visit, in Brazil between 1999 and 2000. No syphilis and/or anti-HIV testing during pregnancy was a marker for missed prevention opportunity. Women who were not tested for either or both were compared to those who had at least one syphilis and one anti-HIV testing performed during pregnancy (reference category). The prevalence of missed prevention opportunity was estimated for each category with 95% confidence intervals. Factors independently associated with missed prevention opportunity were assessed through multinomial logistic regression. The prevalence of missed prevention opportunity for syphilis or anti-HIV was 41.2% and 56.0%, respectively. The multivariate analysis showed that race/skin color (non-white), schooling (
ISSN:0034-8910
1518-8787
1518-8787
0034-8910
DOI:10.1590/s0034-89102008000500010