Socioeconomic geographical links to human immunodeficiency virus seroprevalence among childbearing women in Montreal, 1989-1993
Socioeconomic geographical links to human immunodeficiency virus seroprevalence among childbearing women in Montreal, 1989-1993
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DOI：
10.1093/ije/27.4.691
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发表时间：
1998-08-01
影响因子：
7.7
通讯作者：
O'Shaughnessy, MV
中科院分区：
文献类型：
--
作者：
Hankins, C;Tran, T;O'Shaughnessy, MV
背景描述蒙特利尔岛的地理区域的社会经济概况，其中人类免疫缺陷病毒（HIV）血清阳性的妇女提供活产1989年和1993年residence.Methods之间的遗留物干燥的血斑滤纸标本收集的新生儿进行了不可挽回的unlinked识别信息之前，测试。血清阳性率估计值是基于Western blot确认的阳性样本计算的。使用数据从加拿大人口普查，加拿大税务局，省出生记录，邮政区血清反应阳性的母亲居住的社会经济特征进行了描述。结果蒙特利尔岛有一个整体的S年艾滋病毒血清阳性率估计为16.6（95%CI：14.1-19.3）每1000名育龄妇女。在至少有一名血清反应阳性妇女生育的地区，婴儿平均出生体重较低，单身母亲和单亲家庭的百分比较高。艾滋病毒阳性的新生儿血液标本更有可能来自地区，其中较高比例的居民报告教育程度较低，失业率较高，收入较低。需要进一步了解社会经济地位与艾滋病毒感染和传播之间的关系，以便为制定有针对性的艾滋病毒预防方案提供信息。
Background To describe the socioeconomic profiles of geographical areas on Montreal Island in which human immunodeficiency virus (HIV) seropositive women delivering live births between 1989 and 1993 reside.Methods Leftover dried blood spot filter paper specimens collected from newborns were irretrievably unlinked from identifying information prior to testing. Seroprevalence estimates were calculated based on Western blot confirmed positive samples. Using data from the Canadian census, Revenue Canada, and provincial birth records, the socioeconomic characteristics of postal zones in which seropositive mothers reside were described.Results Montreal Island had an overall S-year HIV seroprevalence rate estimate of 16.6 (95% CI:14.1-19.3) per 1000 childbearing women. Areas in which at least one seropositive woman gave birth had lower mean infant birthweights and higher percentages of single mothers and single-parent families. The HIV-positive neonatal blood specimens were more likely to originate from areas where a higher proportion of residents reported less education, greater unemployment, and lower income.Conclusions Higher HIV infection rates were found among childbearing women from lower socioeconomic areas of Montreal. Increased understanding of the relationship between socioeconomic status and HIV acquisition and transmission is required to inform the development of targeted HIV prevention programmes.