Pregnancy and linkage to care among women diagnosed with HIV infection in 61 CDC-funded health departments in the United States, 2013
Pregnancy and linkage to care among women diagnosed with HIV infection in 61 CDC-funded health departments in the United States, 2013
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DOI：
10.1080/09540121.2017.1282107
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发表时间：
2017-01-01
影响因子：
1.7
通讯作者：
Dunbar, Erica K.
中科院分区：
文献类型：
--
作者：
FitzHarris, Lauren F.;Hollis, Natasha D.;Dunbar, Erica K.
在艾滋病毒诊断后及时与艾滋病毒护理联系，对感染艾滋病毒的孕妇特别重要，以防止围产期传播和改善孕产妇健康。然而，关于美国孕妇LTC的数据有限。我们的分析旨在通过妊娠状态确定育龄（CBA）妇女（15-44岁）中的HIV诊断，并比较HIV感染孕妇与HIV感染非孕妇的LTC。我们分析了来自61个卫生部门和151个直接资助的社区组织的2013年CDC资助的CBA女性艾滋病毒检测数据。LTC包括在艾滋病毒诊断后的任何时间和艾滋病毒诊断后90天内的联系。Pearson卡方用于比较妊娠和非妊娠女性的LTC。使用SAS v9.3分析数据。在2013年CBA女性的1，379，860次艾滋病毒检测事件中，0.3%（n= 3，690）为艾滋病毒阳性。在所有有妊娠状态的HIV阳性诊断（n=1987）中，7%（n=138）妊娠。在有怀孕状况数据的妇女中，艾滋病毒阳性诊断后任何时间的LTC为73.2%的孕妇和60.7%的非孕妇。90天内LTC的孕妇为71.7%，非孕妇为56.2%。妊娠与任何时间的LTC相关（p
Timely linkage to HIV care (LTC) following an HIV diagnosis is especially important for pregnant women with HIV to prevent perinatal transmission and improve maternal health. However, limited data are available on LTC among U.S. pregnant women. Our analysis aimed to identify HIV diagnoses among childbearing age (CBA) women (15-44 years old) by pregnancy status and to compare LTC of HIV-infected pregnant women to HIV-infected non-pregnant women. We analyzed 2013 CDC-funded HIV testing data from 61 health departments and 151 directly funded community-based organizations among CBA women. LTC includes linkage at any time after an HIV diagnosis and within 90 days after HIV diagnosis. Pearson's chi-square was used to compare LTC of pregnant and non-pregnant women. Data were analyzed using SAS v9.3. Among the 1,379,860 HIV testing events among CBA women in 2013, 0.3% (n=3690) were HIV-positive. Among all HIV-positive diagnoses with an available pregnancy status (n=1987), 7%, (n=138) were pregnant. Among women with pregnancy status data, LTC any time after an HIV-positive diagnosis was 73.2% for pregnant women and 60.7% for non-pregnant women. LTC within 90 days was 71.7% for pregnant women and 56.2% for non-pregnant women. Pregnancy was associated with LTC any time (p