HIV Status and Other Risk Factors for Prevalent and Incident Sexually Transmitted Infection during Pregnancy (2000-2014)
Joint Authors
Dionne-Odom, Jodie
Khan, Michelle J.
Jauk, Victoria C.
Szychowski, Jeff
Long, Dustin M.
Wallace, Suzanne
Neely, Cherry
Fry, Karen
Marrazzo, Jeanne
Crain, Marilyn
Tita, Alan T. N.
Source
Infectious Diseases in Obstetrics and Gynecology
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-04-01
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Background.
Sexually transmitted infections (STIs) are associated with adverse birth outcomes.
Current prenatal STI screening guidelines define “risk” without explicit consideration of HIV status.
Our objective was to test the hypothesis that HIV status is associated with bacterial STI in pregnant women.
Methods.
We designed a retrospective cohort study to identify pregnant women with HIV who delivered at our facility during 2000-2014.
HIV+ women were compared to HIV- women with matching by year of delivery.
Logistic regression was used to model adjusted odds of prevalent and incident STI.
Prevalent STI was defined as chlamydia (CT), gonorrhea (GC), syphilis, or trichomoniasis detected on an initial prenatal screening test and incident STI as a newly positive result following a negative prenatal test.
Results.
The cohort included 432 women, 210 HIV+ and 222 HIV-.
Most pregnant women were screened for STI (92% of HIV+ women and 74% of HIV- women).
STI rates were high and particularly elevated in HIV+ women: 29% vs 18% (p=0.02), for prevalent STI and 11% vs 2% (p<0.001) for incident STI.
Risk factors for prevalent STI were as follows: HIV status (aOR 3.0, CI: 1.4-6.4), Black race (aOR 2.7, 95% CI: 1.1-6.6), and more recent delivery (2007-2014 compared to 2000-2006) (aOR 2.3, CI: 1.1-4.7).
HIV status was an independent risk factor for incident STI (aOR 7.2, CI: 2.1-25.0).
Conclusion.
Pregnant women who delivered in our center had high STI rates.
Since HIV infection was independently associated with prevalent and incident STI, prenatal screening guidelines may need to incorporate HIV status as a high-risk group for repeat testing.
American Psychological Association (APA)
Dionne-Odom, Jodie& Khan, Michelle J.& Jauk, Victoria C.& Szychowski, Jeff& Long, Dustin M.& Wallace, Suzanne…[et al.]. 2019. HIV Status and Other Risk Factors for Prevalent and Incident Sexually Transmitted Infection during Pregnancy (2000-2014). Infectious Diseases in Obstetrics and Gynecology،Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1155702
Modern Language Association (MLA)
Dionne-Odom, Jodie…[et al.]. HIV Status and Other Risk Factors for Prevalent and Incident Sexually Transmitted Infection during Pregnancy (2000-2014). Infectious Diseases in Obstetrics and Gynecology No. 2019 (2019), pp.1-8.
https://search.emarefa.net/detail/BIM-1155702
American Medical Association (AMA)
Dionne-Odom, Jodie& Khan, Michelle J.& Jauk, Victoria C.& Szychowski, Jeff& Long, Dustin M.& Wallace, Suzanne…[et al.]. HIV Status and Other Risk Factors for Prevalent and Incident Sexually Transmitted Infection during Pregnancy (2000-2014). Infectious Diseases in Obstetrics and Gynecology. 2019. Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1155702
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1155702