Knowledge of HIV antibody status and decisions to continue or terminate pregnancy among intravenous drug users

Pa, Selwyn; Carter, RJ; Ee, Schoenbaum; Robertson, VJ; Rs, Klein; Rogers, MF

doi:10.1016/0020-7292(90)90237-f

Cited by 17 publications

(33 citation statements)

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“…The finding of intent to procreate among adolescents and young adults with perinatally acquired HIV infection who are aware of their HIV diagnosis is consistent with other studies that found that knowledge of HIV status has no association with decisions to plan a pregnancy [22,23]. The significantly higher frequency of intent to have children among participants in our survey who perceived a low risk of maternal-to-child transmission compared to those who perceived it as high is consistent with other studies that reported higher desire to have children among women who believe in the efficacy of risk-reduction strategies [11].…”

Section: Discussionsupporting

confidence: 91%

Sexual behaviors and procreational intentions of adolescents and young adults with perinatally acquired human immunodeficiency virus infection: Experience of an urban tertiary center

Ezeanolue¹,

Wodi²,

Patel³

et al. 2006

Journal of Adolescent Health

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Section: Discussionsupporting

confidence: 91%

Sexual behaviors and procreational intentions of adolescents and young adults with perinatally acquired human immunodeficiency virus infection: Experience of an urban tertiary center

Ezeanolue¹,

Wodi²,

Patel³

et al. 2006

Journal of Adolescent Health

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“…Mulheres UDI parecem engravidar com maior freqüência do que as não usuárias de droga injetável, fato atribuído ao uso inconsistente de preservativos, ou simplesmente à não utilização destes. Um estudo de Selwyn e col. 48 , entre mulheres UDI, revelou que 24% das mulheres HIV soropositivas engravidaram ao longo do período de seguimento no âmbito de um programa de tratamento, para uma proporção de 22% dentre as mulheres UDI não infectadas pelo HIV. O mesmo estudo mostrou que um número similar das gestantes, infectadas ou não, optaram pela interrupção da gravidez 48 .…”

Section: Transmissão Vertical Entre Mulheres Udiunclassified

Usuários de drogas injetáveis e infecção pelo Vírus da Imunodeficiência Humana: epidemiologia e perspectivas de intervenção

Caiaffa¹,

Bastos

1998

Rev. bras. epidemiol.

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As of February, 1998 about 130 thousand AIDS cases were reported in Brazil; 21% of them among injecting drug users (IDUs). The present paper reviews the main findings of the HIV epidemiology and other blood-borne pathogens infection among IDUs, in Brazil and abroad, to foster the ongoing research and preventive initiatives carried out in Brazil. Data have shown that, far from the stereotype of a male population living in the main metropolitan areas, IDU population is rather heterogeneous. This population is under continuous turnover, with relevant changes in its very composition, habits and drug consume patterns. An accurate estimation of the size of IDU population in different settings and places is a puzzling task, although recent methodologies, e.g. capture-recapture methods, seem to be a reliable strategy. The use of combined data from different sources is also very useful in the process of population size estimation. Comprehensive researches carried out in different settings, using data from distinct and complementary aggregation levels, under regular follow-up, are essential to monitor patterns and trends of the drug users population and drug consume patterns, especially the injection of illicit drugs. These data are essential to the implementation and permanent evaluation of preventive strategies, as well as tools for the optimal allocation of scarce resources. Due to the double risks to which IDUs are exposed -parenteral and sexual -different infections are frequent in this population, taking place in an early moment of their drug use "career". Successful interventions must be precocious and comprehensive, providing counseling, testing for different pathogens, and access to condoms and sterile injection equipment. Another core interventions set involves the prevention of the transition from non-injecting to injecting routes, and efforts to offer low-threshold and available anonymous treatment at no cost for either their clinical problems and harms secondary to drug abuse.

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“…Factors in¯uencing decisions about childbearing are com plex. Socio-cultural background, past reproductive history and policies concerning term ination of pregnancy together with m aternal H IV infection are likely to in¯uence decisions about child-bearing (Selwyn & Antoniello, 1993;Sunderland et al, 1992;Selwyn et al, 1989;Johnstone et al, 1990;Sherr, 1993;Kline et al, 1995). Perception of the risk of vertical transm ission based on local evidence m ay also affect decisions to have children.…”

Section: Discussionmentioning

confidence: 97%

Characteristics of pregnant HIV-1 infected women in Europe

Thorne¹,

Newell²,

Dunn³

et al. 1996

AIDS Care

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There is a growing number of infected women in Europe and an increasing proportion of these have acquired their infection through heterosexual contact. Most infected women are of childbearing age and thus increasing numbers of children are at risk of acquiring infection. In this paper we examine the socio-demographic characteristics and trends in mode of acquisition of infection of 1690 infected women from 7 countries enrolled in the European Collaborative Study, a prospective multi-centre study of children born to women known to be HIV infected at or before the time of delivery. The majority of women were white, primiparae, married or cohabiting and born in Europe. Two-thirds had a history of injecting drug use (IDU), most commonly involving heroin. Although patterns of transmission varied by centre, there was a relative increase in heterosexual transmission over the study period. A history of needle-sharing among IDUs was common, but needle-sharing during pregnancy significantly declined between 1987 and 1994.

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Knowledge of HIV antibody status and decisions to continue or terminate pregnancy among intravenous drug users

Abstract: We studied decisions to continue or terminate pregnancy among human immu-

Cited by 17 publications

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Sexual behaviors and procreational intentions of adolescents and young adults with perinatally acquired human immunodeficiency virus infection: Experience of an urban tertiary center

Sexual behaviors and procreational intentions of adolescents and young adults with perinatally acquired human immunodeficiency virus infection: Experience of an urban tertiary center

Usuários de drogas injetáveis e infecção pelo Vírus da Imunodeficiência Humana: epidemiologia e perspectivas de intervenção

Characteristics of pregnant HIV-1 infected women in Europe

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