Características de una cohorte materna con infección por el virus de la inmunodeficiencia humana

Holgado-Juan, Marina; Holgado-Juan, María Concepción; García-Ron, María Teresa; Esteban-Fernández, F J; Prieto-Tato, Luis; Ramos-Amador, José Tomás

doi:10.1016/j.eimc.2012.06.007

Cited by 4 publications

(2 citation statements)

References 13 publications

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“…Despite the limited sample, we believe this study provides relevant information to improve reproductive-health services for HIV-infected women. Studies previously carried out in Spain have analyzed the situation of these women once they were pregnant, or have studied changes in mother-to-child transmission over the years [40-42], but they have not evaluated the reasons for wanting or not wanting to have children in the future or the factors associated with this reproductive desire.…”

Section: Discussionmentioning

confidence: 99%

Reproductive desire in women with HIV infection in Spain, associated factors and motivations: a mixed-method study

Hernando

Alejos

Álvarez

et al. 2014

BMC Pregnancy Childbirth

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BackgroundAntiretroviral therapy has created new expectations in the possibilities of procreation for persons living with HIV. Our objectives were to evaluate reproductive desire and to analyze the associated sociodemographic and clinical factors in HIV-infected women in the Spanish AIDS Research Network Cohort (CoRIS).MethodsA mixed qualitative-quantitative approach was designed. Women of reproductive age (18–45) included in CoRIS were interviewed by phone, and data were collected between November 2010 and June 2012 using a specifically designed questionnaire. Reproductive desire was defined as having a desire to be pregnant at present or having unprotected sex with the purpose of having children or wanting to have children in the near future.ResultsOverall, 134 women were interviewed. Median age was 36 years (IQR 31–41), 55% were Spanish, and 35% were unemployed. 84% had been infected with HIV through unprotected sex, with a median time since diagnosis of 4.5 years (IQR 2.9-6.9). Reproductive desire was found in 49% of women and was associated with: 1) Age (women under 30 had higher reproductive desire than those aged 30–39; OR = 4.5, 95% CI 1.4-14.3); 2) having no children vs. already having children (OR = 3.2; 1.3-7.7 3); Being an immigrant (OR = 2.2; 1.0-5.0); and 4) Not receiving antiretroviral treatment (OR = 3.6; 1.1-12.1). The main reasons for wanting children were related to liking children and wanting to form a family. Reasons for not having children were HIV infection, older age and having children already. Half of the women had sought or received information about how to have a safe pregnancy, 87% had disclosed their serostatus to their family circle, and 39% reported having experienced discrimination due to HIV infection.ConclusionsThe HIV-infected women interviewed in CoRIS have a high desire for children, and the factors associated with this desire are not fundamentally different from those of women in the general population. Maternity may even help them face a situation they still consider stigmatized and prefer not to disclose. Health-care protocols for handling HIV-positive women should incorporate specific interventions on sexual and reproductive health to help them fulfill their procreation desire and experience safe pregnancies.

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Section: Discussionmentioning

confidence: 99%

Reproductive desire in women with HIV infection in Spain, associated factors and motivations: a mixed-method study

Hernando

Alejos

Álvarez

et al. 2014

BMC Pregnancy Childbirth

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“…This is the first nationwide study showing the changes in characteristics of HIV-infected children and the trends of perinatal HIV transmission in Spain in the era of cART [6–9]. In our study 532 children, who were HIV-diagnosed in Spain between 1997 and 2015, were included.…”

Section: Discussionmentioning

confidence: 99%

Sociodemographic changes and trends in the rates of new perinatal HIV diagnoses and transmission in Spain from 1997 to 2015

et al. 2019

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BackgroundThere are not enough nationwide studies on perinatal HIV transmission in connection with a combination of antiretroviral treatments in Spain. Our objectives were to study sociodemographic changes and trends in the rates of HIV diagnoses and perinatal transmission in Spain from 1997 to 2015.MethodsA retrospective study using data from Spanish Paediatric HIV Network (CoRISpe) and Spanish Minimum Basic Data Set (MDBS) was performed. HIV- diagnosed children between 1997 and 2015 were selected. Sociodemographic, clinical and immunovirological data of HIV-infected children and their mothers were studied in four calendar periods (P1: 1997–2000; P2: 2001–2005; P3: 2006–2010; P4: 2011–2015). Rates of perinatal HIV diagnoses and transmission from 1997 to 2015 were calculated.ResultsA total of 532 HIV-infected children were included in this study. Of these children, 406 were Spanish (76.3%) and 126 immigrants (23.7%). A decrease in the number of HIV diagnoses, 203 (38.2%) children in the first (P1), 149 (28%) in the second (P2), 130 (24.4%) in the third (P3) and 50 (9.4%) in the fourth (P4) calendar periods was studied. The same decrease in the Spanish HIV-infected children (P1, 174 (46.6%), P2, 115 (30.8%), P3, 65 (17.4%) and P4, 19 (5.1%)) was monitored. However, an increase in the number of HIV diagnoses by sexual contact (P1: 0%; P2: 1.3%; P3: 4.6%; P4: 16%) was observed. The rates of new perinatal HIV diagnoses and perinatal transmission in Spanish children decreased from 0.167 to 0.005 per 100,000 inhabitants and 11.4% to 0.4% between 1997 and 2015, respectively.ConclusionsA decline of perinatal HIV diagnoses and transmission was observed. However, an increase of teen-agers HIV diagnoses with sexual infection was studied. Public awareness campaigns directed to teen-agers are advisable to prevent HIV infection by sexual contact.

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El embarazo como una oportunidad de diagnóstico del virus de la inmunodeficiencia humana en mujeres inmigrantes en Catalunya

Soriano‐Arandes

Noguera-Julián

López-Lacort

et al. 2018

Enfermedades Infecciosas y Microbiología Clínica

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Características de una cohorte materna con infección por el virus de la inmunodeficiencia humana

Cited by 4 publications

References 13 publications

Reproductive desire in women with HIV infection in Spain, associated factors and motivations: a mixed-method study

Reproductive desire in women with HIV infection in Spain, associated factors and motivations: a mixed-method study

Sociodemographic changes and trends in the rates of new perinatal HIV diagnoses and transmission in Spain from 1997 to 2015

El embarazo como una oportunidad de diagnóstico del virus de la inmunodeficiencia humana en mujeres inmigrantes en Catalunya

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