Determinants and prevalence of HIV infection in pregnant Peruvian women

Alarcón, Jorge; Johnson, Kay M.; Courtois, B; Rodríguez, Celia Alonso; Sánchez, Jorge; Watts, Douglas M.; Holmes, King K.

doi:10.1097/00002030-200303070-00017

Cited by 53 publications

(46 citation statements)

References 7 publications

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“…In an analysis of pregnant women seeking care at the INMP in Lima, partner and partnership-related factors (perception of partner as a ''womanizer,'' partner history of illegal drug use) reported by a woman were strongly related to her HIV serostatus, independent of her own risk behaviors. 10 Another recent case-control study of HIVþ and HIVÀ women in Peru observed that partner risk behaviors, including sex with female sex workers (FSWs) or sex with other men, were the strongest predictors of HIV status, and that even monogamous women had extraordinarily large sexual networks due to partner behavior. 11 However, with the possible exception of short duration of current partnership, and ever using condoms, our results did not elucidate other partner and partnership-related factors associated with CT infection in this population.…”

Section: Discussionmentioning

confidence: 99%

Generation C: Prevalence of and Risk Factors forChlamydia trachomatisamong Adolescents and Young Women in Lima, Peru

Paul

García

et al. 2009

Journal of Women's Health

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Objective: Adolescent and young adult women in urban, socioeconomically disadvantaged areas are at high risk of contracting sexually transmitted infections (STIs). We assessed associations of Chlamydia trachomatis (CT) infection with both traditional STI risk factors, and partner and partnership-related factors among low-income women in Lima, Peru, by age group. Methods: In a cross-sectional analysis of CT infection among 1290 postpartum women, cervical swabs were collected for CT polymerase chain reaction (PCR) within 48 h after delivery, and a structured interview was completed. Multivariate logistic regression was used to evaluate risk factors for CT, with separate models stratified by age: adolescents (12-19 years), young women (20-24 years), and older women (!25 years). Results: CT was detected in 9.6% of adolescents, 9.0% of young women, and 5.4% of older women (p ¼ 0.03). Among adolescents, history of drug use (odds ratio [OR] ¼ 5.62, 95% confidence interval [CI] 1.03-30.6) and short duration of current partnership (OR ¼ 2.6, 95% CI 1.14-5.93) were the strongest predictors of CT infection. Among young women, younger age at coitarche (OR ¼ 0.74 for each year older, 95% CI 0.60-0.91) and low income (OR ¼ 2.40, 95% CI 1.04-5.55) were associated with CT, while self-report of ever using condoms was protective (OR ¼ 0.22, 95% CI 0.08-0.61). Among older women, only younger age at coitarche was related to CT (OR ¼ 0.85, 95% CI 0.75-0.97). Conclusions: Risk factors for CT among women in Lima, Peru, differed for adolescents, young women, and older women, which may reflect differences in biology and=or immunology of CT as well as variability in the occurrence of specific risk behaviors by age group.

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Section: Discussionmentioning

confidence: 99%

Generation C: Prevalence of and Risk Factors forChlamydia trachomatisamong Adolescents and Young Women in Lima, Peru

Paul

García

et al. 2009

Journal of Women's Health

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“…Also, the male partners of these HIV positive pregnant women, who were also HIV positive, were more likely to have used illegal drugs [25]. Alcohol intoxication at least once per month and illegal drug use were associated with increased risk of acquiring HIV in another group of pregnant women in Lima [26]. The importance of women partner's sexual network was highlighted by the finding that the likelihood of being HIV positive increased when a woman's sexual partner either had AIDS, used illegal drugs or alcohol, used intravenous drugs, or had sex with men [26].…”

Section: Evidence Of the Association Between Substance Use And Hiv Trmentioning

confidence: 96%

The Relationship between Substance Use and HIV Transmission in Peru

Massa¹

2012

J Addict Res Ther

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Objectives-The primary aim of this article is to review literature regarding the relationship between substance use and HIV transmission in Peru.Methods-Detailed search of published literature completed in PubMed and Google-Scholar and other local Peruvian publications. Mesh words: "Peru"; "substance-related-disorders"; "HIV"; "sexual-behavior" and their combinations. From 3921 articles, 150 were chosen for more careful review and only 26 were used for the review. No date limit was used in this review.Results-Peruvian HIV epidemic is limited to MSM and its prevalence goes up to 33% in certain MSM-subpopulations. Transmission is mainly through sexual contact. Drug use doubled the risk for casual sex, decreased by half the chances of using condoms, increased the number of partners per year and the risk for STD's. Peruvian HIV-positive populations have higher rates drug use and using drugs have been associated with a higher prevalence of being HIV-positive. This may be also true for other populations such as pregnant women in which there is an association between drug use and HIV.Conclusions-Although the amount of Peruvian research in this area limits the review, there seems to be a relationship between using drugs, having risky-sexual-behaviors and being HIV positive in Peru. HIV-prevention strategies for Peruvians must address the link between sex and substance use.

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“…Se estima que la transmisión sexual ocurre en el 97% de los casos, estando la epidemia concentrada en hombres que tienen sexo con hombres (HSH) (2)(3)(4)(5)(6) . Alrededor de la mitad de los HSH encuestados en estudios previos refirió tener relaciones sexuales también con mujeres, y el grupo reportó bajo uso de condón en todas sus relaciones (3)(4)(5)(6) . A nivel mundial, hasta 80% de las mujeres infectadas se contagiaron de su esposo o pareja estable (7) .…”

Section: Artículo Originalunclassified

Conocimientos, actitudes y prácticas de la mujer peruana sobre la infección por VIH/SIDA

Pernaz-Linsuy¹,

Cárcamo-Cavagnaro

2015

Rev Peru Med Exp Salud Publica

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Determinants and prevalence of HIV infection in pregnant Peruvian women

Abstract: HIV infection was related both to women's own risk behaviors and to the perceived risk behaviors of their sexual partners. Underlying societal factors related to heterosexual HIV infection, including deferral of marriage, warrant further study.

Cited by 53 publications

References 7 publications

Generation C: Prevalence of and Risk Factors forChlamydia trachomatisamong Adolescents and Young Women in Lima, Peru

Generation C: Prevalence of and Risk Factors forChlamydia trachomatisamong Adolescents and Young Women in Lima, Peru

The Relationship between Substance Use and HIV Transmission in Peru

Conocimientos, actitudes y prácticas de la mujer peruana sobre la infección por VIH/SIDA

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