Finnish HIV Quality of Care Register (FINHIV)

Mutru, Mikaela; Isosomppi, Sanna; Aho, Inka; Liitsola, Kirsi; Brummer‐Korvenkontio, Henrikki; Ollgren, Jukka; Luomala, Oskari; Kivelä, Pia

doi:10.1136/bmjopen-2021-053287

Cited by 4 publications

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Approximately 5400 women are living with HIV in Denmark, Finland, and Sweden. [29][30][31] Most of them have immigrated mainly from sub-Saharan Africa, and HIV was mainly acquired through sexual contact. 9,31,32 The healthcare system in the Nordic countries is tax-based and ensures universal access to both medical healthcare and many social support services.…”

Section: Settingmentioning

confidence: 99%

“…[29][30][31] Most of them have immigrated mainly from sub-Saharan Africa, and HIV was mainly acquired through sexual contact. 9,31,32 The healthcare system in the Nordic countries is tax-based and ensures universal access to both medical healthcare and many social support services. 33 Hence, ART is provided free of charge to the individual and most people living with HIV are on ART with life expectancies approaching those of the general population.…”

Section: Settingmentioning

confidence: 99%

See 1 more Smart Citation

Perception and Emotional Experiences of Infant Feeding Among Women Living With HIV in a High-Income Setting: A Longitudinal Mixed Methods Study

Moseholm,

Fetters,

Aho

et al. 2024

JAIDS Journal of Acquired Immune Deficiency Syndromes

Self Cite

View full text Add to dashboard Cite

Background: The recommendation of breastfeeding avoidance for women living with HIV in high-income settings may be influenced by cultural beliefs and come at an emotional cost. This multi-center, longitudinal, convergent mixed methods study aimed to compare differences in attitudes, concerns and experiences surrounding breastfeeding in women living with HIV of Nordic and non-Nordic origin. Setting: High-income setting Methods: Pregnant women living with HIV in the Nordic countries Denmark, Finland, and Sweden were recruited in 2019–2020. Quantitative data on attitudes surrounding infant feeding was assessed using the Positive Attitudes Concerning Infant Feeding (PACIFY) questionnaire completed in the third trimester (T1), and 3 (T2) and 6 (T3) months postpartum. Women who completed the survey were also invited to participate in semi-structured interviews at T1 and T3. Findings from the quantitative survey and qualitative interviews were brought together through merging to assess for concordance, complementarity, expansion, or discordance between the datasets, and to draw meta-inferences. Results: In total, 44 women completed the survey, of whom 31 also participated in qualitative interviews. The merged analyses identified three overarching domains representing commonalities across the quantitative and qualitative data: emotional impact, justifying not breastfeeding, and coping strategies. Not being able to breastfeed was emotionally challenging. Cultural expectations influenced the women’s experiences and the strategies they used to justify their infant feeding choice. Conclusion: For women living with HIV in Nordic countries not breastfeeding was a complex, multi-layered process substantially influenced by social and cultural expectations.

show abstract

Section: Settingmentioning

confidence: 99%

Section: Settingmentioning

confidence: 99%

Perception and Emotional Experiences of Infant Feeding Among Women Living With HIV in a High-Income Setting: A Longitudinal Mixed Methods Study

Moseholm,

Fetters,

Aho

et al. 2024

JAIDS Journal of Acquired Immune Deficiency Syndromes

Self Cite

View full text Add to dashboard Cite

show abstract

Roadmap for Achieving Universal Antiretroviral Treatment

Sokhela

Lalla-Edward

Siedner

et al. 2023

Annu. Rev. Pharmacol. Toxicol.

View full text Add to dashboard Cite

Modern antiretroviral therapy safely, potently, and durably suppresses human immunodeficiency virus (HIV) that, if left untreated, predictably causes acquired immunodeficiency syndrome (AIDS), which has been responsible for tens of millions of deaths globally since it was described in 1981. In one of the most extraordinary medical success stories in modern times, a combination of pioneering basic science, innovative drug development, and ambitious public health programming resulted in access to lifesaving, safe drugs, taken as an oral tablet daily, for most of the world. However, substantial challenges remain in the fields of prevention, timely access to diagnosis, and treatment, especially in pediatric and adolescent patients. As HIV-positive adults age, treating their comorbidities will require understanding the course of different chronic diseases complicated by HIV-related and antiretroviral toxicities and finding potential treatments. Finally, new long-acting antiretrovirals on the horizon promise exciting new options in both the prevention and treatment fields.

show abstract

Induced abortions of women living with HIV in Finland 1987–2019: a national register study

Mutru

Kivelä

Ollgren

et al. 2023

BMC Pregnancy Childbirth

Self Cite

View full text Add to dashboard Cite

Background Recent data on the rate and risk factors of induced abortion among women living with HIV (WLWH) are limited. Our aim was to use Finnish national health register data to 1) determine the nationwide rate of induced abortions of WLWH in Finland during 1987–2019, 2) compare the rates of induced abortions before and after HIV diagnosis over different time periods, 3) determine the factors associated with terminating a pregnancy after HIV diagnosis, and 4) estimate the prevalence of undiagnosed HIV at induced abortions to see whether routine testing should be implemented. Methods A retrospective nationwide register study of all WLWH in Finland 1987–2019 (n = 1017). Data from several registers were combined to identify all induced abortions and deliveries of WLWH before and after HIV diagnosis. Factors associated with terminating a pregnancy were assessed with predictive multivariable logistic regression models. The prevalence of undiagnosed HIV at induced abortion was estimated by comparing the induced abortions among WLWH before HIV diagnosis to the number of induced abortions in Finland. Results Rate of induced abortions among WLWH decreased from 42.8 to 14.7 abortions/1000 follow-up years from 1987–1997 to 2009–2019, more prominently in abortions after HIV diagnosis. After 1997 being diagnosed with HIV was not associated with an increased risk of terminating a pregnancy. Factors associated with induced abortion in pregnancies that began after HIV diagnosis 1998–2019 were being foreign-born (OR 3.09, 95% CI 1.55–6.19), younger age (OR 0.95 per year, 95% CI 0.90–1.00), previous induced abortions (OR 3.36, 95% CI 1.80–6.28), and previous deliveries (OR 2.13, 95% CI 1.08–4.21). Estimated prevalence of undiagnosed HIV at induced abortion was 0.008–0.029%. Conclusions Rate of induced abortions among WLWH has decreased. Family planning should be discussed at every follow-up appointment. Routine testing of HIV at all induced abortions is not cost-effective in Finland due to low prevalence.

show abstract

Finnish HIV Quality of Care Register (FINHIV)

Cited by 4 publications

References 9 publications

Perception and Emotional Experiences of Infant Feeding Among Women Living With HIV in a High-Income Setting: A Longitudinal Mixed Methods Study

Perception and Emotional Experiences of Infant Feeding Among Women Living With HIV in a High-Income Setting: A Longitudinal Mixed Methods Study

Roadmap for Achieving Universal Antiretroviral Treatment

Induced abortions of women living with HIV in Finland 1987–2019: a national register study

Contact Info

Product

Resources

About