Perinatal HIV Counseling and Rapid Testing in Tijuana, Baja California, Mexico

Viani, Rolando M.; Araneta, Maria Rosario G.; Ruiz-Calderon, Jorge; Hubbard, Patricia; Lopez, Graciano; Chacón-Cruz, Enrique; Spector, Stephen A.

doi:10.1097/01.qai.0000174657.71276.9f

Cited by 62 publications

(41 citation statements)

References 19 publications

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“…3 Among 1,064 women in labor in Tijuana, HIV prevalence was 1.1% overall, G1% among non-drug using women and 6% among women using drugs or whose partners were users. 3 These data are in stark contrast to earlier studies that found HIV prevalence to be 0.09% in pregnant women and 0.3% in the general adult population and suggest that HIV prevalence may be increasing among highrisk Tijuana subpopulations. 5 In light of these recent data and a lack of more comprehensive epidemiological surveillance, the purpose of this study was to estimate the current number of adult men and women infected with HIV in Tijuana.…”

Section: Introductioncontrasting

confidence: 79%

“…2 This was combined with local HIV and behavior data to derive the number of high-risk pregnant women. 2,3 HIV prevalence estimates for Tijuana were based on a variety of serosurveillance and community based seroprevalence studies (Table 2). High and low estimates of HIV-infected MSM were obtained from published local survey results.…”

Section: Resultsmentioning

confidence: 99%

“…2 Recent surveillance data in sentinel populations, such as pregnant women, suggests that HIV prevalence is increasing dramatically in this city. 3 A number of factors suggest that residents of Tijuana may be at increasing risk of acquiring HIV infection. The city lies just 20 miles south of San Diego, California, and the land border crossing between these two cities is the busiest in the world-inspecting more than 46 million persons and 14 million vehicles annually.…”

Section: Introductionmentioning

confidence: 99%

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Estimated Numbers of Men and Women Infected with HIV/AIDS in Tijuana, Mexico

et al. 2006

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Tijuana, Mexico, just south of San Diego, California, is located by the busiest land border crossing in the world. Although UNAIDS considers Mexico to be a country of "low prevalence, high risk," recent surveillance data among sentinel populations in Tijuana suggests HIV prevalence is increasing. The aim of this study was to estimate the number of men and women aged 15 to 49 years infected with HIV in Tijuana. Gender and age-specific estimates of the Tijuana population were obtained from the 2000 Mexican census. Population and HIV prevalence estimates for at-risk groups were obtained from published reports, community based studies, and data from the Centro Nacional para la Prevención y Control del VIH/SIDA (CENSIDA). Age-specific fertility rates for Mexico were used to derive the number of low and high-risk pregnant women. Numbers of HIV-positive men and women were estimated for each at-risk group and then aggregated. A high growth scenario based on current HIV prevalence and a conservative, low growth estimate were determined. A total of 686,600 men and women in Tijuana were aged 15 to 49 years at the time of the 2000 census. Considering both scenarios, the number of infected persons ranged from 1,803 to 5,472 (HIV prevalence: 0.26 to 0.80%). The majority of these persons were men (>70%). The largest number of infected persons were MSM (N = 1,146 to 3,300) and IDUs (N = 147 to 650). Our data suggest that up to one in every 125 persons aged 15-49 years in Tijuana is HIV-infected. Interventions to reduce ongoing spread of HIV are urgently needed.

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Section: Introductioncontrasting

confidence: 79%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Estimated Numbers of Men and Women Infected with HIV/AIDS in Tijuana, Mexico

et al. 2006

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“…15 Our rate of HIV infection is lower than that reported both from the 2004 study in antenatal clinics in Tijuana, Mexico 15 and from the 2001 study in antenatal clinics in Vitória, Brazil.…”

Section: Discussioncontrasting

confidence: 52%

Seroprevalence of HIV, Hepatitis B, and Syphilis Among Pregnant Women at the General Hospital, Guatemala City, 2005-2009

Samayoa

Anderson

Pacheco

et al. 2010

Journal of the International Association of Physicians in AIDS

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Background: Sexually transmitted infection (STI) screening in pregnancy provides an excellent opportunity for secondary prevention. Objective: To document the epidemiology of HIV, hepatitis B, and syphilis among pregnant women at a Guatemalan national hospital. 2008, 33 (0.36%) were to HIV-infected mothers. Conclusion: These 3 STIs were uncommon in our population and did not increase in incidence during the study period. HIV maternal-to-child transmission (MTCT) prevention programs were feasible in our setting.

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“…Juarez have implications for the transmission of blood-borne infections such as HIV and viral hepatitis. HIV prevalence among IDUs and other high-risk groups in Mexico has thus far remained low (UNAIDS, 2002), but a seroprevalence study of pregnant women in Tijuana observed an HIV prevalence of 1.1% overall; 0% among non-drug using women and 6% among those admitting injection drug use (Viani et al, 2006). Mexican and border health officials have expressed concern that these data represent a looming HIV epidemic linked to drug use.…”

Section: Introductionmentioning

confidence: 99%