Pregnancy Rates and Outcomes of HIV-Infected Women in Korea

Choi, Hosoon; Kim, Moo Hyun; Lee, Se Ju; Kim, Eun Jin; Lee, Woonji; Jeong, Wooyong; Jung, In Young; Ahn, Jin Young; Jeong, Su Jin; Ku, Nam Su; Baek, Ji Hyeon; Choi, Young Hwa; Kim, Hyo Youl; Kim, June Myung; Choi, Jun Yong

doi:10.3346/jkms.2018.33.e296

Cited by 5 publications

(5 citation statements)

References 18 publications

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“…This finding is higher than that of studies conducted in London (13/1000 person-years) [ 25 ], Korea (3.57/100 person-years) [ 26 ], Canada (2.91/100 person-years) [ 27 ], Eight west African countries (2.9/100 person-years), Burkina Faso (5/100 person-years) [ 28 ], and studies from Ethiopia: Addis Ababa (6.5/100 person-years) [ 29 ], and Debre Markos (4.92/100 person-years) [ 9 ]. This difference may be due to differences in; inclusion and exclusion criteria, the size of records reviewed, the study period, and difference in baseline exposure to ART.…”

Section: Discussioncontrasting

confidence: 57%

Effect of predictors on incidence rate of pregnancy among reproductive age women on antiretroviral therapy at public hospitals of Jigjiga and Harar Towns, Eastern Ethiopia: a retrospective cohort study

et al. 2022

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Background Globally, Human Immunodeficiency Virus (HIV) is the leading cause of death in women of reproductive age and accountable for a quarter of deaths during pregnancy in sub-Saharan Africa including Ethiopia. Introduction of antiretroviral therapy to women living with HIV highly improves lifestyle and the desire to have children. A comprehensive understanding of baseline predictors of pregnancy among women receiving ART essential to reduces unintended pregnancies, appropriate care, and preventing transmission from mother to child. Objective To determine the effect of baseline predictors on incidence rate of pregnancy among reproductive age women on antiretroviral therapy at public hospitals of Jigjiga and Harar town, Eastern Ethiopia from February 15 to march 15, 2020. Methods Retrospective cohort study was conducted on randomly selected 420 HIV-infected women using data recorded from September 11, 2014, to September 10, 2019 in Jigjiga and Harar town in Eastern Ethiopia. Simple random sampling was used to select study subjects from each hospital. Data were entered to Epi data version 3.2 and exported to Stata version 14.2 for analysis. Kaplan–Meier failure, and Cox proportional hazards model were used to estimate the incidence, and to identify predictors of pregnancy respectively. Variables which were significant (P value < 0.05) in the multivariate analysis were considered independent predictors of pregnancy. Results The overall incidence rate of pregnancy was 9.1 per 100 person-years (95% CI 7.19, 11.76). Being unadvanced HIV disease stage (AHR: 2.50; 95% CI 1.46, 4.19), having less than two children (AHR: 2.93; 95% CI 1.59, 5.40), and disclosed HIV status (AHR: 2.25; 95% CI 1.34, 3.79) were independent predictors of pregnancy. Conclusion The incidence rate of pregnancy among reproductive age women on ART was found to be considerable. Being unadvanced HIV disease stage, having less than two children, and disclosed HIV status were independent predictors of pregnancy. Thus, tailoring counseling have to be designed to enhance better pregnancy planning and consecutive health outcomes.

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Section: Discussioncontrasting

confidence: 57%

Effect of predictors on incidence rate of pregnancy among reproductive age women on antiretroviral therapy at public hospitals of Jigjiga and Harar Towns, Eastern Ethiopia: a retrospective cohort study

et al. 2022

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“…Studies conducted from 1996 to 2016 4 , 6 , 18 , 19 , 20 , 21 reported pregnancy incidence ranging from 2.9 per 100 person-years 19 to 10.1/100 person-years 21 . Contrary to our findings, Haddad et al 6 , in a study conducted in 9 U.S. centers, reported a non-significant increase in pregnancy incidence in WLWHA and a significant increase in live births (from 2.85 to 7.27/100 person-years) in the periods 1994-1997 to 2006-2012, with similar values in WLWHA and in women not living with HIV/AIDS (WNLWHA) in more recent periods.…”

Section: Discussionmentioning

confidence: 99%

Pregnancy incidence, outcomes and associated factors in a cohort of women living with HIV/AIDS in Rio de Janeiro, Brazil, 1996-2016

et al. 2023

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The aim of this research was to analyze pregnancy incidence and associated factors in a cohort of 753 women living with HIV/AIDS (WLWHA) in Rio de Janeiro, Brazil, from 1996 to 2016. Women aged 18-49 years who were not on menopause (surgical or natural) and did not have a tubal ligation were eligible for the study. Data were collected by medical professionals during initial and follow-up visits. Person-time pregnancy incidence rates were calculated throughout the follow-up period. Pregnancy incidence-associated factors were investigated by univariate and multiple analyzes, using an extension of the Cox survival model. Follow-up visits recorded 194 pregnancies, with an incidence rate of 4.01/100 person-years (95% CI: 3.47; 4.60). A higher pregnancy incidence was associated with CD4 nadir ≥ 350 cells/mm³, use of an antiretroviral regimen not containing Efavirenz, and prior teenage pregnancy. In turn, women with a viral load ≥ 50 copies/mL, age ≥ 35 years old, with two or more children and using a highly effective contraceptive method showed a lower incidence. Results showed a significant reduction in pregnancy incidence after 2006, a significant reduction in female sterilization from 1996 to 2016, and a high rate of cesarean sections. The association found between pregnancy incidence and the use of contraceptive methods and virological control markers suggests a good integration between HIV/AIDS and reproductive health services. The high rate of cesarean section delivery indicates the need to improve childbirth care.

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“…The World Health Organization (WHO) provided and updated the recommendations on the regimens of antiretrovirals (ARVs) for pregnant women infected with HIV [ 30 – 32 ]. Additionally, some East Asia countries launched the prevention of mother-to-child transmission for HIV program and spread more knowledge of HIV transmission means from mother to child among women [ 33 , 34 ]. The predicted incidence of HIV in post-neonatal population showed a decreased trend in East Asia, except North Korea and South Korea.…”

Section: Discussionmentioning

confidence: 99%

“…This maybe because the improved prevention, screening, and treatment strategies including ART for HIV [ 40 , 41 ]. Early HIV screening tests, avoid breastfeeding, and health care were provided in post-neonatal population with HIV, which might also help decrease the mortality of these patients [ 33 ]. In general, the incidence of HIV with XDR-TB in South Korea, North Korea, Mongolia, and Taiwan was increased during 2000–2019.…”

Section: Discussionmentioning

confidence: 99%

A hybrid of long short-term memory neural network and autoregressive integrated moving average model in forecasting HIV incidence and morality of post-neonatal population in East Asia: global burden of diseases 2000–2019

Chen

Wang

2022

BMC Public Health

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Background To forecast the human immunodeficiency virus (HIV) incidence and mortality of post-neonatal population in East Asia including North Korea, South Korea, Mongolia, Japan and China Mainland and Taiwan province. Methods The data on the incidence and mortality of HIV in post-neonatal population from East Asia were obtained from the Global Burden of Diseases (GBD). The morbidity and mortality of post-neonatal HIV population from GBD 2000 to GBD 2013 were applied as the training set and the morbidity and mortality from GBD 2014 to GBD 2019 were used as the testing set. The hybrid of ARIMA and LSTM model was used to construct the model for assessing the morbidity and mortality in the countries and territories of East Asia, and predicting the morbidity and mortality in the next 5 years. Results In North Korea, the incidence and mortality of HIV showed a rapid increase during 2000–2010 and a gradual decrease during 2010–2019. The incidence of HIV was predicted to be increased and the mortality was decreased. In South Korea, the incidence was increased during 2000–2010 and decreased during 2010–2019, while the mortality showed fluctuant trend. As predicted, the incidence of HIV in South Korea might be increased and the mortality might be decreased during 2020–2025. In Mongolia, the incidence and mortality were slowly decreased during 2000–2005, increased during 2005–2015, and rapidly decreased till 2019. The predicted incidence and mortality of HIV showed a decreased trend. As for Japan, the incidence of HIV was rapidly increased till 2010 and then decreased till 2015. The predicted incidence of HIV in Japan was gradually increased. The mortality of HIV in Japan was fluctuant during 2000–2019 and was slowly decreased as predicted. The incidence and mortality of HIV in Taiwan during 2000–2019 was increased on the whole. The predicted incidence of HIV during was stationary and the mortality was decreased. In terms of China Mainland, the incidence and mortality of HIV was fluctuant during 2000–2019. The predicted incidence of HIV in China Mainland was stationary while the mortality was rapidly decreased. Conclusion On the whole, the incidence of HIV combined with other diseases in post-neonatal population was increased before 2010 and then decreased during 2010–2019 while the mortality of those patients was decreased in East Asia.

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Pregnancy Rates and Outcomes of HIV-Infected Women in Korea

Cited by 5 publications

References 18 publications

Effect of predictors on incidence rate of pregnancy among reproductive age women on antiretroviral therapy at public hospitals of Jigjiga and Harar Towns, Eastern Ethiopia: a retrospective cohort study

Effect of predictors on incidence rate of pregnancy among reproductive age women on antiretroviral therapy at public hospitals of Jigjiga and Harar Towns, Eastern Ethiopia: a retrospective cohort study

Pregnancy incidence, outcomes and associated factors in a cohort of women living with HIV/AIDS in Rio de Janeiro, Brazil, 1996-2016

A hybrid of long short-term memory neural network and autoregressive integrated moving average model in forecasting HIV incidence and morality of post-neonatal population in East Asia: global burden of diseases 2000–2019

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