HIV infection during pregnancy in the state of Rio de Janeiro, Brazil, 2021-2023
ABSTRACT Objectives: To estimate the prevalence of HIV infection in pregnant women; analyze the gestational and maternal outcomes of women with HIV; and evaluate process indicators for the prevention of vertical transmission of HIV according to type of financing for hospital admission in the state...
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| Format: | Article |
| Language: | English |
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Associação Brasileira de Pós-Graduação em Saúde Coletiva
2025-05-01
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| Series: | Revista Brasileira de Epidemiologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2025000100420&lng=en&tlng=en |
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| author | Rosa Maria Soares Madeira Domingues Marcos Augusto Bastos Dias Ana Paula Esteves-Pereira Paula Mendes Luz Emilia Jalil Vania Rocha Angela Cristina Vasconcelos de Andrade Rabello Ruth Khalili Friedman Maria do Carmo Leal |
| author_facet | Rosa Maria Soares Madeira Domingues Marcos Augusto Bastos Dias Ana Paula Esteves-Pereira Paula Mendes Luz Emilia Jalil Vania Rocha Angela Cristina Vasconcelos de Andrade Rabello Ruth Khalili Friedman Maria do Carmo Leal |
| author_sort | Rosa Maria Soares Madeira Domingues |
| collection | DOAJ |
| description | ABSTRACT Objectives: To estimate the prevalence of HIV infection in pregnant women; analyze the gestational and maternal outcomes of women with HIV; and evaluate process indicators for the prevention of vertical transmission of HIV according to type of financing for hospital admission in the state of Rio de Janeiro (RJ). Methods: cross-sectional study with 1,923 women, conducted between 2021-2023. Interviews were carried out with women, and data was extracted from the pregnancy booklet and hospital records. The prevalence of HIV infection, gestational and maternal outcomes, and the adequacy of process indicators for the management of HIV infection were estimated with respective 95% confidence intervals (95%CI) according to the type of financing — public or private — for hospital admission for childbirth or abortion. Results: Coverage of prenatal care (PNC), HIV testing during PNC (one and two tests), and testing during hospital admission was 93.7, 79.7, 45.8, and 79.2%, respectively. The prevalence of HIV infection was estimated at 0.79% (95%CI 0.31–1.99). Only 40% of women with HIV had registered antiretroviral treatment and 26% had registered viral load tests in their pregnancy booklet. Women with public funding were more socially vulnerable and had less coverage of PNC and testing with two tests. Conclusion: Missed opportunities were identified in the management of pregnant women with HIV in public and private services in RJ. The detection rate was higher than that of the Notifiable Diseases Information System and suggests underreporting of cases. |
| format | Article |
| id | doaj-art-b521c58d6c8b42c093e18bfbccd0445f |
| institution | OA Journals |
| issn | 1980-5497 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Associação Brasileira de Pós-Graduação em Saúde Coletiva |
| record_format | Article |
| series | Revista Brasileira de Epidemiologia |
| spelling | doaj-art-b521c58d6c8b42c093e18bfbccd0445f2025-08-20T02:33:11ZengAssociação Brasileira de Pós-Graduação em Saúde ColetivaRevista Brasileira de Epidemiologia1980-54972025-05-012810.1590/1980-549720250020HIV infection during pregnancy in the state of Rio de Janeiro, Brazil, 2021-2023Rosa Maria Soares Madeira Domingueshttps://orcid.org/0000-0001-5722-8127Marcos Augusto Bastos Diashttps://orcid.org/0000-0003-1386-7001Ana Paula Esteves-Pereirahttps://orcid.org/0000-0002-0236-2043Paula Mendes Luzhttps://orcid.org/0000-0001-9746-719XEmilia Jalilhttps://orcid.org/0000-0001-6017-5660Vania Rochahttps://orcid.org/0000-0003-2524-9905Angela Cristina Vasconcelos de Andrade Rabellohttps://orcid.org/0000-0003-3298-0456Ruth Khalili Friedmanhttps://orcid.org/0000-0002-3330-0830Maria do Carmo Lealhttps://orcid.org/0000-0002-3047-515XABSTRACT Objectives: To estimate the prevalence of HIV infection in pregnant women; analyze the gestational and maternal outcomes of women with HIV; and evaluate process indicators for the prevention of vertical transmission of HIV according to type of financing for hospital admission in the state of Rio de Janeiro (RJ). Methods: cross-sectional study with 1,923 women, conducted between 2021-2023. Interviews were carried out with women, and data was extracted from the pregnancy booklet and hospital records. The prevalence of HIV infection, gestational and maternal outcomes, and the adequacy of process indicators for the management of HIV infection were estimated with respective 95% confidence intervals (95%CI) according to the type of financing — public or private — for hospital admission for childbirth or abortion. Results: Coverage of prenatal care (PNC), HIV testing during PNC (one and two tests), and testing during hospital admission was 93.7, 79.7, 45.8, and 79.2%, respectively. The prevalence of HIV infection was estimated at 0.79% (95%CI 0.31–1.99). Only 40% of women with HIV had registered antiretroviral treatment and 26% had registered viral load tests in their pregnancy booklet. Women with public funding were more socially vulnerable and had less coverage of PNC and testing with two tests. Conclusion: Missed opportunities were identified in the management of pregnant women with HIV in public and private services in RJ. The detection rate was higher than that of the Notifiable Diseases Information System and suggests underreporting of cases.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2025000100420&lng=en&tlng=enPregnancyHIV InfectionsPrenatal CareHealth Evaluation |
| spellingShingle | Rosa Maria Soares Madeira Domingues Marcos Augusto Bastos Dias Ana Paula Esteves-Pereira Paula Mendes Luz Emilia Jalil Vania Rocha Angela Cristina Vasconcelos de Andrade Rabello Ruth Khalili Friedman Maria do Carmo Leal HIV infection during pregnancy in the state of Rio de Janeiro, Brazil, 2021-2023 Revista Brasileira de Epidemiologia Pregnancy HIV Infections Prenatal Care Health Evaluation |
| title | HIV infection during pregnancy in the state of Rio de Janeiro, Brazil, 2021-2023 |
| title_full | HIV infection during pregnancy in the state of Rio de Janeiro, Brazil, 2021-2023 |
| title_fullStr | HIV infection during pregnancy in the state of Rio de Janeiro, Brazil, 2021-2023 |
| title_full_unstemmed | HIV infection during pregnancy in the state of Rio de Janeiro, Brazil, 2021-2023 |
| title_short | HIV infection during pregnancy in the state of Rio de Janeiro, Brazil, 2021-2023 |
| title_sort | hiv infection during pregnancy in the state of rio de janeiro brazil 2021 2023 |
| topic | Pregnancy HIV Infections Prenatal Care Health Evaluation |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2025000100420&lng=en&tlng=en |
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