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1994-08-20
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Document 0620
DOCN M9480620
TI HIV testing and prevalence in pregnancy in Edinburgh.
DT 9410
AU Johnstone FD; Brettle RP; Burns SM; Peutherer J; Mok JY; Robertson JR;
Hamilton B; Tappin DM; Department of Obstetrics and Gynaecology,
University of; Edinburgh, UK.
SO Int J STD AIDS. 1994 Mar-Apr;5(2):101-4. Unique Identifier : AIDSLINE
MED/94305002
AB The objective was to study the changes in pregnancy HIV prevalence with
time. Data were collected from multiple sources to provide a
comprehensive record of all HIV seropositive pregnant women identified
in the Edinburgh area (Scotland) until December 1992. There were 177
pregnancies in 108 HIV seropositive identified women. Risk factors were
injection drug use (79% of pregnancies) and a known HIV seropositive
injection drug-using partner (16%). Prevalence has decreased for
Edinburgh City women from 0.5% of all pregnancies in 1986 to 0.1% in
1992; It was higher for induced abortion (0.6%) than for delivery
(0.2%). HIV testing in pregnancy has declined. Comparison with unlinked
anonymized testing showed that in 1990-1991, 20/22 seropositive women
were known. In 1992, only 3 of 10 seropositive pregnancies were
identified. The cohort initially infected by exposure to a 'drug
related' risk factor between 1983 and 1985 may have increasingly
finished childbearing, deliberately decided against pregnancy because of
HIV status, and declined because of death, illness and emigration from
the area, There may not have been major early tertiary heterosexual
spread; however, data from 1992 suggest that this could now be impacting
on pregnancy prevalence. Local testing policies have not adapted to this
possible change.
DE Abortion, Induced/TRENDS AIDS Serodiagnosis/*TRENDS Cohort Studies
Delivery/TRENDS Female Health Policy Human HIV
Seropositivity/DIAGNOSIS/*EPIDEMIOLOGY *HIV Seroprevalence *Population
Surveillance Pregnancy Pregnancy Complications,
Infectious/DIAGNOSIS/*EPIDEMIOLOGY/ ETIOLOGY Pregnancy Outcome Risk
Factors Scotland/EPIDEMIOLOGY Sex Behavior Substance Abuse,
Intravenous/COMPLICATIONS Support, Non-U.S. Gov't Time Factors Urban
Population JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).