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M94A2368.TXT
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1994-10-25
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Document 2368
DOCN M94A2368
TI Husband HIV discordance among HIV-infected pregnant women, Bangkok,
Thailand.
DT 9412
AU Roongpisuthipong A; Siriwasin W; Chaiyakul P; Bhiraleus P;
Laosakkitiboran J; Shaffer N; Mastro TD; Siriraj Hospital, Mahidol
University, Bangkok.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):32 (abstract no. 103C). Unique
Identifier : AIDSLINE ICA10/94370207
AB OBJECTIVES: To determine the prevalence of HIV-negativity (discordance)
among husbands of HIV-positive pregnant women and to compare risk
behaviors among wives and husbands in this group. METHODS: At 2 large
hospitals in Bangkok with regular antenatal HIV counseling and testing,
husbands of HIV-infected pregnant women are also asked to present for
HIV counseling and testing. Initially, data on the husbands' risk
behavior and HIV status were collected from the women as part of a
perinatal transmission study. Since Nov 1993, a new study administers
similar questionnaires to both wife and husband to better assess risk
behavior and knowledge of partners. RESULTS: Among the first 165
HIV-positive women enrolled during antenatal care in the perinatal
transmission study, HIV test results were available for 137 (83%)
husbands. Overall, 35/137 (26%) of husbands were HIV-negative
(discordant). Husband discordance rates were higher among women who
reported > 1 lifetime sex partner (27/67; 40%), compared to women who
reported only 1 lifetime sex partner (8/70; 11%) (OR 5.2; p = 0.0001).
Of the first 78 partners enrolled in the husband study, 17 (22%) are
HIV-negative (discordant). Risk factor analyses are ongoing.
CONCLUSIONS: Pregnant women have been extensively surveyed during the
HIV epidemic, but little is known about their husbands/partners. While
most pregnant women in Bangkok appear to have no identified risk except
sex with their husbands, partner testing has revealed that 20-30% of
husbands are discordantly negative. This suggests that a subgroup of
HIV-infected pregnant women have discordantly negative. This suggests
that a subgroup of HIV-infected pregnant women have other risk factors
and that heterosexual transmission risk in regular relationships is
bidirectional (male-to-female and female-to-male). A better
understanding of risk behaviors and perceptions within relationships is
needed for appropriate counseling and prevention programs.
DE Adult Female Human *HIV Seronegativity HIV
Seropositivity/EPIDEMIOLOGY/*PSYCHOLOGY Male Pregnancy *Pregnancy
Complications, Infectious Prenatal Care Risk Factors *Risk-Taking
Sex Behavior Thailand/EPIDEMIOLOGY MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).