TY - JOUR
T1 - Young, seropositive, and pregnant
T2 - epidemiologic and psychosocial perspectives on pregnant adolescents with human immunodeficiency virus infection
AU - Koenig, Linda J.
AU - Espinoza, Lorena
AU - Hodge, Krystal
AU - Ruffo, Nan
N1 - Funding Information:
This work was supported in part by an appointment to the Research Participation Program at the Centers for Disease Control and Prevention, National Center for HIV, Sexually Transmitted Diseases, and Tuberculosis Prevention administered by the Oak Ridge Institute for Science and Education through an interagency agreement between the U.S. Department of Energy and the Centers for Disease Control and Prevention. The Perinatal Guidelines Evaluation Project was originally funded through Centers for Disease Control and Prevention cooperative agreements U64/CCU412273, U64/CCU112274, U64/CCU412294, and U64/CCU212267. The study was conducted in North Carolina; Connecticut; Miami, Florida; and New York, NY.
PY - 2007/9
Y1 - 2007/9
N2 - The objective of the study was to characterize human immunodeficiency virus (HIV)-seropositive pregnant adolescents according to maternal reproductive, behavioral, and psychosocial characteristics. Data were derived from the national HIV/AIDS Reporting System (HARS, 2001-2004) and the Perinatal Guidelines Evaluation Project (PGEP, 1997-1999). Births to HIV-seropositive 13- to 21-year-olds reported to HARS via pediatric case report forms, and HIV-seropositive pregnant adolescents (aged 13- 21 years) who participated in PGEP were identified and characterized. In the 28 states with confidential, name-based perinatal HIV exposure reporting, 1183 live births occurred to 1090 seropositive adolescents. Fifteen births were to perinatally HIV-infected adolescents. HIV serostatus was known before the index pregnancy in half the cases (52.6% and 49.2% in HARS and PGEP, respectively). Of seropositive PGEP adolescents, 67% were previously pregnant; most pregnancies (83.3%) were unplanned. Many HIV-seropositive pregnant adolescents were aware of their serostatus when they became pregnant. Pregnancy and transmission risk reduction interventions targeting young seropositive females are needed.
AB - The objective of the study was to characterize human immunodeficiency virus (HIV)-seropositive pregnant adolescents according to maternal reproductive, behavioral, and psychosocial characteristics. Data were derived from the national HIV/AIDS Reporting System (HARS, 2001-2004) and the Perinatal Guidelines Evaluation Project (PGEP, 1997-1999). Births to HIV-seropositive 13- to 21-year-olds reported to HARS via pediatric case report forms, and HIV-seropositive pregnant adolescents (aged 13- 21 years) who participated in PGEP were identified and characterized. In the 28 states with confidential, name-based perinatal HIV exposure reporting, 1183 live births occurred to 1090 seropositive adolescents. Fifteen births were to perinatally HIV-infected adolescents. HIV serostatus was known before the index pregnancy in half the cases (52.6% and 49.2% in HARS and PGEP, respectively). Of seropositive PGEP adolescents, 67% were previously pregnant; most pregnancies (83.3%) were unplanned. Many HIV-seropositive pregnant adolescents were aware of their serostatus when they became pregnant. Pregnancy and transmission risk reduction interventions targeting young seropositive females are needed.
KW - adolescents
KW - human immunodeficiency virus
KW - pregnancy
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U2 - 10.1016/j.ajog.2007.03.004
DO - 10.1016/j.ajog.2007.03.004
M3 - Review article
C2 - 17825643
AN - SCOPUS:34548452226
SN - 0002-9378
VL - 197
SP - S123-S131
JO - American Journal of Obstetrics and Gynecology
JF - American Journal of Obstetrics and Gynecology
IS - 3 SUPPL.
ER -