title: [Routes of HIV infection in a pregnant population in metropolitan France: evolution over a three year period].
abstract: Routes of HIV transmission among seropositive pregnant women were studied over a three year period in a nationwide multicenter study in France. A total of 2,346 cases were included: 666 in 1987, 809 in 1988 and 871 in 1989. The principal route of transmission was intravenous drug use (IVDU), however an increase in heterosexual transmission was observed. From 1987 to 1989, the proportion of cases related to IVDU decreased from 66.4 percent to 48.2 percent while sexually transmitted cases increased from 24.9 percent to 41.8 percent. The trend towards heterosexual transmission among pregnant women was more marked in the Paris region than in the rest of France. This tendency may be overestimated because of changes in population, such as an increase in women from sub Saharan Africa, the extension of serodiagnosis among IVDU and the extension of systematic testing of pregnant women over the study period. Heterosexual transmission of HIV does appear to be increasing in Europe as can be observed among female AIDS cases.
authors.affiliation: Clinique universitaire Port-Royal, Paris.
authors.forename: R
authors.initials: R
authors.lastname: Henrion
authors.forename: E
authors.initials: E
authors.lastname: Henrion-Géant
authors.forename: L
authors.initials: L
authors.lastname: Mandelbrot
mesh_terms: D000328:Adult; D004812:Epidemiologic Methods; D005260:Female; D005602:France / Q000453:epidemiology; D015658:HIV Infections / Q000453:epidemiology / Q000635:transmission*; D006801:Humans; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000453:epidemiology*; D011446:Prospective Studies; D012747:Sexual Partners; D019966:Substance-Related Disorders; D065227:Transfusion Reaction
vernacular_title: Evolution du mode contamination par le VIH des femmes enceintes en France métropolitaine.