Prevalence and risk factors for HIV, syphilis, hepatitis B, hepatitis C, and HTLV-I/II infection in low-income postpartum and pregnant women in Greater Metropolitan Vitória, Espírito Santo State, Brazil.
Sexually transmitted infections during pregnancy pose a major risk to the fetus due to vertical transmission. The study's objective was to determine the prevalence of HIV, syphilis, hepatitis B and C, and HTLV-I/II infection among low-income postpartum and pregnant women treated in Greater Metropolitan Vitória, Espírito Santo State, Brazil, and the risk factors associated with these infections. A cross-sectional study was conducted from February to October 1999 assessing postpartum and pregnant women from the maternity ward of the Vitória Mercy Hospital and the Carapina Outpatient Referral Unit in the Municipality of Serra, respectively. Patients were systematically interviewed and had blood samples drawn for serological tests (HIV 1&2, VDRL, HbsAg, anti-HCV, and HTLV-I/II). A total of 534 patients (332 postpartum and 202 pregnant women) were assessed. Seroprevalence rates for the target infections in postpartum and pregnant women and the overall sample were as follows, respectively: HIV 0.9%, 0%, and 0.6%; syphilis 2.1%, 3.6%, and 2.7%; HBV 1.2%, 1%, and 1.1%; HCV 1.8%, 0.6%, and 1.4%; and HTLV-I/II 1.7%, 0.6%, and 1.3%. Factors associated with the various infections are presented and analyzed in light of other research findings from the literature.
Lima
Lucia Helena Mello de
LH
Unidade de Referência Ambulatorial para DST/AIDS, Serra, Brasil. luciahmlima@terra.com.br
Viana
Maria Carmen
MC
D000293:Adolescent; D000328:Adult; D001938:Brazil / Q000453:epidemiology; D004812:Epidemiologic Methods; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000635:transmission; D015490:HTLV-I Infections / Q000453:epidemiology / Q000635:transmission; D015491:HTLV-II Infections / Q000453:epidemiology / Q000635:transmission; D006509:Hepatitis B / Q000453:epidemiology / Q000635:transmission; D006526:Hepatitis C / Q000453:epidemiology / Q000635:transmission; D006525:Hepatitis, Viral, Human / Q000453:epidemiology / Q000635:transmission*; D006801:Humans; D018445:Infectious Disease Transmission, Vertical / Q000706:statistics & numerical data*; D008875:Middle Aged; D011203:Poverty / Q000706:statistics & numerical data; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000453:epidemiology*; D012192:Retroviridae Infections / Q000453:epidemiology / Q000635:transmission*; D012749:Sexually Transmitted Diseases / Q000453:epidemiology / Q000635:transmission*; D013587:Syphilis / Q000453:epidemiology / Q000635:transmission; D014505:Urban Population; D055815:Young Adult