Perinatal HIV Prevention Outcomes in U.S.-Born Versus Foreign-Born Blacks, PSD Cohort, 1995-2004.
We examined differences in HIV-infected U.S.-born and foreign-born black mothers who delivered perinatally HIV-exposed and -infected children during 1995-2004 in the Pediatric Spectrum of HIV Disease Project, a longitudinal cohort study. Prevalence ratios were calculated to explain differences in perinatal HIV prevention opportunities comparing U.S.-born to foreign-born and African-born to Caribbean-born black mothers. U.S.-born compared with foreign-born HIV-infected black mothers were significantly more likely to have used cocaine or other non-intravenous illicit drugs, exchanged money or drugs for sex, known their HIV status before giving birth, received intrapartum antiretroviral (ARV) prophylaxis, and delivered a premature infant; and were significantly less likely to have received prenatal care or delivered an HIV-infected infant. African-born compared with Caribbean-born black mothers were more likely to receive intrapartum ARV prophylaxis. These differences by maternal geographical origin have important implications for perinatal HIV transmission prevention, and highlight the validity of disaggregating data by racial/ethnic subgroups.
Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, 1600 Clifton Road NE, Mailstop E-07, Atlanta, GA, 30333, USA, RMyles@cdc.gov.
Ranell L
RL
Myles
Melissa
M
Artstein-McNassar
Hazel D
HD
Dean
Beverly
B
Bohannon
Sharon K
SK
Melville
Richard
R
Yeager
John
J
Wheeling
Charles E
CE
Rose
Julia
J
Zhu
Kenneth L
KL
Dominguez
D001741:Black or African American / Q000706:statistics & numerical data*; D044383:Black People / Q000706:statistics & numerical data*; D015658:HIV Infections / Q000453:epidemiology / Q000208:ethnology / Q000517:prevention & control*; D006801:Humans; D007231:Infant, Newborn; D018445:Infectious Disease Transmission, Vertical / Q000517:prevention & control / Q000706:statistics & numerical data; D008137:Longitudinal Studies; D011295:Prenatal Care; D014481:United States / Q000453:epidemiology