Follow-Up Care Among HIV-Infected Pregnant Women in Mississippi
- 1 October 2010
- journal article
- Published by Mary Ann Liebert Inc in Journal of Women's Health
- Vol. 19 (10), 1863-1867
- https://doi.org/10.1089/jwh.2009.1880
Abstract
Data from the Centers for Disease Control and Prevention (CDC) indicate that reproductive-age black women in the Southeast are disproportionately affected by the HIV epidemic. There are few data describing HIV infection, pregnancies, and follow-up care in this population. A retrospective chart review was performed at the Perinatal HIV Service at the University of Mississippi Medical Center in Jackson, Mississippi, to identify HIV-infected women ≥ 18 years of age with deliveries from 1999 to 2006. Optimal follow-up was defined as at least two follow-up visits with an HIV provider within 1 year of delivery. Univariate and multivariate logistic regression analyses were used to identify factors associated with optimal adherence. We identified 274 women with 297 total deliveries. Median age was 25, and 89% were black. Only 37% of women had two or more visits with an HIV provider in the postpartum year. On univariate analysis, presentation before the third trimester was associated with optimal follow-up (p = 0.04). On multivariate analyses, presentation before the third trimester was the only variable associated with optimal follow-up (odds ratio [OR] 2.1, p = 0.02). The poor follow-up rates in this growing population highlight the critical need for research and development of targeted interventions to improve rates of retention in care, particularly in women with late trimester presentation.Keywords
This publication has 15 references indexed in Scilit:
- Faculty Opinions recommendation of Revised recommendations for HIV testing of adults, adolescents, and pregnant women in health-care settings.Published by H1 Connect ,2006
- Advanced immunosuppression at entry to HIV care in the southeastern United States and associated risk factorsAIDS, 2006
- Hospital and Outpatient Health Services Utilization Among HIV-Infected Adults in Care 2000–2002Medical Care, 2005
- Primary Care Guidelines for the Management of Persons Infected with Human Immunodeficiency Virus: Recommendations of the HIV Medicine Association of the Infectious Diseases Society of AmericaClinical Infectious Diseases, 2004
- HIV-infected parents and their children in the United StatesAmerican Journal of Public Health, 2000
- The Impact of Competing Subsistence Needs and Barriers on Access to Medical Care for Persons With Human Immunodeficiency Virus Receiving Care in the United StatesMedical Care, 1999
- Variations in the Care of HIV-Infected Adults in the United StatesPublished by American Medical Association (AMA) ,1999
- The Care of HIV-Infected Adults in the United StatesNew England Journal of Medicine, 1998
- Acquired immunodeficiency syndrome in Alabama: special concerns for black women.Southern Medical Journal, 1997
- Screening for human immunodeficiency virus infection during pregnancy.1997