Prevalence and factors associated with HIV infection in pregnants and parturients
Keywords:
HIV, GESTATION, EPIDEMIOLOGY, BRAZILAbstract
Introduction: The increase in HIV-positive heterosexuals and the consequent contamination of women in childbearing age is of great concern to public health. Thus, justifying studies to assess risk factors that lead to a greater likelihood of HIV infection by producing information for the resolution of the fight against AIDS. Objectives: To evaluate the prevalence and define factors associated with HIV infection in pregnant women and in parturients in a maternity hospital in Goiânia. Methodology: Case-control study. The case group consisted of 15 HIV-positive patients and the control of 60 non-HIV patients, a study conducted at the Dona Iris Hospital and Maternity Unit in Goiânia-Goiás, Brazil, between 08.01.2015 and 03.30.2017. Results: During the study period, 617 low-risk prenatal pregnant women were attended, 754 were at high risk and 9,451 were hospitalized in the emergency room, covering 10,822 patients. Of the 25 that presented positive serology for HIV, only 15 agreed to participate in the research. The overall prevalence of HIV-positive pregnant women attended at HMDI (prenatal and hospitalization) was 0.23%. Conclusion: The seroprevalence of HIV infection in low prenatal care was 0.32%. Seroprevalence in high risk prenatal care was 1.72%. The epidemiological profile of the participants with positive HIV serostatus is of patients with a mean age of 25 to 29 years, most of them living in a stable union, with previous number of partners > 10, schooling up to full high school, brown, evangelical and employed in the Interview, with family income between 1 and 2 minimum wages. Among the factors associated with HIV infection, two were the variables that had statistical significance when compared to the non-infected group, mean age and number of previous partners, which were higher in the group of HIV carriers.
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