Punctures During Prenatal Care Associated with Prevalent HIV Infection in Sub-Saharan African Women (Presentation Slides)

20 Pages Posted: 25 Jul 2016

See all articles by Devon D. Brewer

Devon D. Brewer

Interdisciplinary Scientific Research

John Roberts

University of Wisconsin - Milwaukee

John Potterat

Independent

Date Written: July 1, 2007

Abstract

Pregnant and post-partum women in sub-Saharan Africa experience especially high HIV incidence not explained by sexual behavior. Throughout Africa, many pregnant women receive prenatal healthcare in facilities with very poor infection control.

We analyzed data on punctures during prenatal healthcare and prevalent HIV infection from probability household sample surveys (Demographic and Health Surveys) in 11 sub-Saharan African countries. We included women in our analyses if they had given birth in the prior 5 years and had not tested for HIV previously.

Women who received a tetanus toxoid vaccination and/or phlebotomy during prenatal care for their last pregnancies were more likely to be infected with HIV than women who did not have punctures during prenatal care (AOR = 1.42, 95% CI 1.19-1.69, in a fixed effects multiple logistic regression model, adjusted for country). This association remained robust after we adjusted for demographics and sexual behaviors (AOR = 1.29, 95% CI 1.08-1.54). The model fit did not improve significantly when we included the interaction between prenatal punctures and country. Each type of puncture was independently associated with HIV infection when we included them in the same model together (phlebotomy AOR = 1.22, 95% CI 1.06-1.40; tetanus vaccination AOR = 1.17, 95% CI 0.99-1.37).

The modest association between punctures in prenatal healthcare and prevalent HIV infection highlights the need for universal precautions in all invasive healthcare and rigorous investigations of HIV transmission in sub-Saharan Africa.

Keywords: HIV transmission, nosocomial infection, iatrogenic infection, antenatal care

JEL Classification: I12

Suggested Citation

Brewer, Devon D. and Roberts, John and Potterat, John, Punctures During Prenatal Care Associated with Prevalent HIV Infection in Sub-Saharan African Women (Presentation Slides) (July 1, 2007). Available at SSRN: https://ssrn.com/abstract=2813459 or http://dx.doi.org/10.2139/ssrn.2813459

Devon D. Brewer (Contact Author)

Interdisciplinary Scientific Research ( email )

P.O. Box 15110
Seattle, WA 98115
United States
206-985-2398 (Phone)
815-301-8854 (Fax)

HOME PAGE: http://www.interscientific.net

John Roberts

University of Wisconsin - Milwaukee ( email )

Bolton Hall 802
3210 N. Maryland Ave.
Milwaukee, WI 53211
United States

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