Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, Zambia

Autores
Davis, Rindcy; Xiong, Xu; Althabe, Fernando; Lefante, John; Cafferata, Maria Luisa; Mwenechanya, Musaku; Mwanakalanga, Friday Habulembe; Chomba, Elwyn; Buekens, Pierre
Año de publicación
2020
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Objectives: To identify characteristics associated with obtaining HIV and syphilis screenings of pregnant women attending a first antenatal visit in Lusaka, Zambia. Results: Among 18,231 participants from April 2015 to January 2016, 95% obtained HIV screening, 29% obtained syphilis screening, and 4% did not obtain antenatal HIV or syphilis screenings. Divorced/separated women were associated with a moderate decrease in prevalence of obtaining HIV (adjusted prevalence ratio (aPR) 0.88, 95% confidence interval (95% CI) 0.82, 0.95) and syphilis (aPR 0.51, 95% CI 0.27, 0.96) screenings compared to married women. Women with previous pregnancies were associated with a slight decrease in prevalence of obtaining HIV screening (aPR 0.97, 95% CI 0.95, 0.99) compared to women without previous pregnancy. Older women ≥ 35 years were associated with a slight decrease in prevalence of obtaining HIV screening (aPR 0.96, 95% CI 0.92, 0.99) compared to younger women. The statistically significant differences were not of clinical relevance as defined by a proportional difference of 10 percent. Findings of this study show that a vast majority of pregnant women are obtaining HIV screenings but not syphilis screenings during first antenatal visit. Provision of antenatal HIV and syphilis screening at first visit is only weakly related to patient level factors.
Fil: Davis, Rindcy. University of Tulane; Estados Unidos
Fil: Xiong, Xu. University of Tulane; Estados Unidos
Fil: Althabe, Fernando. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Lefante, John. University of Tulane; Estados Unidos
Fil: Cafferata, Maria Luisa. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Mwenechanya, Musaku. University Teaching Hospital Lusaka; Zambia
Fil: Mwanakalanga, Friday Habulembe. University Teaching Hospital Lusaka; Zambia
Fil: Chomba, Elwyn. University Teaching Hospital Lusaka; Zambia
Fil: Buekens, Pierre. University of Tulane; Estados Unidos
Materia
AFRICA SOUTH OF THE SAHARA
ANTENATAL SCREENINGS
HIV
MOTHER-TO-CHILD TRANSMISSION
SYPHILIS
ZAMBIA
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/142495
Acceder
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oai_identifier_str oai:ri.conicet.gov.ar:11336/142495
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, ZambiaDavis, RindcyXiong, XuAlthabe, FernandoLefante, JohnCafferata, Maria LuisaMwenechanya, MusakuMwanakalanga, Friday HabulembeChomba, ElwynBuekens, PierreAFRICA SOUTH OF THE SAHARAANTENATAL SCREENINGSHIVMOTHER-TO-CHILD TRANSMISSIONSYPHILISZAMBIAhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Objectives: To identify characteristics associated with obtaining HIV and syphilis screenings of pregnant women attending a first antenatal visit in Lusaka, Zambia. Results: Among 18,231 participants from April 2015 to January 2016, 95% obtained HIV screening, 29% obtained syphilis screening, and 4% did not obtain antenatal HIV or syphilis screenings. Divorced/separated women were associated with a moderate decrease in prevalence of obtaining HIV (adjusted prevalence ratio (aPR) 0.88, 95% confidence interval (95% CI) 0.82, 0.95) and syphilis (aPR 0.51, 95% CI 0.27, 0.96) screenings compared to married women. Women with previous pregnancies were associated with a slight decrease in prevalence of obtaining HIV screening (aPR 0.97, 95% CI 0.95, 0.99) compared to women without previous pregnancy. Older women ≥ 35 years were associated with a slight decrease in prevalence of obtaining HIV screening (aPR 0.96, 95% CI 0.92, 0.99) compared to younger women. The statistically significant differences were not of clinical relevance as defined by a proportional difference of 10 percent. Findings of this study show that a vast majority of pregnant women are obtaining HIV screenings but not syphilis screenings during first antenatal visit. Provision of antenatal HIV and syphilis screening at first visit is only weakly related to patient level factors.Fil: Davis, Rindcy. University of Tulane; Estados UnidosFil: Xiong, Xu. University of Tulane; Estados UnidosFil: Althabe, Fernando. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Lefante, John. University of Tulane; Estados UnidosFil: Cafferata, Maria Luisa. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Mwenechanya, Musaku. University Teaching Hospital Lusaka; ZambiaFil: Mwanakalanga, Friday Habulembe. University Teaching Hospital Lusaka; ZambiaFil: Chomba, Elwyn. University Teaching Hospital Lusaka; ZambiaFil: Buekens, Pierre. University of Tulane; Estados UnidosBioMed Central2020-09info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/142495Davis, Rindcy; Xiong, Xu; Althabe, Fernando; Lefante, John; Cafferata, Maria Luisa; et al.; Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, Zambia; BioMed Central; BMC Research Notes; 13; 1; 9-2020; 1-71756-0500CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/doi/10.1186/s13104-020-05266-0info:eu-repo/semantics/altIdentifier/url/https://bmcresnotes.biomedcentral.com/articles/10.1186/s13104-020-05266-0info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-09-29T09:48:00Zoai:ri.conicet.gov.ar:11336/142495instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-09-29 09:48:01.265CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, Zambia
title Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, Zambia
spellingShingle Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, Zambia
Davis, Rindcy
AFRICA SOUTH OF THE SAHARA
ANTENATAL SCREENINGS
HIV
MOTHER-TO-CHILD TRANSMISSION
SYPHILIS
ZAMBIA
title_short Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, Zambia
title_full Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, Zambia
title_fullStr Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, Zambia
title_full_unstemmed Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, Zambia
title_sort Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, Zambia
dc.creator.none.fl_str_mv Davis, Rindcy
Xiong, Xu
Althabe, Fernando
Lefante, John
Cafferata, Maria Luisa
Mwenechanya, Musaku
Mwanakalanga, Friday Habulembe
Chomba, Elwyn
Buekens, Pierre
author Davis, Rindcy
author_facet Davis, Rindcy
Xiong, Xu
Althabe, Fernando
Lefante, John
Cafferata, Maria Luisa
Mwenechanya, Musaku
Mwanakalanga, Friday Habulembe
Chomba, Elwyn
Buekens, Pierre
author_role author
author2 Xiong, Xu
Althabe, Fernando
Lefante, John
Cafferata, Maria Luisa
Mwenechanya, Musaku
Mwanakalanga, Friday Habulembe
Chomba, Elwyn
Buekens, Pierre
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv AFRICA SOUTH OF THE SAHARA
ANTENATAL SCREENINGS
HIV
MOTHER-TO-CHILD TRANSMISSION
SYPHILIS
ZAMBIA
topic AFRICA SOUTH OF THE SAHARA
ANTENATAL SCREENINGS
HIV
MOTHER-TO-CHILD TRANSMISSION
SYPHILIS
ZAMBIA
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Objectives: To identify characteristics associated with obtaining HIV and syphilis screenings of pregnant women attending a first antenatal visit in Lusaka, Zambia. Results: Among 18,231 participants from April 2015 to January 2016, 95% obtained HIV screening, 29% obtained syphilis screening, and 4% did not obtain antenatal HIV or syphilis screenings. Divorced/separated women were associated with a moderate decrease in prevalence of obtaining HIV (adjusted prevalence ratio (aPR) 0.88, 95% confidence interval (95% CI) 0.82, 0.95) and syphilis (aPR 0.51, 95% CI 0.27, 0.96) screenings compared to married women. Women with previous pregnancies were associated with a slight decrease in prevalence of obtaining HIV screening (aPR 0.97, 95% CI 0.95, 0.99) compared to women without previous pregnancy. Older women ≥ 35 years were associated with a slight decrease in prevalence of obtaining HIV screening (aPR 0.96, 95% CI 0.92, 0.99) compared to younger women. The statistically significant differences were not of clinical relevance as defined by a proportional difference of 10 percent. Findings of this study show that a vast majority of pregnant women are obtaining HIV screenings but not syphilis screenings during first antenatal visit. Provision of antenatal HIV and syphilis screening at first visit is only weakly related to patient level factors.
Fil: Davis, Rindcy. University of Tulane; Estados Unidos
Fil: Xiong, Xu. University of Tulane; Estados Unidos
Fil: Althabe, Fernando. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Lefante, John. University of Tulane; Estados Unidos
Fil: Cafferata, Maria Luisa. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Mwenechanya, Musaku. University Teaching Hospital Lusaka; Zambia
Fil: Mwanakalanga, Friday Habulembe. University Teaching Hospital Lusaka; Zambia
Fil: Chomba, Elwyn. University Teaching Hospital Lusaka; Zambia
Fil: Buekens, Pierre. University of Tulane; Estados Unidos
description Objectives: To identify characteristics associated with obtaining HIV and syphilis screenings of pregnant women attending a first antenatal visit in Lusaka, Zambia. Results: Among 18,231 participants from April 2015 to January 2016, 95% obtained HIV screening, 29% obtained syphilis screening, and 4% did not obtain antenatal HIV or syphilis screenings. Divorced/separated women were associated with a moderate decrease in prevalence of obtaining HIV (adjusted prevalence ratio (aPR) 0.88, 95% confidence interval (95% CI) 0.82, 0.95) and syphilis (aPR 0.51, 95% CI 0.27, 0.96) screenings compared to married women. Women with previous pregnancies were associated with a slight decrease in prevalence of obtaining HIV screening (aPR 0.97, 95% CI 0.95, 0.99) compared to women without previous pregnancy. Older women ≥ 35 years were associated with a slight decrease in prevalence of obtaining HIV screening (aPR 0.96, 95% CI 0.92, 0.99) compared to younger women. The statistically significant differences were not of clinical relevance as defined by a proportional difference of 10 percent. Findings of this study show that a vast majority of pregnant women are obtaining HIV screenings but not syphilis screenings during first antenatal visit. Provision of antenatal HIV and syphilis screening at first visit is only weakly related to patient level factors.
publishDate 2020
dc.date.none.fl_str_mv 2020-09
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/142495
Davis, Rindcy; Xiong, Xu; Althabe, Fernando; Lefante, John; Cafferata, Maria Luisa; et al.; Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, Zambia; BioMed Central; BMC Research Notes; 13; 1; 9-2020; 1-7
1756-0500
CONICET Digital
CONICET
url http://hdl.handle.net/11336/142495
identifier_str_mv Davis, Rindcy; Xiong, Xu; Althabe, Fernando; Lefante, John; Cafferata, Maria Luisa; et al.; Factors associated with HIV and syphilis screenings among pregnant women at first antenatal visit in Lusaka, Zambia; BioMed Central; BMC Research Notes; 13; 1; 9-2020; 1-7
1756-0500
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/doi/10.1186/s13104-020-05266-0
info:eu-repo/semantics/altIdentifier/url/https://bmcresnotes.biomedcentral.com/articles/10.1186/s13104-020-05266-0
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv BioMed Central
publisher.none.fl_str_mv BioMed Central
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.070432

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