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首页> 外文期刊>Journal of women’s health >Follow-up care among HIV-infected pregnant women in Mississippi.
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Follow-up care among HIV-infected pregnant women in Mississippi.

机译：密西西比州感染艾滋病毒的孕妇的后续护理。

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BACKGROUND: 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. METHODS: 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. RESULTS: 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). CONCLUSIONS: 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.
机译：背景：疾病控制与预防中心（CDC）的数据表明，东南部的生殖年龄黑人妇女受到艾滋病毒流行的影响不成比例。几乎没有数据描述该人群中的HIV感染，怀孕和后续护理。方法：在密西西比州杰克逊市的密西西比大学医学中心围产期艾滋病毒服务处进行了回顾性图表审查，以鉴定1999年至2006年分娩的> / = 18岁以下的HIV感染妇女。定义为在分娩后1年内至少与HIV提供者进行两次随访。单因素和多元逻辑回归分析用于确定与最佳依从性相关的因素。结果：我们确定了274名妇女，分娩总数为297。中位数年龄为25岁，其中89％为黑人。在产后一年中，只有37％的妇女去过两次或多次去爱滋病病毒提供者。单因素分析显示，妊娠中期之前的表现与最佳随访相关（p = 0.04）。在多变量分析中，孕晚期之前的表现是与最佳随访相关的唯一变量（优势比[OR] 2.1，p = 0.02）。结论：在这个不断增长的人口中，随访率很低，这突出表明了对针对性干预措施的研究和开发的迫切需要，以提高护理的保留率，特别是对于晚期妊娠妇女。

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