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Induced abortion incidence and associated factors in a cohort of women living with HIV in Rio De Janeiro, Brazil, 1996-2016.
Domingues, Rosa Maria Soares Madeira; Quintana, Marcel de Souza Borges; Coelho, Lara Esteves; Friedman, Ruth Khalili; Jalil, Emilia M; Rabello, Angela Cristina Vasconcelos de Andrade; Rocha, Vania; Grinsztejn, Beatriz.
Afiliación
  • Domingues RMSM; Laboratório de Pesquisa Clínica em DST/AIDS, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
  • Quintana MSB; Laboratório de Pesquisa Clínica em DST/AIDS, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
  • Coelho LE; Laboratório de Pesquisa Clínica em DST/AIDS, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
  • Friedman RK; Laboratório de Pesquisa Clínica em DST/AIDS, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
  • Jalil EM; Laboratório de Pesquisa Clínica em DST/AIDS, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
  • Rabello ACVA; Laboratório de Pesquisa Clínica em DST/AIDS, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
  • Rocha V; Laboratório de Pesquisa Clínica em DST/AIDS, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
  • Grinsztejn B; Laboratório de Pesquisa Clínica em DST/AIDS, Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil.
HIV Res Clin Pract ; 25(1): 2401268, 2024 12.
Article en En | MEDLINE | ID: mdl-39253752
ABSTRACT

BACKGROUND:

Abortion is a public health problem in Latin America and is more common among women living with HIV.

OBJECTIVE:

to verify the incidence and factors associated with induced abortion in a cohort of women living with HIV assisted in a reference service for care for individuals with HIV/AIDS in Rio de Janeiro/Brazil.

METHODS:

Prospective cohort during the period 1996-2016. We estimated the incidence of induced abortions during follow-up in the cohort by calculating person-time incidence rates [per 100 persons-years (PY)] and investigated the factors associated with the outcome "induced abortion" using a generalized linear mixed model.

RESULTS:

753 women and 210 pregnancies were included in the present analysis. We estimated an induced abortion incidence rate of 0.68/100 persons-years (95% confidence interval [CI] 0.47; 0.94) in the study period, with a significant reduction after 2006. The main factors associated with an induced abortion were currently living with a partner (adjusted OR [AdjOR] 0.32 95% CI 0.10-0.98), number of children (2 children AdjOR 0.12, 95% CI 0.02-0.95) and the type of antiretroviral treatment used (regimen without Efavirenz AdjOR 0.11, 95% CI 0.02-0.70).

CONCLUSIONS:

We showed a significant reduction in the incidence of induced abortions in a cohort of women living with HIV in Rio de Janeiro, Brazil, probably due to a decrease in the incidence of pregnancies observed in the same period. The factors associated with a lower occurrence of induced abortion suggest a good integration between the clinical and reproductive assistance offered to those women.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Aborto Inducido Límite: Adolescent / Adult / Female / Humans / Pregnancy País/Región como asunto: America do sul / Brasil Idioma: En Revista: HIV Res Clin Pract Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Aborto Inducido Límite: Adolescent / Adult / Female / Humans / Pregnancy País/Región como asunto: America do sul / Brasil Idioma: En Revista: HIV Res Clin Pract Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido