Ellerbrock T, Lieb S, Harrington P, James D, Schoenfisch S, Bush T, Rogers M, Witte J; International Conference on AIDS.
Int Conf AIDS. 1991 Jun 16-21; 7: 326 (abstract no. W.C.3123).
Centers for Disease Control, Atlanta, GA, USA
OBJECTIVE: To analyze sexual, contraceptive, and pregnancy-related behavior and the risk for HIV infection among reproductive-aged women in a nonmetropolitan area. METHODS: For this cross-sectional study, women attending a prenatal clinic in western Palm Beach County, Florida, during 1989-90 were interviewed and tested for HIV. RESULTS: In a rural, agricultural community, 780 (98%) of 792 consecutive pregnant women registering at a prenatal clinic voluntarily consented to be studied; 38 (5.1%) of 745 women tested were HIV+. Of these 745, the only one who had ever used IV drugs was HIV-, but 2/38 (5%) HIV+ women were transfused during 1977-1985. Most study participants were less than or equal to 22 years of age (53%), black or Hispanic (88%), and unmarried (65%). Although HIV+ women were not significantly different from HIV- women by age, annual income, or number of pregnancies, HIV+ women were younger at time of first sexual intercourse and had more sex partners: a) during last 12 months; b) for entire life; and c) with whom they had cohabited, as compared to HIV- women (p less than 0.01, Wilcoxon rank-sum test). Mean and median numbers of lifetime sex partners were 11 and 5 for HIV+, respectively, and 3 and 2 for HIV- women, while median number of partners during last 12 months was 1 for both. Also, HIV+ women were more likely to have a history of sore near vagina (18% vs. 3%) (p less than 0.001) and crack cocaine use (18% vs. 3%) (p less than 0.001). CONCLUSION: Most, if not all, of these women acquired HIV infection through heterosexual contact. Other rural communities in the United States could have similar HIV seroprevalence rates through heterosexual transmission in select groups of women.
Publication Types:
Keywords:
- AIDS Vaccines
- Acquired Immunodeficiency Syndrome
- Crack Cocaine
- Cross-Sectional Studies
- Female
- Florida
- HIV Infections
- HIV Seropositivity
- HIV Seroprevalence
- Hispanic Americans
- Humans
- Pregnancy
- Reproductive Behavior
- Rural Population
- Sexual Partners
- United States
Other ID:
UI: 102193202
From Meeting Abstracts