Effect of maternal HIV infection on child survival in Ghana.
Identifieur interne : 000C50 ( Main/Exploration ); précédent : 000C49; suivant : 000C51Effect of maternal HIV infection on child survival in Ghana.
Auteurs : Rathavuth Hong [États-Unis] ; James E. Banta ; James K. KamauSource :
- Journal of community health [ 0094-5145 ] ; 2007.
Descripteurs français
- KwdFr :
- Adolescent, Adulte, Adulte d'âge moyen, Analyse de régression, Analyse multivariée, Facteurs de risque, Femelle, Ghana (épidémiologie), Grossesse, Humains, Infections à VIH (épidémiologie), Mortalité infantile, Mâle, Mères, Nourrisson, Nourrisson à faible poids de naissance, Nouveau-né, Prise en charge prénatale, Tables de survie.
- MESH :
- épidémiologie : Ghana, Infections à VIH.
- Adolescent, Adulte, Adulte d'âge moyen, Analyse de régression, Analyse multivariée, Facteurs de risque, Femelle, Grossesse, Humains, Mortalité infantile, Mâle, Mères, Nourrisson, Nourrisson à faible poids de naissance, Nouveau-né, Prise en charge prénatale, Tables de survie.
- Wicri :
- geographic : Ghana.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Ghana.
- epidemiology : HIV Infections.
- Adolescent, Adult, Female, Humans, Infant, Infant Mortality, Infant, Low Birth Weight, Infant, Newborn, Life Tables, Male, Middle Aged, Mothers, Multivariate Analysis, Pregnancy, Prenatal Care, Regression Analysis, Risk Factors.
Abstract
The purpose of this study was to measure the association between maternal HIV infection and infant mortality in Ghana. Using a censored synthetic cohort life table based on the birth history of 3639 childbirths during 1999-2003 obtained from the interviews of a nationally representative sample of 5691 women age 15-49 in 6251 households in the 2003 Ghana Demographic and Health Survey. The survey collected demographic, socioeconomic, and health data of the respondents as well as obtained voluntary counseling test for HIV infection from all eligible women. The effects of maternal HIV status and other factors on infant mortality were estimated using multivariate survival regression analysis and the results are presented as Hazard Ratios (HR) with 95% confident interval (95% CI). Children born to HIV infected mothers were three times as likely to die during infancy as those born to uninfected mothers (HR = 3.01; 95% CI: 1.64, 5.50). Controlling for other factors affecting infant mortality further sharpens this relationship (HR = 3.51; 95% CI: 1.87, 6.61). Not receiving antenatal care, low birth weight, and living in households that use high pollution cooking fuels were associated with a higher risk of infant mortality. Maternal HIV status is a strong predictor of infant mortality in Ghana, independent of several other factors. The results of this study suggest that HIV/AIDS epidemic has had great impact on child well-being and child survival. This impact tends to increase as the HIV/AIDS epidemic matures and infection in adults increases.
PubMed: 17269311
Affiliations:
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Banta</name></author><author><name sortKey="Kamau, James K" sort="Kamau, James K" uniqKey="Kamau J" first="James K" last="Kamau">James K. Kamau</name></author></analytic><series><title level="j">Journal of community health</title><idno type="ISSN">0094-5145</idno><imprint><date when="2007" type="published">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Female</term><term>Ghana (epidemiology)</term><term>HIV Infections (epidemiology)</term><term>Humans</term><term>Infant</term><term>Infant Mortality</term><term>Infant, Low Birth Weight</term><term>Infant, Newborn</term><term>Life Tables</term><term>Male</term><term>Middle Aged</term><term>Mothers</term><term>Multivariate Analysis</term><term>Pregnancy</term><term>Prenatal Care</term><term>Regression Analysis</term><term>Risk Factors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de régression</term><term>Analyse multivariée</term><term>Facteurs de risque</term><term>Femelle</term><term>Ghana (épidémiologie)</term><term>Grossesse</term><term>Humains</term><term>Infections à VIH (épidémiologie)</term><term>Mortalité infantile</term><term>Mâle</term><term>Mères</term><term>Nourrisson</term><term>Nourrisson à faible poids de naissance</term><term>Nouveau-né</term><term>Prise en charge prénatale</term><term>Tables de survie</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Ghana</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>HIV Infections</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Ghana</term><term>Infections à VIH</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Female</term><term>Humans</term><term>Infant</term><term>Infant Mortality</term><term>Infant, Low Birth Weight</term><term>Infant, Newborn</term><term>Life Tables</term><term>Male</term><term>Middle Aged</term><term>Mothers</term><term>Multivariate Analysis</term><term>Pregnancy</term><term>Prenatal Care</term><term>Regression Analysis</term><term>Risk Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Analyse de régression</term><term>Analyse multivariée</term><term>Facteurs de risque</term><term>Femelle</term><term>Grossesse</term><term>Humains</term><term>Mortalité infantile</term><term>Mâle</term><term>Mères</term><term>Nourrisson</term><term>Nourrisson à faible poids de naissance</term><term>Nouveau-né</term><term>Prise en charge prénatale</term><term>Tables de survie</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The purpose of this study was to measure the association between maternal HIV infection and infant mortality in Ghana. Using a censored synthetic cohort life table based on the birth history of 3639 childbirths during 1999-2003 obtained from the interviews of a nationally representative sample of 5691 women age 15-49 in 6251 households in the 2003 Ghana Demographic and Health Survey. The survey collected demographic, socioeconomic, and health data of the respondents as well as obtained voluntary counseling test for HIV infection from all eligible women. The effects of maternal HIV status and other factors on infant mortality were estimated using multivariate survival regression analysis and the results are presented as Hazard Ratios (HR) with 95% confident interval (95% CI). Children born to HIV infected mothers were three times as likely to die during infancy as those born to uninfected mothers (HR = 3.01; 95% CI: 1.64, 5.50). Controlling for other factors affecting infant mortality further sharpens this relationship (HR = 3.51; 95% CI: 1.87, 6.61). Not receiving antenatal care, low birth weight, and living in households that use high pollution cooking fuels were associated with a higher risk of infant mortality. Maternal HIV status is a strong predictor of infant mortality in Ghana, independent of several other factors. The results of this study suggest that HIV/AIDS epidemic has had great impact on child well-being and child survival. This impact tends to increase as the HIV/AIDS epidemic matures and infection in adults increases.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>District de Columbia</li></region></list><tree><noCountry><name sortKey="Banta, James E" sort="Banta, James E" uniqKey="Banta J" first="James E" last="Banta">James E. Banta</name><name sortKey="Kamau, James K" sort="Kamau, James K" uniqKey="Kamau J" first="James K" last="Kamau">James K. Kamau</name></noCountry><country name="États-Unis"><region name="District de Columbia"><name sortKey="Hong, Rathavuth" sort="Hong, Rathavuth" uniqKey="Hong R" first="Rathavuth" last="Hong">Rathavuth Hong</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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