Correlates of Syphilis Seroreactivity Among Pregnant Women: The HIVNET 024 Trial in Malawi, Tanzania, and Zambia
Identifieur interne : 006E02 ( Main/Exploration ); précédent : 006E01; suivant : 006E03Correlates of Syphilis Seroreactivity Among Pregnant Women: The HIVNET 024 Trial in Malawi, Tanzania, and Zambia
Auteurs : Dara Potter [États-Unis, Zambie] ; Robert L. Goldenberg [États-Unis, Zambie] ; Jennifer S. Read [États-Unis] ; Jing Wang [États-Unis] ; Irving F. Hoffman [Malawi] ; Elmar Saathoff [États-Unis] ; George Kafulafula [Malawi] ; Said Aboud [Tanzanie] ; Francis E. A. Martinson [Malawi] ; Maysoon Dahab [Malawi] ; Sten H. Vermund [États-Unis]Source :
- Sexually transmitted diseases [ 0148-5717 ] ; 2006.
Abstract
The objectives of this cross-sectional study were to determine correlates of syphilis seroprevalence among HIV-infected and -uninfected antenatal attendees in an African multisite clinical trial, and to improve strategies for maternal syphilis prevention.
A total of 2270 (86%) women were HIV-infected and 366 (14%) were HIV-uninfected. One hundred seventy-five (6.6%) were syphilis-seropositive (7.3% among HIV-infected and 2.6% HIV-uninfected women). Statistically significant correlates included geographic site (odds ratio [OR] = 4.5, Blantyre; OR = 3.2, Lilongwe; OR = 9.0, Lusaka vs. Dar es Salaam referent); HIV infection (OR = 3.3); age 20 to 24 years (OR = 2.5); being divorced, widowed, or separated (OR = 2.9); genital ulcer treatment in the last year (OR = 2.9); history of stillbirth (OR = 2.8, one stillbirth; OR = 4.3, 2–5 stillbirths); and history of preterm delivery (OR = 2.7, one preterm delivery).
Many women without identified risk factors were syphilis-seropositive. Younger HIV-infected women were at highest risk. Universal integrated antenatal HIV and syphilis screening and treatment is essential in sub-Saharan African settings.
Url:
DOI: 10.1097/01.olq.0000216029.00424.ae
PubMed: 16601659
PubMed Central: 2743105
Affiliations:
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Vermund</name><affiliation wicri:level="2"><nlm:aff id="A1">Schools of Public Health and Medicine, University of Alabama at Birmingham, Birmingham, Alabama</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Alabama</region></placeName><wicri:cityArea>Schools of Public Health and Medicine, University of Alabama at Birmingham, Birmingham</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A10">Vanderbilt University School of Medicine, Nashville, Tennessee</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Tennessee</region></placeName><wicri:cityArea>Vanderbilt University School of Medicine, Nashville</wicri:cityArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">16601659</idno><idno type="pmc">2743105</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2743105</idno><idno type="RBID">PMC:2743105</idno><idno type="doi">10.1097/01.olq.0000216029.00424.ae</idno><date when="2006">2006</date><idno type="wicri:Area/Pmc/Corpus">001047</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001047</idno><idno type="wicri:Area/Pmc/Curation">001046</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001046</idno><idno type="wicri:Area/Pmc/Checkpoint">002C50</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">002C50</idno><idno type="wicri:Area/Ncbi/Merge">000286</idno><idno type="wicri:Area/Ncbi/Curation">000286</idno><idno type="wicri:Area/Ncbi/Checkpoint">000286</idno><idno type="wicri:doubleKey">0148-5717:2006:Potter D:correlates:of:syphilis</idno><idno type="wicri:Area/Main/Merge">006F17</idno><idno type="wicri:Area/Main/Curation">006E02</idno><idno type="wicri:Area/Main/Exploration">006E02</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Correlates of Syphilis Seroreactivity Among Pregnant Women: The HIVNET 024 Trial in Malawi, Tanzania, and Zambia</title><author><name sortKey="Potter, Dara" sort="Potter, Dara" uniqKey="Potter D" first="Dara" last="Potter">Dara Potter</name><affiliation wicri:level="2"><nlm:aff id="A1">Schools of Public Health and Medicine, University of Alabama at Birmingham, Birmingham, Alabama</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Alabama</region></placeName><wicri:cityArea>Schools of Public Health and Medicine, University of Alabama at Birmingham, Birmingham</wicri:cityArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Centre for Infectious Disease Research in Zambia, Lusaka, Zambia</nlm:aff><country xml:lang="fr">Zambie</country><wicri:regionArea>Centre for Infectious Disease Research in Zambia, Lusaka</wicri:regionArea><wicri:noRegion>Lusaka</wicri:noRegion></affiliation></author><author><name sortKey="Goldenberg, Robert L" sort="Goldenberg, Robert L" uniqKey="Goldenberg R" first="Robert L." last="Goldenberg">Robert L. Goldenberg</name><affiliation wicri:level="2"><nlm:aff id="A1">Schools of Public Health and Medicine, University of Alabama at Birmingham, Birmingham, Alabama</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Alabama</region></placeName><wicri:cityArea>Schools of Public Health and Medicine, University of Alabama at Birmingham, Birmingham</wicri:cityArea></affiliation><affiliation wicri:level="1"><nlm:aff id="A2">Centre for Infectious Disease Research in Zambia, Lusaka, Zambia</nlm:aff><country xml:lang="fr">Zambie</country><wicri:regionArea>Centre for Infectious Disease Research in Zambia, Lusaka</wicri:regionArea><wicri:noRegion>Lusaka</wicri:noRegion></affiliation></author><author><name sortKey="Read, Jennifer S" sort="Read, Jennifer S" uniqKey="Read J" first="Jennifer S." last="Read">Jennifer S. Read</name><affiliation wicri:level="2"><nlm:aff id="A3">Pediatric, Adolescent, and Maternal AIDS Branch, National Institute of Child Health and Development, National Institutes of Health, Bethesda, Maryland</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Maryland</region></placeName><wicri:cityArea>Pediatric, Adolescent, and Maternal AIDS Branch, National Institute of Child Health and Development, National Institutes of Health, Bethesda</wicri:cityArea></affiliation></author><author><name sortKey="Wang, Jing" sort="Wang, Jing" uniqKey="Wang J" first="Jing" last="Wang">Jing Wang</name><affiliation wicri:level="2"><nlm:aff id="A4">Statistical Center for HIV/AIDS Research & Prevention, FHCRC, Seattle, Washington</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Washington (État)</region></placeName><wicri:cityArea>Statistical Center for HIV/AIDS Research & Prevention, FHCRC, Seattle</wicri:cityArea></affiliation></author><author><name sortKey="Hoffman, Irving F" sort="Hoffman, Irving F" uniqKey="Hoffman I" first="Irving F." last="Hoffman">Irving F. Hoffman</name><affiliation wicri:level="1"><nlm:aff id="A5">University of North Carolina, Chapel Hill, North Carolina, and the UNC Project, Lilongwe, Malawi</nlm:aff><country xml:lang="fr">Malawi</country><wicri:regionArea>University of North Carolina, Chapel Hill, North Carolina, and the UNC Project, Lilongwe</wicri:regionArea><wicri:noRegion>Lilongwe</wicri:noRegion></affiliation></author><author><name sortKey="Saathoff, Elmar" sort="Saathoff, Elmar" uniqKey="Saathoff E" first="Elmar" last="Saathoff">Elmar Saathoff</name><affiliation wicri:level="2"><nlm:aff id="A6">Harvard School of Public Health, Boston, Massachusetts</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Massachusetts</region></placeName><wicri:cityArea>Harvard School of Public Health, Boston</wicri:cityArea></affiliation></author><author><name sortKey="Kafulafula, George" sort="Kafulafula, George" uniqKey="Kafulafula G" first="George" last="Kafulafula">George Kafulafula</name><affiliation wicri:level="1"><nlm:aff id="A7">College of Medicine, University of Malawi, Blantyre, Malawi</nlm:aff><country xml:lang="fr">Malawi</country><wicri:regionArea>College of Medicine, University of Malawi, Blantyre</wicri:regionArea><wicri:noRegion>Blantyre</wicri:noRegion></affiliation></author><author><name sortKey="Aboud, Said" sort="Aboud, Said" uniqKey="Aboud S" first="Said" last="Aboud">Said Aboud</name><affiliation wicri:level="1"><nlm:aff id="A8">Muhimbili University College of Health Sciences, Dar es Salaam, Tanzania</nlm:aff><country xml:lang="fr">Tanzanie</country><wicri:regionArea>Muhimbili University College of Health Sciences, Dar es Salaam</wicri:regionArea><wicri:noRegion>Dar es Salaam</wicri:noRegion></affiliation></author><author><name sortKey="Martinson, Francis E A" sort="Martinson, Francis E A" uniqKey="Martinson F" first="Francis E. A." last="Martinson">Francis E. A. Martinson</name><affiliation wicri:level="1"><nlm:aff id="A5">University of North Carolina, Chapel Hill, North Carolina, and the UNC Project, Lilongwe, Malawi</nlm:aff><country xml:lang="fr">Malawi</country><wicri:regionArea>University of North Carolina, Chapel Hill, North Carolina, and the UNC Project, Lilongwe</wicri:regionArea><wicri:noRegion>Lilongwe</wicri:noRegion></affiliation></author><author><name sortKey="Dahab, Maysoon" sort="Dahab, Maysoon" uniqKey="Dahab M" first="Maysoon" last="Dahab">Maysoon Dahab</name><affiliation wicri:level="1"><nlm:aff id="A9">Johns Hopkins College of Medicine Research Project, Blantyre, Malawi</nlm:aff><country xml:lang="fr">Malawi</country><wicri:regionArea>Johns Hopkins College of Medicine Research Project, Blantyre</wicri:regionArea><wicri:noRegion>Blantyre</wicri:noRegion></affiliation></author><author><name sortKey="Vermund, Sten H" sort="Vermund, Sten H" uniqKey="Vermund S" first="Sten H." last="Vermund">Sten H. Vermund</name><affiliation wicri:level="2"><nlm:aff id="A1">Schools of Public Health and Medicine, University of Alabama at Birmingham, Birmingham, Alabama</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Alabama</region></placeName><wicri:cityArea>Schools of Public Health and Medicine, University of Alabama at Birmingham, Birmingham</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:aff id="A10">Vanderbilt University School of Medicine, Nashville, Tennessee</nlm:aff><country xml:lang="fr">États-Unis</country><placeName><region type="state">Tennessee</region></placeName><wicri:cityArea>Vanderbilt University School of Medicine, Nashville</wicri:cityArea></affiliation></author></analytic><series><title level="j">Sexually transmitted diseases</title><idno type="ISSN">0148-5717</idno><idno type="eISSN">1537-4521</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Objective</title><p id="P2">The objectives of this cross-sectional study were to determine correlates of syphilis seroprevalence among HIV-infected and -uninfected antenatal attendees in an African multisite clinical trial, and to improve strategies for maternal syphilis prevention.</p></sec><sec id="S2"><title>Results</title><p id="P3">A total of 2270 (86%) women were HIV-infected and 366 (14%) were HIV-uninfected. One hundred seventy-five (6.6%) were syphilis-seropositive (7.3% among HIV-infected and 2.6% HIV-uninfected women). Statistically significant correlates included geographic site (odds ratio [OR] = 4.5, Blantyre; OR = 3.2, Lilongwe; OR = 9.0, Lusaka vs. Dar es Salaam referent); HIV infection (OR = 3.3); age 20 to 24 years (OR = 2.5); being divorced, widowed, or separated (OR = 2.9); genital ulcer treatment in the last year (OR = 2.9); history of stillbirth (OR = 2.8, one stillbirth; OR = 4.3, 2–5 stillbirths); and history of preterm delivery (OR = 2.7, one preterm delivery).</p></sec><sec id="S3"><title>Conclusion</title><p id="P4">Many women without identified risk factors were syphilis-seropositive. Younger HIV-infected women were at highest risk. Universal integrated antenatal HIV and syphilis screening and treatment is essential in sub-Saharan African settings.</p></sec></div></front></TEI><affiliations><list><country><li>Malawi</li><li>Tanzanie</li><li>Zambie</li><li>États-Unis</li></country><region><li>Alabama</li><li>Maryland</li><li>Massachusetts</li><li>Tennessee</li><li>Washington (État)</li></region></list><tree><country name="États-Unis"><region name="Alabama"><name sortKey="Potter, Dara" sort="Potter, Dara" uniqKey="Potter D" first="Dara" last="Potter">Dara Potter</name></region><name sortKey="Goldenberg, Robert L" sort="Goldenberg, Robert L" uniqKey="Goldenberg R" first="Robert L." last="Goldenberg">Robert L. Goldenberg</name><name sortKey="Read, Jennifer S" sort="Read, Jennifer S" uniqKey="Read J" first="Jennifer S." last="Read">Jennifer S. Read</name><name sortKey="Saathoff, Elmar" sort="Saathoff, Elmar" uniqKey="Saathoff E" first="Elmar" last="Saathoff">Elmar Saathoff</name><name sortKey="Vermund, Sten H" sort="Vermund, Sten H" uniqKey="Vermund S" first="Sten H." last="Vermund">Sten H. Vermund</name><name sortKey="Vermund, Sten H" sort="Vermund, Sten H" uniqKey="Vermund S" first="Sten H." last="Vermund">Sten H. Vermund</name><name sortKey="Wang, Jing" sort="Wang, Jing" uniqKey="Wang J" first="Jing" last="Wang">Jing Wang</name></country><country name="Zambie"><noRegion><name sortKey="Potter, Dara" sort="Potter, Dara" uniqKey="Potter D" first="Dara" last="Potter">Dara Potter</name></noRegion><name sortKey="Goldenberg, Robert L" sort="Goldenberg, Robert L" uniqKey="Goldenberg R" first="Robert L." last="Goldenberg">Robert L. Goldenberg</name></country><country name="Malawi"><noRegion><name sortKey="Hoffman, Irving F" sort="Hoffman, Irving F" uniqKey="Hoffman I" first="Irving F." last="Hoffman">Irving F. Hoffman</name></noRegion><name sortKey="Dahab, Maysoon" sort="Dahab, Maysoon" uniqKey="Dahab M" first="Maysoon" last="Dahab">Maysoon Dahab</name><name sortKey="Kafulafula, George" sort="Kafulafula, George" uniqKey="Kafulafula G" first="George" last="Kafulafula">George Kafulafula</name><name sortKey="Martinson, Francis E A" sort="Martinson, Francis E A" uniqKey="Martinson F" first="Francis E. A." last="Martinson">Francis E. A. Martinson</name></country><country name="Tanzanie"><noRegion><name sortKey="Aboud, Said" sort="Aboud, Said" uniqKey="Aboud S" first="Said" last="Aboud">Said Aboud</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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