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Knowledge of HIV antibody status and decisions to continue or terminate pregnancy among intravenous drug users
100
Citations from the literature
400 T4 cells per cubic millimeter (P = 0.02). One year later, 21 percent of the infants of the seropositive mothers had died as compared with 3.8 percent of the control infants (P < O.OOl), and 7.9 percent of their surviving infants had AIDS. We concluded that the mortality rates among children of seropositive mothers are high regardless of socioeconomic status, and that perinatal transmission of HIV-I has a major adverse effect on infant survival in Kinshasa.
Teenagers’ awareness of the acquired immunodeficiency drome and the impact on their sexual behavior
syn-
Seltzer VL; Rabin J; Benjamin F Department of Obstetrics and Gynecology, Center, Jamaica, NY 11432; USA
Queens Hospital
Obstetrics and Gynecology/74/i (55-59)/1989/ One hundred female teenagers attending a teenage pregnancy program were studied to determine the extent of their awareness about acquired immunodeficiency syndrome (AIDS) and the impact of such knowlege on their sexual behavior. Ninety-eight knew that AIDS is a disease, 45 stated that it is fatal, and all knew it can be transmitted by sexual intercourse. After becoming aware of AIDS, 59 changed their sexual habits, 41 decreased their number of sexual partners, and 13 who had not used condoms started using them. However, only seven obtained more information about their partners’ sexual and social histories, and half of those who decreased their number of partners still continued relationships with more than one. The survey showed that the publicity about AIDS has resulted in a favorable change in the sexual practices of these teenagers. However, it also indicated a need for further improvement in specific areas of education, such as the value of obtaining more information about sexual partners, more awareness of the importance of multiple-partner relationships in the spread of
Int J Gynecol Obstet 31
AIDS, and more emphasis on the important role of condoms in preventing AIDS virus transmission. Knowledge of HIV antibody status and decisions to continue or terminate pregnancy among intravenous drug users
Selwyn PA; Carter RJ; Schoenbaum EE: Robertson VJ; Klein RS; Rogers MF Department of Epidemiology, Bronx, NY 10467; USA
Montefiore
Medical
Center,
Journal of the American Medical Association/261/24 (35673571)/1989/ We studied decisions to continue or terminate pregnancy among human immunodeficiency virus (HIV)-seropositive (+ ) and -seronegative ( - ) intravenous drug users informed of HIV antibody status before 24 weeks’ gestation. Fourteen (50%) of 28 HIV + vs 16 (44t70)of 36 HIV - women chose to terminate their pregnancies. In restrospective interviews, HIV + women were more likely to have perceived their risk of perinatal HIV transmission to be greater than or equal to 50% and, among those who terminated pregnancy, to cite this concern as an important factor in their decision. However, decisions to terminate pregnancy were predicted more readily by pregnancyrelated variables such as prior elective abortion, a negative emotional reaction to pregnancy, and whether the pregnancy had been unplanted. Women who were HIV + and chose to continue their pregnancies cited the desire for a child, religious beliefs, and family pressures as the most important factors in their decisions. Results indicate that while concerns about perinatal transmission of HIV may lead to decisions to terminate pregnancy in certain cases, there may be other determinants of pregnancy decisions in this population. Counseling of HIVinfected women must address not only perinatal transmission but also the sociocultural and behavioral context in which pregnancy decision making takes place.
Citations from the literature
400 T4 cells per cubic millimeter (P = 0.02). One year later, 21 percent of the infants of the seropositive mothers had died as compared with 3.8 percent of the control infants (P < O.OOl), and 7.9 percent of their surviving infants had AIDS. We concluded that the mortality rates among children of seropositive mothers are high regardless of socioeconomic status, and that perinatal transmission of HIV-I has a major adverse effect on infant survival in Kinshasa.
Teenagers’ awareness of the acquired immunodeficiency drome and the impact on their sexual behavior
syn-
Seltzer VL; Rabin J; Benjamin F Department of Obstetrics and Gynecology, Center, Jamaica, NY 11432; USA
Queens Hospital
Obstetrics and Gynecology/74/i (55-59)/1989/ One hundred female teenagers attending a teenage pregnancy program were studied to determine the extent of their awareness about acquired immunodeficiency syndrome (AIDS) and the impact of such knowlege on their sexual behavior. Ninety-eight knew that AIDS is a disease, 45 stated that it is fatal, and all knew it can be transmitted by sexual intercourse. After becoming aware of AIDS, 59 changed their sexual habits, 41 decreased their number of sexual partners, and 13 who had not used condoms started using them. However, only seven obtained more information about their partners’ sexual and social histories, and half of those who decreased their number of partners still continued relationships with more than one. The survey showed that the publicity about AIDS has resulted in a favorable change in the sexual practices of these teenagers. However, it also indicated a need for further improvement in specific areas of education, such as the value of obtaining more information about sexual partners, more awareness of the importance of multiple-partner relationships in the spread of
Int J Gynecol Obstet 31
AIDS, and more emphasis on the important role of condoms in preventing AIDS virus transmission. Knowledge of HIV antibody status and decisions to continue or terminate pregnancy among intravenous drug users
Selwyn PA; Carter RJ; Schoenbaum EE: Robertson VJ; Klein RS; Rogers MF Department of Epidemiology, Bronx, NY 10467; USA
Montefiore
Medical
Center,
Journal of the American Medical Association/261/24 (35673571)/1989/ We studied decisions to continue or terminate pregnancy among human immunodeficiency virus (HIV)-seropositive (+ ) and -seronegative ( - ) intravenous drug users informed of HIV antibody status before 24 weeks’ gestation. Fourteen (50%) of 28 HIV + vs 16 (44t70)of 36 HIV - women chose to terminate their pregnancies. In restrospective interviews, HIV + women were more likely to have perceived their risk of perinatal HIV transmission to be greater than or equal to 50% and, among those who terminated pregnancy, to cite this concern as an important factor in their decision. However, decisions to terminate pregnancy were predicted more readily by pregnancyrelated variables such as prior elective abortion, a negative emotional reaction to pregnancy, and whether the pregnancy had been unplanted. Women who were HIV + and chose to continue their pregnancies cited the desire for a child, religious beliefs, and family pressures as the most important factors in their decisions. Results indicate that while concerns about perinatal transmission of HIV may lead to decisions to terminate pregnancy in certain cases, there may be other determinants of pregnancy decisions in this population. Counseling of HIVinfected women must address not only perinatal transmission but also the sociocultural and behavioral context in which pregnancy decision making takes place.