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  1. Hepatitis B virus, human immunodeficiency virus type-1, and syphilis among women attending prenatal clinics in Belize, Central America.

    Article - En anglais

    Women and their infants may benefit from therapeutic interventions when hepatitis B, human immunodeficiency virus (HIV), or syphilis are detected during the prenatal period.

    We initiated hepatitis B and HIV screening of women attending prenatal clinics in Belize.

    Risk factor assessment information for hepatitis B infection and demographic data were determined by interview.

    Of 543 evaluable women, 81 (14.9%) were seropositive for hepatitis B core antibody (anti-HBc) ; one woman had asymptomatic hepatitis B surface antigenemia.

    Antibodies to HIV-I were detected in one woman.

    Reactive syphilis serologies were detected in 15 (2.8%) women.

    Anti-HBc seroprevalence varied by district (range 3.1-43.5%) and by ethnicity (range 0.0-40.9%). Significant identified risks for anti-HBc seropositivity from univariate analyses included being of the Garifuna ethnic group, residence or birth in the Stann Creek or Toledo districts, a reactive syphilis serology, a household size of eight or greater, and five or more lifetime sexual partners.

    Multivariate analyses identified ethnicity and a reactive rapid plasma reagin as the best predictors of anti-HBc seropositivity.

    Highly variable differences in anti-HBc prevalence by district may permit the targeting of limited public health resources for education, screening, and prevention programs.

    Mots-clés Pascal : Gestation, Dépistage, Prénatal, Virus hépatite B, Hepadnaviridae, Virus, Virus HIV1, Virus immunodéficience humaine, Lentivirinae, Retroviridae, Femelle, Syphilis, Tréponématose, Spirochétose, Bactériose, Infection, Séropositivité, Belize, Amérique Centrale, Amérique, Homme, Epidémiologie, Maladie sexuellement transmissible

    Mots-clés Pascal anglais : Pregnancy, Medical screening, Prenatal, Hepatitis B virus, Hepadnaviridae, Virus, HIV-1 virus, Human immunodeficiency virus, Lentivirinae, Retroviridae, Female, Syphilis, Treponematosis, Spirachaetosis, Bacteriosis, Infection, Seropositivity, Belize, Central America, America, Human, Epidemiology, Sexually transmitted disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0281659

    Code Inist : 002B20F01. Création : 15/07/1997.