| Titre : | Sources of prenatal care data and their association with birth outcomes of HIV-infected women. (2000) |
| Auteurs : | B.J. TURNER ; M. BERLIN ; J. COCROFT ; T.R. FANNING ; W.W. HAUCK ; C.J. NEWSCHAFFER ; Center for Research in Medical Education and Health Care. Biostatistics Section. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 90, n° 1, 2000) |
| Pagination : | 118-121 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Virose ; Infection ; Homme ; Femme ; Grossesse ; Evolution ; Utilisation ; Soins ; Etats Unis ; Amérique ; Epidémiologie ; Immunopathologie ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST 8eudIR0x. Diffusion soumise à autorisation]. Objectives. Different sources of prenatal care data were used to examine the association between birth outcomes of HIV-infected women and the Adequacy of Prenatal Care Utilization (APNCU) index. Methods. Adjusted odds ratios of birth outcomes for 1858 HIV-positive mothers were calculated for ANPCU indexes on the basis of birth certificate data or 3 types of physician visits on Medicaid claims. Results. Claims-and birth certificate-based APNCU indexes agreed poorly (kappa<0.3). Only the broadest claims-based ANCPU index had lower adjusted odds ratios for low birth-weight (0.64 ; 95% confidence interval [CI]=0.49,0.84) and preterm birth (0.70 ; 95% CI=0.54,0.91). The birth certificate-based index had a reduced adjusted odds ratios (0.73 ; 95% CI=0.56,0.95) only for preterm birth. Conclusions. The association of birth outcomes and adequacy of prenatal care in this HIV-infected cohort differed significantly depending on the source of prenatal care data. |
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