| Titre : | Pregnancy as a Window of Opportunity for HIV Prevention : Effects of an HIV Intervention Delivered Within Prenatal Care. (2009) |
| Auteurs : | Trace-S KERSHAW ; Jeannette ICKOVICS ; MAGRIPLES (Urania) : USA. Department of Obstetrics and Gynecology. Yale University. New Haven. ; SCHINDLER RISING (Sharon) : USA. Centering Healthcare Institute. Cheshire. CT. ; WESTDAHL (Claire) : USA. Emory University. Atlanta. GA. ; School of Public Health. Center for Interdisciplinary Research on Aids Yale University. New Haven. CT. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 99, n° 11, 2009) |
| Pagination : | 2079-2086 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Femme ; Homme ; Femme enceinte ; Grossesse ; Prévention santé ; Soins ; Virose ; Infection ; Immunopathologie |
| Résumé : | [BDSP. Notice produite par INIST-CNRS qR0xCGr8. Diffusion soumise à autorisation]. Objectives. We sought to determine whether an HIV prevention program bundled with group prenatal care reduced sexually transmitted infection (STI) incidence, repeat pregnancy, sexual risk behavior, and psychosocial risks. Methods. We conducted a randomized controlled trial at 2 prenatal clinics. We assigned pregnant women aged 14 to 25 years (N=1047) to individual care, attention-matched group care, and group care with an integrated HIV component. We conducted structured interviews at baseline (second trimester), third trimester, and 6 and 12 months postpartum. Results. Mean age of participants was 20.4 years ; 80% were African American. According to intent-to-treat analyses, women assigned to the HIV-prevention group intervention were significantly less likely to have repeat pregnancy at 6 months postpartum than individual-care and attention-matched controls ; they demonstrated increased condom use and decreased unprotected sexual intercourse compared with individual-care and attention-matched controls. Sub-analyses showed that being in the HIV-prevention group reduced STI incidence among the subgroup of adolescents. Conclusion. HIV prevention integrated with prenatal care resulted in reduced biological, behavioral, and psychosocial risks for HIV. |
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