Titre :
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Polygyny, maternal HIV status and child survival : Rakai, Uganda. (2002)
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Auteurs :
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Heena BRAHMBHATT ;
David BISHAI ;
Ronald-H GRAY ;
Godfrey KIGOZI ;
Fred WABWIRE-MANGEN ;
Maria WAWER ;
Department of of Population and Family Health Sciences. Johns Hopkins University School of Hygiene and Public Health. Baltimore. MD. USA ;
The Rakai Project Group. UGA
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Type de document :
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Article
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Dans :
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Social science and medicine (vol. 55, n° 4, 2002)
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Pagination :
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585-592
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Langues:
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Anglais
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Mots-clés :
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Sida
;
Virose
;
Infection
;
VIH
;
Rétrovirus
;
Virus
;
Mère
;
Enfant
;
Homme
;
Pronostic
;
Survie
;
Ouganda
;
Afrique
;
Femme
;
Ménage
;
Epidémiologie
;
Immunopathologie
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Résumé :
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[BDSP. Notice produite par INIST-CNRS OavMR0xF. Diffusion soumise à autorisation]. The objective of this research was to assess the association of child mortality with polygyny and maternal HIV status through a prospective community-based study in Rakai district. Uganda. We sought to test whether there was an indirect evidence that polygynous households in an HIV prevalent area may divert resources away from the children of HIV-infected mothers in favor of children with better survival prospects. We test this theory using data from a follow-up study which collected detailed behavioral and medical information at 10-month intervals on a cohort of over 4000 pregnant women and their infants (5300 person years of observation). Cox proportional hazards models estimated the mortality hazard (RR) associated with polygyny for children of HIV-negative and HIV-positive mothers. HIV prevalence in the full cohort of mothers was 11.9%, and 23% of mothers lived in polygynous households. Multivariate analysis showed an increased hazard of child mortality if the mother was HIV-positive (RR=1.75, p
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