5th International AIDS Conference


Montreal, Quebec, Canada — Jun 4-9, 1989

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Prevention of perinatal transmission of HIV.

Int Conf AIDS 1989 Jun 4-9; 5:167 (abstract no. A.542)
Berman S; Centers for Disease Control, Atlanta, GA USA

OBJECTIVE: To report progress to date by projects to prevent perinatal HIV transmission.

METHODS: Nine demonstration projects evaluate and facilitate the use of contraception and encourage risk reduction among women HIV-infected or at highest risk for infection.

RESULTS: The projects, funded for $4.6 million per yr, are a major way for CDC to develop perinatal HIV prevention interventions for implementation by State programs and provide additional resources targeting minority and highest-risk populations. Projects will address 2 factors determining HIV seroprevalence among newborns: HIV prevalence among women (15-44y) and birth rates among those HIV (+). Efforts have focused on limiting spread and increases in prevalence of HIV among women. However, effective program development requires data about contraceptive practices and attitudes and about reproductive decision-making among women such as female intravenous drug users (IVDUs) and sex partners of drug users--the mothers of 75% of pediatric perinatally-acquired AIDS cases. In 10 cities women who are crack users, IVDUs, sex partners of IVDUs, prostitutes, or HIV+ will be accessed in public clinics, obstetric units, drug treatment, through referral by community organizations, and by outreach; among 4000, efficacy of referral, use of contraception, and risk reduction will be evaluated and facilitated. Among them, pregnancy rates, knowledge, attitudes, and determinants concerning use of contraception will be assessed.

CONCLUSIONS: These projects should provide information to direct efforts to prevent perinatal HIV transmission.

Keywords: AEGIS, Disease Transmission, Vertical, Substance Abuse, Intravenous, HIV Seroprevalence, Acquired Immunodeficiency Syndrome, Prostitution, Sexual Partners, Centers for Disease Control and Prevention (U.S.), Crack Cocaine, Contraception, Pregnancy Trimesters, Human, Female, Pregnancy, Infant, Newborn, Child, transmission, prevention & control, ICA5KWDaegis,diseasetransmission,vertical,substanceabuse,intravenous,hivseroprevalence,acquiredimmunodeficiencysyndrome,prostitution,sexualpartners,centersfordiseasecontrolandprevention(uKWDsKWD),crackcocaine,contraception,pregnancytrimesters,human,female,pregnancy,infant,newborn,child,transmission,prevention&control,ica5

890604
A542

Copyright © 1989 - International AIDS Society (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the IAS.