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Maternal, Infant, and Adolescent HIV Infection: Updating the Public Health Perspective

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Infectious Disease Epidemiology".

Deadline for manuscript submissions: closed (31 December 2019) | Viewed by 8396

Special Issue Editor

Prof. Dr. Giuseppe Liotta

E-Mail Website
Guest Editor
Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy
Interests: HIV infection in developing countries; community care; models of care; prevention of vertical transmission; social determinants of health; frailty; older adults care; adherence to treatment; malnutrition; ICT support to community care
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

The clinical guidelines to treat HIV infection are well established at a world level, and relevant results have been achieved in terms of prevention and control of the spread of the virus. However, there are still peculiarities in HIV treatment related to different target populations. The interaction between health and social factors as determinants of the contagion as well as of the adherence to treatment underlines the need for different public health approaches to HIV care according to the characteristics of the social environment. Infant and mother pairs represent one of the main targets for preventive interventions, especially in developing countries, where vertical transmission is still a major issue. Adolescents are a population with specific problems, connected mainly to their adherence to treatment, which is known to be strongly related to their ability to communicate and their awareness of their HIV status. In both mother/infant pairs and adolescents, the loss-to-follow-up ratio is quite high and shows that effective care models are still lacking.

The purpose of this Special Issue is to gather relevant information about the efficiency and effectiveness of care models targeting one of these populations, including—if available—health technology assessment analysis techniques.

Prof. Giuseppe Liotta
Guest Editor

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Keywords

  • models of delivering care
  • social and health integration
  • mother/infant health
  • adolescent care
  • social determinants of health
  • cost-effectiveness analysis
  • cost benefit analysis
  • health technology assessment

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Published Papers (2 papers)

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Research

11 pages, 633 KiB  
Article
Socioeconomic Inequalities in the HIV Testing during Antenatal Care in Vietnamese Women
by Dinh-Toi Chu, Hoang-Long Vo, Dang-Khoa Tran, Hao Nguyen Si Anh, Long Bao Hoang, Phong Tran Nhu, Khanh Nguyen Ngoc, Trang Thu Nguyen, Quyet Pham Van, Nguyen Le Bao Tien, Vo Van Thanh, Vu Thi Nga, Thuy Luu Quang, Le Bui Minh and Van Huy Pham
Int. J. Environ. Res. Public Health 2019, 16(18), 3240; https://doi.org/10.3390/ijerph16183240 - 4 Sep 2019
Cited by 15 | Viewed by 4609
Abstract
Although HIV (human immunodeficiency virus) testing for all women has been promoted by Vietnam’s Ministry of Health since 2000, test acceptance rates in this country were reported to be less than 30% in the community. This country has been facing the barriers to [...] Read more.
Although HIV (human immunodeficiency virus) testing for all women has been promoted by Vietnam’s Ministry of Health since 2000, test acceptance rates in this country were reported to be less than 30% in the community. This country has been facing the barriers to approach the national services towards transmission prevention from mother to child including HIV testing during antenatal care (ANC) towards mothers. Here, we aim to assess the socioeconomic inequalities in HIV testing during ANC among Vietnamese women. This study used available data from the Vietnam Multiple Indicator Cluster Survey 2014. Overall, the prevalence of HIV testing during antenatal care was 30% and the concentrate index (CCI) was 0.1926. There was significant inequality between women classified as poor and rich, and when stratified by social characteristics, inequality was found in women aged 15–49 years (CCI: 0.4), living in rural areas (CCI: 0.3), belonging to ethnic minorities (CCI: 0.5) and having primary or less education (CCI: 0.4). In the multivariate logistic regression analysis, ethnicity and socioeconomic status were significant factors associated with HIV testing during ANC. We found the prevalence of HIV testing during ANC was low, and its inequalities were associated with age, living area, ethnicity, education, and economic status. Full article
(This article belongs to the Special Issue Maternal, Infant, and Adolescent HIV Infection: Updating the Public Health Perspective)
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7 pages, 300 KiB  
Article
Prevalence of Active Syphilis Infection and Risk Factors among HIV-Positive MSM in Zhejiang, China in 2015: A Cross-Sectional Study
by Lin Chen, Jiezhe Yang, Qiaoqin Ma and Xiaohong Pan
Int. J. Environ. Res. Public Health 2019, 16(9), 1507; https://doi.org/10.3390/ijerph16091507 - 28 Apr 2019
Cited by 14 | Viewed by 3306
Abstract
Objectives: To determine the prevalence of active syphilis infection and explore the risk factors for active syphilis in human immunodeficiency virus (HIV)-positive men who had sex with men (MSM) in Zhejiang Province, 2015. Design: Data on HIV-positive MSM living in Zhejiang Province were [...] Read more.
Objectives: To determine the prevalence of active syphilis infection and explore the risk factors for active syphilis in human immunodeficiency virus (HIV)-positive men who had sex with men (MSM) in Zhejiang Province, 2015. Design: Data on HIV-positive MSM living in Zhejiang Province were obtained from the National Center for AIDS/STD Control and Prevention (NCAIDS) reporting system and the Zhejiang provincial AIDS/STD surveillance system between June and December 2015. The information included risky behavior, years with diagnosed HIV, and highly active antiretroviral therapy (HAART). SPSS 19.0 was used for the data analysis. Results: The analysis included 3616 MSM. Of these, 11.3% (407/3616) had active syphilis. Multivariate logistic regression analysis revealed that HAART was significantly associated with an increased risk of active syphilis infection (odds ratio (OR) = 1.760, 95% confidence interval (CI) 1.187–2.611). Compared with participants diagnosed with HIV for <2 years, patients diagnosed with HIV for >5 years had a higher risk of active syphilis infection (OR = 1.707, 95% CI 1.167–2.495). Age and number of sex partners were also independent risk factors for active syphilis infection. Conclusions: The incidence of active syphilis infection is high among HIV-positive MSM in Zhejiang Province; age, number of sex partners, years with diagnosed HIV, and receiving HAART were risk factors. Patients who are elderly, have lived with HIV for a longer period, have more sex partners, and receive HAART should be the focus of interventions to promote changes in behavior and decrease syphilis infection. Full article
(This article belongs to the Special Issue Maternal, Infant, and Adolescent HIV Infection: Updating the Public Health Perspective)
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