Does nonlocal women's attendance at antenatal clinics distort HIV prevalence surveillance estimates in pregnant women in Zimbabwe?
| العنوان: | Does nonlocal women's attendance at antenatal clinics distort HIV prevalence surveillance estimates in pregnant women in Zimbabwe? |
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| المؤلفون: | Katherine C. Wilson, Mutsa Mhangara, Simon Gregson, Jeffrey W. Eaton, Timothy B. Hallett, Janet Dzangare, Owen Mugurungi |
| المساهمون: | Medical Research Council (MRC), UNAIDS, National Institutes of Health |
| المصدر: | AIDS (London, England) S102 S95 |
| بيانات النشر: | Ovid Technologies (Wolters Kluwer Health), 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Pediatrics, HIV Infections, 0302 clinical medicine, Pregnancy, hemic and lymphatic diseases, Epidemiology, Immunology and Allergy, Medicine, 030212 general & internal medicine, Pregnancy Complications, Infectious, POPULATION, reproductive and urinary physiology, education.field_of_study, 1. No poverty, Attendance, Prenatal Care, 11 Medical And Health Sciences, Middle Aged, Hiv prevalence, female genital diseases and pregnancy complications, 3. Good health, Infectious Diseases, Epidemiological Monitoring, Female, 0305 other medical science, Life Sciences & Biomedicine, HIV surveillance, Zimbabwe, Adult, medicine.medical_specialty, Adolescent, participation bias, prevalence, Immunology, Population, READY, Developing country, Article, 17 Psychology And Cognitive Sciences, Young Adult, 03 medical and health sciences, Virology, Environmental health, FERTILITY, Humans, education, Antenatal clinics, Science & Technology, 030505 public health, business.industry, Public health, 06 Biological Sciences, PREVENTION, TRENDS, Rural area, business, TO-CHILD TRANSMISSION, antenatal clinic bias |
| الوصف: | Objective: The objective was to assess whether HIV prevalence measured among women attending antenatal clinics (ANCs) are representative of prevalence in the local area, or whether estimates may be biased by some women's choice to attend ANCs away from their residential location. We tested the hypothesis that HIV prevalence in towns and periurban areas is underestimated in ANC sentinel surveillance data in Zimbabwe. Methods: National unlinked anonymous HIV surveillance was conducted at 19 ANCs in Zimbabwe in 2000, 2001, 2002, 2004, 2006, 2009, and 2012. This data was used to compare HIV prevalence and nonlocal attendance levels at ANCs at city, town, periurban, and rural clinics in aggregate and also for individual ANCs. Results: In 2000, HIV prevalence at town ANCs (36.6%, 95% CI 34.4–38.9%) slightly underestimated prevalence among urban women attending these clinics (40.7%, 95% CI 37.6–43.9%). However, there was no distortion in HIV prevalence at either the aggregate clinic location or at individual clinics in more recent surveillance rounds. HIV prevalence was consistently higher in towns and periurban areas than in rural areas. Nonlocal attendance was high at town (26–39%) and periurban (53–95%) ANCs but low at city clinics ( |
| تدمد: | 0269-9370 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1a602315a13c82b993e656c6734ef574Test https://doi.org/10.1097/qad.0000000000001337Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....1a602315a13c82b993e656c6734ef574 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 02699370 |
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