Repositorio
Institucional

Aguilar, Gloria

Miranda, Angelica Espinosa#Rutherford, George W.#Munoz, Sergio#Hills, Nancy#Samudio, Tania#Galeano, Fernando#Kawabata, Anibal#Rios Gonzalez, Carlos Miguel

Mortality Rate and Predictors in Children Under 15 Years Old Who Acquired HIV from Mother to Child Transmission in Paraguay

SPRINGER/PLENUM PUBLISHERS

AIDS AND BEHAVIOR

en

We estimated mortality rate and predictors of death in children and adolescents who acquired HIV through mother-to-child transmission in Paraguay. In 2000-2014, we conducted a cohort study among children and adolescents aged < 15 years. We abstracted data from medical records and death certificates. We used the Cox proportional hazards model for the multivariable analysis of mortality predictors. A total of 302 subjects were included in the survey, 216 (71.5%) were younger than 5 years, 148 (51.0%) were male, and 214 (70.9%) resided in the Asuncin metropolitan area. There were 52 (17.2%) deaths, resulting in an overall mortality rate of 2.06 deaths per 100 person-years. The children and adolescents with hemoglobin levels <= 9 g/dL at baseline had a 2-times higher hazard of death compared with those who had levels > 9 g/dL (HR 2.27, 95% CI 1.01-5.10). The mortality of HIV-infected children and adolescents in Paraguay is high, and anemia is associated with mortality. Improving prenatal screening to find cases earlier and improving pediatric follow-up are needed.

Artículo original

We wish to acknowledge support from the University of California, San Francisco's International Traineeships in AIDS Prevention Studies (ITAPS), U.S. NIMH, R25MH064712 and the Starr Foundation Scholarship Fund.

Deseamos agradecer el apoyo de las Pasantías Internacionales en Estudios de Prevención del SIDA (ITAPS) de la Universidad de California, San Francisco, el NIMH de EE. UU., R25MH064712 y el Fondo de Becas de la Fundación Starr.

10.1007/s10461-018-2053-1

pdf

HIV# Child# Mortality# Paraguay

http://dx.doi.org/10.1007/s10461-018-2053-1

Public, Environmental & Occupational Health# Social Sciences, Biomedical

VIH# Niño# Mortalidad# Paraguay

Epidemiología

Pediatría

Salud Pública y Ambiental

WOS:000438653700014

Mortality Rate and Predictors in Children Under 15 Years Old Who Acquired HIV from Mother to Child Transmission in Paraguay

29455264

Artículo original

version publicada

SPRINGER/PLENUM PUBLISHERS

AIDS AND BEHAVIOR

Salud Pública, Ambiental y Ocupacional# Ciencias Sociales, Biomédicas

1090-7165

en

NIMH R25MH064712#Starr Foundation Scholarship Fund#International Traineeships in AIDS Prevention Studies (ITAPS)

University of California, San Francisco's International Traineeships in AIDS Prevention Studies (ITAPS)

U.S. NIMH R25MH064712

Starr Foundation Scholarship Fund

We wish to acknowledge support from the University of California, San Francisco's International Traineeships in AIDS Prevention Studies (ITAPS), U.S. NIMH, R25MH064712 and the Starr Foundation Scholarship Fund.

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