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Treatment dropout after pregnancy

A study of women living with HIV in Rio de Janeiro

Bibliographic Data

ID19439601
AuthorsAna Clara Cruz Zonenschein (Hospital Federal dos Servidores do Estado, corresponding author), Esaú Custódio João Filho (Hospital Federal dos Servidores do Estado), Mona Liza Silva Cruz (0000-0002-1559-7562, Hospital Federal dos Servidores do Estado), Maria Letícia Santos Cruz (Hospital Federal dos Servidores do Estado), Maria Isabel Fragoso Da Silveira Gouvêa (0000-0002-1772-1942, Hospital Federal dos Servidores do Estado), Maria Isabel Gouvea (Hospital Federal dos Servidores do Estado), Maria De Lourdes Benamor Teixeira (0000-0002-6896-0089, Hospital Federal dos Servidores do Estado), Tamara L Fuller (0000-0001-9954-4267, University of California, Los Angeles), Trevon Fuller (University of California System), Marcos Augusto Bastos Dias (0000-0003-1386-7001, Instituto Fernandes Figueira, Fundação Oswaldo Cruz, Rio de Janeiro, Brazil)
Year2020
Volume32
Issue10
Pages1283-1289
Publication date2020-10-02
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2020.1755011
PMID32338056
OpenAlexW3020560178
LanguageEN
Citations received1
References cited26

Despite the investment in prevention of mother-to-child transmission of HIV, there is still little data about the proportion of women that are retained in treatment after pregnancy in Brazil. Research worldwide shows that a significant proportion of women drop out of treatment after pregnancy. The aim of this study was to identify factors associated with treatment dropout of women that received prenatal care at a federal hospital in Rio de Janeiro between 2016 and 2017 and abandoned treatment after pregnancy. This was a retrospective cohort study using data on prescription refills and hospital medical records. Cross-sectional analysis of data from 454 women showed that 18% were not on cART after pregnancy. Illicit drug use during pregnancy, being less than 35 years old, and being aware of HIV diagnosis before conceiving but not taking cART were factors associated with treatment interruption postpartum. The high prevalence of interruption of HIV treatment after pregnancy suggests that there is a need for better post-natal care to increase adherence in this population

Cart · Environmental health · Family medicine · Medical prescription · Medical record · Obstetrics · Population · Pregnancy · Prenatal care · Retrospective cohort study · Adolescent Sexual and Reproductive Health · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Internal Medicine

  • Profile of birth outcomes, antiretroviral-adherence, and virologic control near delivery in a cohort of naïve and experienced pregnant people living with HIV in a PMTCT Center

    Esaú João, E C João et al.•AIDS Care•2026

  • Adherence to antiretroviral therapy during and after pregnancy in low-income, middle-income, and high-income countries

    Jean B Nachega, Olalekan Abdulrahman Uthman et al.•AIDS•2012

  • Adherence to antiretroviral therapy during pregnancy and the first year postpartum among HIV-positive women in Ukraine

    Open Access•Heather Bailey, Claire Thorne et al.•BMC Public Health•2014

  • Predictors of HIV Care Engagement, Antiretroviral Medication Adherence, and Viral Suppression Among People Living with HIV Infection in St. Petersburg, Russia

    Open Access•Yuri A Amirkhanian, Jeffrey A Kelly et al.•AIDS and Behavior•2016

Citations per year1
Citation span2026 - 2026 (1)
Highly citedNo

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Open DOISci-HubOpen Access
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