CHILD SURVIVAL AND PERINATAL INFECTIONS WITH HUMAN-IMMUNODEFICIENCY-VIRUS

被引:14
作者
BENNETT, JV
ROGERS, MF
机构
[1] EMORY UNIV,SCH PUBL HLTH,ATLANTA,GA 30322
[2] CTR DIS CONTROL,CTR INFECT DIS,ATLANTA,GA 30333
来源
AMERICAN JOURNAL OF DISEASES OF CHILDREN | 1991年 / 145卷 / 11期
关键词
D O I
10.1001/archpedi.1991.02160110034016
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
A mathematical model was developed to assess the effect of various assumed prevalence rates of maternal human immunodeficiency virus (HIV) infection on perinatally acquired HIV infections and child survival. The model indicates that for children younger than 5 years, countries with low baseline mortality rates will experience greater relative increases in child mortality rates and larger proportions of HIV-caused deaths in children than countries with high mortality rates. It also suggests that perinatal HIV infection could become the most common cause of deaths in children in the developed world if maternal infection rates reach 2% to 3%. Rates of 25% to 30% would be needed to produce a similar effect in the developing world. Child survival gains in the last three decades in the developed world could be quickly erased at low levels of maternal HIV infection, but gains would not be completely offset in the developing world until more than 40% of mothers became infected with HIV. When basic demographic information and the maternal HIV infection rate are known, the model permits a direct assessment of infant and child mortality caused by HIV. It can also be used to estimate the prevalence of maternal HIV infection when values for all other variables are known.
引用
收藏
页码:1242 / 1247
页数:6
相关论文
共 25 条
  • [1] A PROSPECTIVE-STUDY OF INFANTS BORN TO WOMEN SEROPOSITIVE FOR HUMAN IMMUNODEFICIENCY VIRUS TYPE-1
    BLANCHE, S
    ROUZIOUX, C
    MOSCATO, MLG
    VEBER, F
    MAYAUX, MJ
    JACOMET, C
    TRICOIRE, J
    DEVILLE, A
    VIAL, M
    FIRTION, G
    DECREPY, A
    DOUARD, D
    ROBIN, M
    COURPOTIN, C
    CIRARUVIGNERON, N
    LEDEIST, F
    GRISCELLI, C
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1989, 320 (25) : 1643 - 1648
  • [2] CHIN J, 1989, MATERNAL CHILD CARE, P299
  • [3] DAVISON CF, 1989, LANCET, V2, P1442
  • [4] PREVALENCE OF HIV-INFECTION IN CHILDBEARING WOMEN IN THE UNITED-STATES - SURVEILLANCE USING NEWBORN BLOOD-SAMPLES
    GWINN, M
    PAPPAIOANOU, M
    GEORGE, JR
    HANNON, WH
    WASSER, SC
    REDUS, MA
    HOFF, R
    GRADY, GF
    WILLOUGHBY, A
    NOVELLO, AC
    PETERSEN, LR
    DONDERO, TJ
    CURRAN, JW
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1991, 265 (13): : 1704 - 1708
  • [5] PREVALENCE OF HIV INFECTION AMONG INTRAVENOUS DRUG-USERS IN THE UNITED-STATES
    HAHN, RA
    ONORATO, IM
    JONES, TS
    DOUGHERTY, J
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1989, 261 (18): : 2677 - 2684
  • [6] HALSEY N, 1990, JAMA-J AM MED ASSOC, V264, P2089
  • [7] HERLITZ C, 1989, LANCET, V2, P386
  • [8] SEROPREVALENCE OF HUMAN IMMUNODEFICIENCY VIRUS AMONG CHILDBEARING WOMEN - ESTIMATION BY TESTING SAMPLES OF BLOOD FROM NEWBORNS
    HOFF, R
    BERARDI, VP
    WEIBLEN, BJ
    MAHONEYTROUT, L
    MITCHELL, ML
    GRADY, GF
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 1988, 318 (09) : 525 - 530
  • [9] AIDS AS A CAUSE OF DEATH IN CHILDREN, ADOLESCENTS, AND YOUNG-ADULTS
    KILBOURNE, BW
    BUEHLER, JW
    ROGERS, MF
    [J]. AMERICAN JOURNAL OF PUBLIC HEALTH, 1990, 80 (04) : 499 - 500
  • [10] SURVEILLANCE FOR AIDS IN A CENTRAL AFRICAN CITY - KINSHASA, ZAIRE
    MANN, JM
    FRANCIS, H
    QUINN, T
    ASILA, PK
    BOSENGE, N
    NZILAMBI, N
    BILA, K
    TAMFUM, M
    RUTI, K
    PIOT, P
    MCCORMICK, J
    CURRAN, JW
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1986, 255 (23): : 3255 - 3259