Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA.
J Acquir Immune Defic Syndr. 2011 Jul 1;57(3):218-22. doi: 10.1097/QAI.0b013e3182167dec.
Although perinatal HIV infections are declining in the United States, there is no single source of nationally representative data available to estimate the number of infants born to HIV-infected women in the United States and its dependencies. This study determines the total number of births to HIV-positive women in the United States and 5 dependent areas in 2006.
Diagnosed stage 1 or 2 HIV disease in the United States were based on reported data from 39 areas that conducted confidential name-based HIV case reporting and stage 3 HIV from all areas in the United States. A zero-inflated Poisson model was used to estimate the number of women aged 13-44 years living with diagnosed stage 1 or 2 HIV disease in the United States. The number of undiagnosed HIV-infected women (stage 1 or 2) of childbearing age was estimated from the number of reported Stage 3 HIV (ie, AIDS) cases using a back-calculation method.
An estimated 115,200 women aged 13-44 years were living with stage 1 or 2 HIV disease in 2006. A total of 56,200 women were living with diagnosed stage 3 disease. The estimated number of births to all women living with HIV disease (diagnosed or undiagnosed) was 8700 [95% Confidence Interval (CI): 8400 to 8800] in 2006.
The number of infants born to HIV-infected women in 2006 was approximately 30% greater than the number of such births (6075-6422) in 2000. This increase highlights the need to continue and strengthen efforts to prevent perinatal HIV transmission in the United States.
尽管美国的围产期 HIV 感染人数正在下降,但目前尚无单一的全美代表性数据源可用于估计美国及其属地内感染 HIV 的妇女所生育的婴儿数量。本研究旨在确定 2006 年美国和 5 个属地内 HIV 阳性妇女的总分娩数量。
美国的确诊 1 期或 2 期 HIV 疾病基于 39 个开展机密姓名报告 HIV 病例和全美所有地区的 3 期 HIV 报告的数据。使用零膨胀泊松模型估计美国年龄在 13-44 岁之间患有确诊 1 期或 2 期 HIV 疾病的妇女数量。使用回溯法,从报告的 3 期 HIV(即艾滋病)病例数估计处于生育年龄的未确诊 HIV 感染妇女(1 期或 2 期)数量。
2006 年,估计有 115200 名年龄在 13-44 岁之间的妇女患有 1 期或 2 期 HIV 疾病。共有 56200 名妇女患有确诊 3 期疾病。2006 年,所有患有 HIV 疾病(确诊或未确诊)的妇女的估计分娩数量为 8700 例[95%置信区间(CI):8400-8800]。
与 2000 年(6075-6422 例)相比,2006 年感染 HIV 的妇女所生育的婴儿数量增加了约 30%。这一增长凸显了继续加强努力预防美国围产期 HIV 传播的必要性。