HIV-TB Coinfection among 57 Million Pregnant Women, Obstetric Complications, Alcohol Use, Drug Abuse, and Depression
Objective. HIV and tuberculosis represent diseases of major public health importance worldwide. Very little is known about HIV-TB coinfection among pregnant women, especially from industrialized settings. In this study, we examined the association between TB, HIV, and HIV-TB coinfection among pregna...
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doaj-bdde278da6674be79bda9a4c3e877baa2020-11-24T22:04:17ZengHindawi LimitedJournal of Pregnancy2090-27272090-27352018-01-01201810.1155/2018/58969015896901HIV-TB Coinfection among 57 Million Pregnant Women, Obstetric Complications, Alcohol Use, Drug Abuse, and DepressionDorian Fernandez0Imoleayo Salami1Janelle Davis2Florence Mbah3Aisha Kazeem4Abreah Ash5Justin Babino6Laquiesha Carter7Jason L. Salemi8Kiara K. Spooner9Omonike A. Olaleye10Hamisu M. Salihu11Texas Southern University, 3100 Cleburne Street, Houston, TX 77004, USATexas Southern University, 3100 Cleburne Street, Houston, TX 77004, USATexas Southern University, 3100 Cleburne Street, Houston, TX 77004, USATexas Southern University, 3100 Cleburne Street, Houston, TX 77004, USATexas Southern University, 3100 Cleburne Street, Houston, TX 77004, USATexas Southern University, 3100 Cleburne Street, Houston, TX 77004, USATexas Southern University, 3100 Cleburne Street, Houston, TX 77004, USATexas Southern University, 3100 Cleburne Street, Houston, TX 77004, USADepartment of Family & Community Medicine, Baylor College of Medicine, 3701 Kirby Drive, Suite 600, Houston, TX 77098, USADepartment of Family & Community Medicine, Baylor College of Medicine, 3701 Kirby Drive, Suite 600, Houston, TX 77098, USATexas Southern University, 3100 Cleburne Street, Houston, TX 77004, USADepartment of Family & Community Medicine, Baylor College of Medicine, 3701 Kirby Drive, Suite 600, Houston, TX 77098, USAObjective. HIV and tuberculosis represent diseases of major public health importance worldwide. Very little is known about HIV-TB coinfection among pregnant women, especially from industrialized settings. In this study, we examined the association between TB, HIV, and HIV-TB coinfection among pregnant mothers and obstetric complications, alcohol use, drug abuse, and depression. Method. We examined inpatient hospital discharges in the United States from January 1, 2002, through December 31, 2014. We employed multivariable survey logistic regression to generate adjusted estimates for the association between infection status and study outcomes. Results. We analyzed approximately 57 million records of pregnant women and their delivery information. HIV-TB coinfection was associated with the highest risks for several obstetric complications, alcohol use, and drug abuse. The risk for alcohol abuse was more than twice as high among HIV-monoinfected as compared to TB-monoinfected mothers. That risk gap more than doubled with HIV-TB coinfection. Both HIV-monoinfected and HIV-TB coinfected mothers experienced similarly increased risks for depression. Conclusions. Mothers with HIV-TB coinfection experienced relatively heightened risks for obstetric complications, alcohol use, and drug abuse. The findings of this study underscore the importance of augmenting and enhancing social and structural support systems for HIV-TB coinfected pregnant women.http://dx.doi.org/10.1155/2018/5896901 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Dorian Fernandez Imoleayo Salami Janelle Davis Florence Mbah Aisha Kazeem Abreah Ash Justin Babino Laquiesha Carter Jason L. Salemi Kiara K. Spooner Omonike A. Olaleye Hamisu M. Salihu |
spellingShingle |
Dorian Fernandez Imoleayo Salami Janelle Davis Florence Mbah Aisha Kazeem Abreah Ash Justin Babino Laquiesha Carter Jason L. Salemi Kiara K. Spooner Omonike A. Olaleye Hamisu M. Salihu HIV-TB Coinfection among 57 Million Pregnant Women, Obstetric Complications, Alcohol Use, Drug Abuse, and Depression Journal of Pregnancy |
author_facet |
Dorian Fernandez Imoleayo Salami Janelle Davis Florence Mbah Aisha Kazeem Abreah Ash Justin Babino Laquiesha Carter Jason L. Salemi Kiara K. Spooner Omonike A. Olaleye Hamisu M. Salihu |
author_sort |
Dorian Fernandez |
title |
HIV-TB Coinfection among 57 Million Pregnant Women, Obstetric Complications, Alcohol Use, Drug Abuse, and Depression |
title_short |
HIV-TB Coinfection among 57 Million Pregnant Women, Obstetric Complications, Alcohol Use, Drug Abuse, and Depression |
title_full |
HIV-TB Coinfection among 57 Million Pregnant Women, Obstetric Complications, Alcohol Use, Drug Abuse, and Depression |
title_fullStr |
HIV-TB Coinfection among 57 Million Pregnant Women, Obstetric Complications, Alcohol Use, Drug Abuse, and Depression |
title_full_unstemmed |
HIV-TB Coinfection among 57 Million Pregnant Women, Obstetric Complications, Alcohol Use, Drug Abuse, and Depression |
title_sort |
hiv-tb coinfection among 57 million pregnant women, obstetric complications, alcohol use, drug abuse, and depression |
publisher |
Hindawi Limited |
series |
Journal of Pregnancy |
issn |
2090-2727 2090-2735 |
publishDate |
2018-01-01 |
description |
Objective. HIV and tuberculosis represent diseases of major public health importance worldwide. Very little is known about HIV-TB coinfection among pregnant women, especially from industrialized settings. In this study, we examined the association between TB, HIV, and HIV-TB coinfection among pregnant mothers and obstetric complications, alcohol use, drug abuse, and depression. Method. We examined inpatient hospital discharges in the United States from January 1, 2002, through December 31, 2014. We employed multivariable survey logistic regression to generate adjusted estimates for the association between infection status and study outcomes. Results. We analyzed approximately 57 million records of pregnant women and their delivery information. HIV-TB coinfection was associated with the highest risks for several obstetric complications, alcohol use, and drug abuse. The risk for alcohol abuse was more than twice as high among HIV-monoinfected as compared to TB-monoinfected mothers. That risk gap more than doubled with HIV-TB coinfection. Both HIV-monoinfected and HIV-TB coinfected mothers experienced similarly increased risks for depression. Conclusions. Mothers with HIV-TB coinfection experienced relatively heightened risks for obstetric complications, alcohol use, and drug abuse. The findings of this study underscore the importance of augmenting and enhancing social and structural support systems for HIV-TB coinfected pregnant women. |
url |
http://dx.doi.org/10.1155/2018/5896901 |
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