北美地区孕妇中艾滋病毒/艾滋病的流行情况:系统回顾和荟萃分析。

IF 1.3 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL Medicine Pub Date : 2024-11-01 DOI:10.1097/MD.0000000000040339
Nosheena Akhter Shabbir, Sara Bashir Kant, Kainat Rashid, Uzma Hafeez, Aiza Ali Akbar, Syeda Wajiha Batool, Alif Hasan Pranto, Jemema Zaman, Hasan Shahriyer Tonmoy, Md Rashedul Islam, M M Rubaiyat Muntasir Meem, Dewan Zubaer Islam, Ehsan Suez, Shahad Saif Khandker, Amna Akbar, Muhammad Iftikhar Khattak, Amir Iqbal Ali, Sarosh Khan Jadoon, Attarab Shakeel, Maryam Zubair, Sarosh Alvi
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引用次数: 0

摘要

背景:人类免疫缺陷病毒(HIV)是孕产妇健康的一个主要问题,除北美地区外,欧洲、非洲和拉丁美洲地区也曾对孕妇中的 HIV 感染率进行过调查。本研究分析了包括美国、加拿大和墨西哥 3 个主要国家在内的北美地区孕妇的 HIV 感染率:方法:从 3 个在线数据库中筛选相关研究:方法:使用特定的搜索关键词从 Google Scholar、PubMed 和 ScienceDirect 这 3 个在线数据库中筛选相关研究。最终,北美地区的 10 项研究被纳入其中,研究对象包括居住在美国、加拿大和墨西哥的 339 831 名孕妇:汇总的总体流行率为 0.6%(95% 置信区间 [CI]:0.4-0.8),异质性较高(I2 = 97%)。加拿大、墨西哥和美国孕妇中艾滋病毒的汇总流行率分别为 0.3%(95% CI:0.1-0.5)、0.5%(95% CI:0.2-0.8)和 2.3%(95% CI:0.0-5.7),异质性较高:结论:与东欧、撒哈拉以南非洲或拉丁美洲国家相比,美国、加拿大和墨西哥孕妇的艾滋病毒总体流行率极低。提高认识、充足的检测和医疗保健设施、更好的社会经济和地缘政治条件可能是降低孕妇艾滋病流行率的关键。
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Prevalence of HIV/AIDS among pregnant women in North American region: A systematic review and meta-analysis.

Background: As a major maternal health concern, the prevalence of human immunodeficiency virus (HIV) among pregnant women was previously investigated in European, African, and Latin American regions other than the North American region. This study analyzed the prevalence of HIV among pregnant women in the North American region including 3 major countries: the USA, Canada, and Mexico.

Methods: Relevant studies were screened from 3 online databases: Google Scholar, PubMed, and ScienceDirect using specific search keywords. Ultimately, 10 studies of the North American region were included with a total of 339,831 pregnant women residing in the USA, Canada, and Mexico.

Results: The overall pooled prevalence was 0.6% (95% confidence interval [CI]: 0.4-0.8) with a high degree of heterogeneity (I2 = 97%). Pooled prevalence rates of HIV among pregnant women in Canada, Mexico, and the USA were 0.3% (95% CI: 0.1-0.5), 0.5% (95% CI: 0.2-0.8), and 2.3% (95% CI: 0.0-5.7), respectively with high degrees of heterogeneity.

Conclusion: The overall prevalence rate of HIV among pregnant women in the USA, Canada, and Mexico was minimal as compared with the countries of Eastern Europe, sub-Saharan Africa, or Latin America. Awareness, adequate testing and healthcare facilities, better socioeconomic, and geopolitical conditions might be crucial to lowering the prevalence of HIV among pregnant women.

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来源期刊
Medicine
Medicine 医学-医学:内科
CiteScore
2.80
自引率
0.00%
发文量
4342
审稿时长
>12 weeks
期刊介绍: Medicine is now a fully open access journal, providing authors with a distinctive new service offering continuous publication of original research across a broad spectrum of medical scientific disciplines and sub-specialties. As an open access title, Medicine will continue to provide authors with an established, trusted platform for the publication of their work. To ensure the ongoing quality of Medicine’s content, the peer-review process will only accept content that is scientifically, technically and ethically sound, and in compliance with standard reporting guidelines.
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