The DOI matches its Crossref record; 37 of the 37 references it cites were found in a registry or an index.
Increased Risk of HIV Acquisition Among Women Throughout Pregnancy and During the Postpartum Period: A Prospective Per-Coital-Act Analysis Among Women With HIV-Infected Partners
Open accessAbstract
Background: Understanding the absolute and relative risk of human immunodeficiency virus type 1 (HIV) acquisition during pregnancy and the postpartum period can inform HIV prevention strategies for women. Methods: We used a complementary log-log model and data from 2751 HIV-serodiscordant couples to compare the probability of HIV acquisition among women per sex act during early pregnancy, late pregnancy, the postpartum period, and the nonpregnant period. Results: At total of 686 pregnancies were identified, and 82 incident HIV infections occurred. After adjustment for condom use, age, preexposure prophylaxis (PrEP) use, and HIV viral load, the per-act probability of HIV acquisition was higher in late pregnancy (adjusted relative risk [aRR], 2.82; P = .01) and the postpartum period (aRR, 3.97; P = .01) as compared to that during nonpregnant period. For a 25-year-old woman not taking PrEP, the HIV acquisition probability per condomless sex act with an HIV-infected male partner with a viral load of 10 000 copies/mL was 0.0011 (95% confidence interval [CI] 0.005-0.0019), 0.0022 (95% CI, 0.0004-0.0093), 0.0030 (95% CI, 0.0007-0.0108), and 0.0042 (95% CI, 0.0007-0.0177) during the nonpregnant period, early pregnancy, late pregnancy, and the postpartum period, respectively. Conclusion: The HIV acquisition probability per condomless sex act steadily increased during pregnancy and was highest during the postpartum period, suggesting that biological changes during pregnancy and the postpartum period increase HIV susceptibility among women.
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Cites
Antiretroviral prophylaxis for HIV prevention in heterosexual men and women.
Baeten, J. M., Donnell, D., Ndase, P., Mugo, N. R., Campbell, J. D., Wangisi, J., Tappero, J. W., Bukusi, E. A., Cohen, C. R., Katabira, E., et al. (2012) · New England Journal of Medicine · doi:10.1056/nejmoa1108524 · Cited by 3,256
Self-citationGlycerol monolaurate prevents mucosal SIV transmission
Li, Q., Estes, J. D., Schlievert, P. M., Duan, L., Brosnahan, A. J., Southern, P. J., Reilly, C. S., Peterson, M. L., Schultz-Darken, N., Brunner, K. G., et al. (2009) · Nature · doi:10.1038/nature07831 · Cited by 638
Acyclovir and transmission of HIV-1 from persons infected with HIV-1 and HSV-2.
Celum, C., Wald, A., Lingappa, J. R., Magaret, A. S., Wang, R. S., Mugo, N., Mujugira, A., Baeten, J. M., Mullins, J. I., Hughes, J. P., et al. (2010) · New England Journal of Medicine · doi:10.1056/nejmoa0904849 · Cited by 524
Self-citationDrake, A. L., Wagner, A., Richardson, B., & John-Stewart, G. (2014) · PLoS Medicine · doi:10.1371/journal.pmed.1001608 · Cited by 470
Self-citationGenital Inflammation and the Risk of HIV Acquisition in Women
Masson, L., Passmore, J.-A. S., Liebenberg, L. J., Werner, L., Baxter, C., Arnold, K. B., Williamson, C., Little, F., Mansoor, L. E., Naranbhai, V., et al. (2015) · Clinical Infectious Diseases · doi:10.1093/cid/civ298 · Cited by 422
Increased risk of incident HIV during pregnancy in Rakai, Uganda: a prospective study
Gray, R. H., Li, X., Kigozi, G., Serwadda, D., Brahmbhatt, H., Wabwire-Mangen, F., Nalugoda, F., Kiddugavu, M., Sewankambo, N., Quinn, T. C., et al. (2005) · The Lancet · doi:10.1016/s0140-6736(05)67481-8 · Cited by 358
Rethinking the heterosexual infectivity of HIV-1: a systematic review and meta-analysis
Powers, K. A., Poole, C., Pettifor, A. E., & Cohen, M. S. (2008) · The Lancet Infectious Diseases · doi:10.1016/s1473-3099(08)70156-7 · Cited by 328
Determinants of Per-Coital-Act HIV-1 Infectivity Among African HIV-1–Serodiscordant Couples
Hughes, J. P., Baeten, J. M., Lingappa, J. R., Magaret, A. S., Wald, A., de Bruyn, G., Kiarie, J., Inambao, M., Kilembe, W., Farquhar, C., et al. (2012) · The Journal of Infectious Diseases · doi:10.1093/infdis/jir747 · Cited by 305
Self-citationThirumurthy, H., Masters, S. H., Mavedzenge, S. N., Maman, S., Omanga, E., & Agot, K. (2016) · The Lancet HIV · doi:10.1016/s2352-3018(16)00041-2 · Cited by 272
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Cited by
Stanton, A. M., O'Cleirigh, C., Knight, L., Davey, D. L. J., Myer, L., Joska, J. A., Mayer, K. H., Bekker, L., & Psaros, C. (2022) · Journal of the International AIDS Society · doi:10.1002/jia2.26026 · Cited by 13
Albert, L. M., Edwards, J., Pence, B., Speizer, I. S., Hillis, S., Kahn, K., Gómez-Olivé, F. X., Wagner, R. G., Twine, R., & Pettifor, A. (2021) · AIDS and Behavior · doi:10.1007/s10461-020-03147-y · Cited by 8
Metadata
- Authors
- Thomson, K. A., Hughes, J., Baeten, J. M., John-Stewart, G., Celum, C., Cohen, C. R., Ngure, K., Kiarie, J., Mugo, N., Heffron, R., & Teams, P. I. P. H. T. S. A. P. P. S.
- Venue
- The Journal of Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 2018-03-05
- Volume
- 218
- Issue
- 1
- Pages
- 16-25
- ISSN
- 0022-1899 (ISSN-L)
- 1537-6613
- OpenAlex
- W2793487607
- Cited by
- 298
- References
- 37
- FWCI
- 21.44
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Thomson, K. A., Hughes, J., Baeten, J. M., John-Stewart, G., Celum, C., Cohen, C. R., Ngure, K., Kiarie, J., Mugo, N., Heffron, R., & Teams, P. I. P. H. T. S. A. P. P. S. (2018). Increased Risk of HIV Acquisition Among Women Throughout Pregnancy and During the Postpartum Period: A Prospective Per-Coital-Act Analysis Among Women With HIV-Infected Partners. The Journal of Infectious Diseases. https://doi.org/10.1093/infdis/jiy113
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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