The DOI matches its Crossref record; 15 of the 15 references it cites were found in a registry or an index.
Early exclusive breastfeeding reduces the risk of postnatal HIV-1 transmission and increases HIV-free survival
Abstract
OBJECTIVES: The promotion of exclusive breastfeeding (EBF) to reduce the postnatal transmission (PNT) of HIV is based on limited data. In the context of a trial of postpartum vitamin A supplementation, we provided education and counseling about infant feeding and HIV, prospectively collected information on infant feeding practices, and measured associated infant infections and deaths. DESIGN AND METHODS: A total of 14 110 mother-newborn pairs were enrolled, randomly assigned to vitamin A treatment group after delivery, and followed for 2 years. At baseline, 6 weeks and 3 months, mothers were asked whether they were still breastfeeding, and whether any of 22 liquids or foods had been given to the infant. Breastfed infants were classified as exclusive, predominant, or mixed breastfed. RESULTS: A total of 4495 mothers tested HIV positive at baseline; 2060 of their babies were alive, polymerase chain reaction negative at 6 weeks, and provided complete feeding information. All infants initiated breastfeeding. Overall PNT (defined by a positive HIV test after the 6-week negative test) was 12.1%, 68.2% of which occurred after 6 months. Compared with EBF, early mixed breastfeeding was associated with a 4.03 (95% CI 0.98, 16.61), 3.79 (95% CI 1.40-10.29), and 2.60 (95% CI 1.21-5.55) greater risk of PNT at 6, 12, and 18 months, respectively. Predominant breastfeeding was associated with a 2.63 (95% CI 0.59-11.67), 2.69 (95% CI 0.95-7.63) and 1.61 (95% CI 0.72-3.64) trend towards greater PNT risk at 6, 12, and 18 months, compared with EBF. CONCLUSION: EBF may substantially reduce breastfeeding-associated HIV transmission.
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Cites
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Cited by
Maternal and child undernutrition: global and regional exposures and health consequences
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Conceptual framework for understanding the bidirectional links between food insecurity and HIV/AIDS
Weiser, S. D., Young, S. L., Cohen, C. R., Kushel, M. B., Tsai, A. C., Tien, P. C., Hatcher, A. M., Frongillo, E. A., & Bangsberg, D. R. (2011) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.111.012070 · Cited by 449
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Metadata
- Authors
- Iliff, P. J., Piwoz, E. G., Tavengwa, N. V., Zunguza, C. D., Marinda, E. T., Nathoo, K. J., Moulton, L. H., Ward, B. J., & Humphrey, J. H.
- Venue
- AIDS
- Published
- 2005-04-29
- Volume
- 19
- Issue
- 7
- Pages
- 699-708
- ISSN
- 0269-9370 (ISSN-L)
- OpenAlex
- W1969671892
- Cited by
- 573
- References
- 15
- FWCI
- 33.41
- Type
- journal article
- Language
- en
- Open access
- closed
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- Iliff, P. J., Piwoz, E. G., Tavengwa, N. V., Zunguza, C. D., Marinda, E. T., Nathoo, K. J., Moulton, L. H., Ward, B. J., & Humphrey, J. H. (2005). Early exclusive breastfeeding reduces the risk of postnatal HIV-1 transmission and increases HIV-free survival. AIDS. https://doi.org/10.1097/01.aids.0000166093.16446.c9
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