HIV Prevalence among Pregnant Women Attending Antenatal Care Clinic at Sirindhorn Hospital in 2003

Abstract

HIV Prevalence among Pregnant Women Attending Antenatal Care Clinic at Sirindhorn Hospital in 2003

Boonpa     Yodsowan     BSc (Med Tech), MSc (Biochemistry)

Department of Central Laboratory, Sirindhorn Hospital

Objective: To determine the prevalence of HIV infection in pregnant women attending antenatal care clinic at Sirindhorn hospital in 2003.

Study design: Descriptive study.

Setting: A total of 1,448 blood samples from pregnant women attending antenatal care clinic during period from January 1, 2003 - December 31, 2003.

Methods: The retrospective study of HIV infection in pregnant women was performed and collected for the determination of prevalence.

Main outcome measures: Data were obtained from the results of anti-HIV positive and calculated in term of the percentage of HIV infection.

Results: Studying of prevalence of HIV infection in 1,448 pregnant women attending antenatal care clinic at Sirindhorn hospital during period from January 1, 2003 to December 31, 2003 showed that 1.10 % (95 % confidence interval, 1.097-1.103) (16 women) were HIV-postive. On multivariate analysis of data,according to age of pregnant women, divided into 5 groups ; less than 15, 15-19,20-24, 25-29, over 30 years old the report showed that the prevalence of HIV infection were 0, 0.1, 0.5, 0.3, and 0.2 %, repectively. Since the prevalence and vary in different places, this finding also showed that the prevalence of HIV infection among pregnant women having a domicle in Bangkok was 0.8% (n=1,087) while percent of prevalence from rural areas was 0.3 % (n=361).The prevalence was 0.3 % (n=511), 0.4% (n=416) and 0.1% (n=132) in the first, the second and the third of pregnancy, respectively. The study also showed that the prevalence in group of housewife was 0.5% (n= 324) where as 0.3% (n=764) was found in pregnant women who worked as employee. In addition, some collected    data according to the level of education showed that the prevalence was 0.1% (n=247) in the elementary-educated group and 0.3% (n=261) in the secondary-educated group.

Conclusion: The prevalence of HIV infection in pregnant women in that study were 1.10 percent (95% CI,1.097-1.103) in the vicinity of the Ministry of Public Health (1.4-1.8 percent) during period of 1990-2001. Moreover, the report showed that the prevalence of HIV infection in pregnant women having domicile in Bangkok (0.8%) higher than rural area (0.3%) The prevalence was 0.4% in the second of pregnancy.The study also showed that the highest prevalence of 0.5% was found in grund in group of housewife. In addition, the highest prevalence of 0.3% was found in the secondary-educated group.

Key words: HIV-infection, pregnant women, Sirindhorn Hospital

Vajira Med J 2004 ; 48 : 87 - 96