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Factors associated with abandonment of infants born to HIV-positive women: results from a Ukrainian birth cohort.

Title: Factors associated with abandonment of infants born to HIV-positive women: results from a Ukrainian birth cohort.
Authors: Bailey, Heather; Semenenko, Igor; Pilipenko, Tatyana; Malyuta, Ruslan; Thorne, Claire; the Ukraine European Collaborative Study Group
Source: AIDS Care; Dec2010, Vol. 22 Issue 12, p1439-1448, 10p, 1 Diagram, 2 Charts
Subject Terms: ANTIVIRAL agents; VERTICAL transmission (Communicable diseases); ABANDONED children; INTRAVENOUS drug abuse; ANALYSIS of variance; CHI-squared test; CHILDBIRTH; HOSPITAL care of children; CONFIDENCE intervals; EPIDEMIOLOGY; MATERNAL age; PROBABILITY theory; LOGISTIC regression analysis; DATA analysis; HARM reduction; HIV seroconversion; PREVENTION
Geographic Terms: UKRAINE
Abstract: Social marginalisation and other challenges facing HIV-positive pregnant women in Ukraine may put them at increased risk of relinquishing their infants to the state. We described rates of infant abandonment (exclusive non-parental care to most recent follow-up, censored at two years of age) and investigated associated factors using logistic regression models, in 4759 mother-infant pairs enrolled across six Ukrainian sites in the European Collaborative Study from 2000 to May 2009. Median maternal age was 26.0 years, 81.8% were married or cohabiting and 60.6% were nulliparous at enrolment. An injecting drug use (IDU) history was reported by 18.4%, 80.2% took antiretroviral therapy (ART) antenatally and most deliveries were vaginal. A small but significant proportion of infants had been cared for exclusively in institutions by their second birthday (2.1% overall), decreasing from 3.8% (15/393) in 2000-2002 to 1.6% (49/3136) in 2006-2009 (p
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Database: Complementary Index