Evidence map›Paper›PMID 34890430›Full record

ArticlePloS one2021

Mother-to-child transmission of HIV infection and its associated factors in the district of Bilene, Gaza Province-Mozambique.

Dulce Osório, Isabelle Munyangaju, Edy Nacarapa, Argentina Muhiwa, Amancio Vicente Nhangave, Jose Manuel Ramos

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
0.8field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 30 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 3 countries.

Dulce OsórioGeneral Medicine Department, Macia Health Center, Macia, Gaza, Mozambique.
Isabelle MunyangajuTinpswalo Association - Vincentian Association to Fight AIDS and TB, Maputo, Gaza, Mozambique.ORCID 0000-0002-7190-6016
Edy NacarapaTinpswalo Association - Vincentian Association to Fight AIDS and TB, Maputo, Gaza, Mozambique.ORCID 0000-0002-0617-9609
Argentina MuhiwaTinpswalo Association - Vincentian Association to Fight AIDS and TB, Maputo, Gaza, Mozambique.
Amancio Vicente NhangaveGaza Provincial Research Nucleus, Provincial Health Directorate, Xai Xai, Mozambique.
Jose Manuel RamosInternal Medicine Department, General University Hospital of Alicante and University Miguel Hernandez de Elche, Alicante, Spain.
ME Association · GBNational Directorate of Geology · MZUniversitat de Miguel Hernández d'Elx · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMother-to-child transmission of HIV infection is a significant problem in Mozambique. This study aims to determine the risk factors associated with mother-to-child transmission of HIV in rural Mozambique.

methodsRetrospective case-control study in a rural area of Bilene District, on the coast of southern Mozambique, performed from January 2017 to June 2018. The analysis considered the clinical data of HIV exposed children with definitive HIV positive results and their respective infected mothers (cases), and the data of HIV exposed children with definitive HIV negative results and their respective infected mothers (controls) registered in At Risk Child Clinics from 1st January 2017 to 30th June 2018 at the Macia and Praia de Bilene health facilities in Bilene district, Gaza province-Mozambique.

resultsNinety pregnant women with HIV were involved in the study, including 30 who had transmitted the infection to their children and 60 who had not. Statistical analysis, adjusted for maternal age and gestational age at first antenatal care visit, showed that independent risk factors for transmission were gestational age at first visit (adjusted odds ratio [aOR] 1.19, 95% confidence interval [CI] 1.05-1.36), non-adherence to combination antiretroviral therapy (56.7% vs. 5%; aOR 14.12, 95% CI 3.15-63.41); a viral load of 1000 copies/mL or more (90% vs. 5%; aOR: 156, 95% CI 22.91-1,062) and female sex of the neonate (80% vs. 51.7%; aOR: 4.43, 95% CI 1.33-15.87).

conclusionA high viral load and non-adherence to antiretroviral therapy are important predictors of mother-to-child HIV transmission.

Indexed as

AdultCase-Control StudiesFemaleGestational AgeHIV InfectionsHumansInfectious Disease Transmission, VerticalMaleMaternal AgeMozambiquePregnancyPregnancy Complications, InfectiousRetrospective StudiesRural HealthRural PopulationViral Load

Identifiers

PMID34890430
PMCPMC8664209
OpenAlexW4200007197

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.