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Perinatal HIV Prevention Outcomes in U.S.-Born Versus Foreign-Born Blacks, PSD Cohort, 1995–2004

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Abstract

We examined differences in HIV-infected U.S.-born and foreign-born black mothers who delivered perinatally HIV-exposed and -infected children during 1995–2004 in the Pediatric Spectrum of HIV Disease Project, a longitudinal cohort study. Prevalence ratios were calculated to explain differences in perinatal HIV prevention opportunities comparing U.S.-born to foreign-born and African-born to Caribbean-born black mothers. U.S.-born compared with foreign-born HIV-infected black mothers were significantly more likely to have used cocaine or other non-intravenous illicit drugs, exchanged money or drugs for sex, known their HIV status before giving birth, received intrapartum antiretroviral (ARV) prophylaxis, and delivered a premature infant; and were significantly less likely to have received prenatal care or delivered an HIV-infected infant. African-born compared with Caribbean-born black mothers were more likely to receive intrapartum ARV prophylaxis. These differences by maternal geographical origin have important implications for perinatal HIV transmission prevention, and highlight the validity of disaggregating data by racial/ethnic subgroups.

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Notes

  1. PR could not be computed due to 0 mothers in one or more cells.

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Acknowledgments

The PSD project was funded by the Centers for Disease Control and Prevention, Atlanta, GA, contract number 200-2004-09976. This research was supported by CDC cooperative agreements U64/CCU303310, U64/CCU206818, U64/CCU114918, U64/CCU603300, U64/CCU903273, U64/CCU203312, U64/CCU901179, and U64/CCU410899. The authors are grateful to the patients and caregivers who participated in the PSD Consortium and thank the investigators and abstractors at the PSD study sites: Ho-Wen Hsu (University of Massachusetts Medical School, State Laboratory Institute), Barbara Stechenberg (Baystate Medical Center, Springfield),Kenneth McIntosh (Boston Children’s Hospital), Stephen Pelton (Boston Medical Center), Katherine Luzuriaga (University of Massachusetts Medical School), H. Cody Meissner (New England Medical Center), Gerard Coste (Cambridge Hospital), Mark Pasternack (Massachusetts General Hospital), Vicki Peters, Kai-Li Liu (New York City Department of Health & Mental Hygiene), Arye Rubinstein (Albert Einstein Hospital), Saroj Bakshi (Bronx Lebanon Hospital), Edward Handelsman (Downstate University Hospital), Elaine Abrams (Harlem Hospital), Cathy Painter (Incarnation Children’s Center), Andrew Wiznia (Jacobi Hospital), Ninad Desai (Kings County Medical Center), Nathan Litman (Montifiore Hospital), Joseph Stavola (New York Hospital), Jacob Abadi (North Central Bronx Hospital), Tamara Rakusan, Hans Spiegel, Andrew Bonwit, Robert Parrott (Children’s National Medical Center, Washington DC), Sohail Rana (Howard University Hospital), Idith Ortiz, Juan Carlos Orengo (Puerto Rico Departamento de Salud), Eleanor Jiminez (San Juan City Hospital), Irma Febo (University Pediatric Hospital), Wanda Figueroa (Bayamon Regional Hospital), Jose Vazquez Julia (Caguas Regional Hospital), Rosa Delgado (Ponce Regional Hospital), Janet Squires, Theresa Barton (University of Texas – Southwestern, Dallas), Mary E. Paul, I. Celine Hanson, Mark W. Kline (Baylor College of Medicine/Texas Children’s Hospital, Houston), Marilyn Doyle (University of Texas Health Science Center – Houston), Janak Patel (University of Texas Medical Branch – Galveston), Sarmistha Hauger (Children’s Hospital of Austin - Austin), Terence Doran (University of Texas - San Antonio), Gilberto Handel (Texas Tech Medical Center - El Paso), Toni Frederick, Laurene Mascola (Los Angeles County Health Department), Yvonne Bryson (UCLA School of Medicine), Joseph Church (Children’s Hospital of Los Angeles), Audra Deveikis (Memorial Miller Children’s Hospital), Margaret Keller (Harbor-UCLA Medical Center), Deborah Lehman (Cedars-Sinai Medical Center), Andrea Kovacs (LAC + USC Maternal Child Clinic), Steve Taylor (Martin Luther King Jr/Drew Medical Center), Victor Wong (Kaiser Permanente Southern California Group), Yvonne Maldonado (Stanford School of Medicine – San Francisco), and Catherine Wilfert (Duke University School of Medicine - NC).

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Authors and Affiliations

  1. Centers for Disease Control and Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, 1600 Clifton Road NE, Mailstop E-07, Atlanta, GA, 30333, USA

    Ranell L. Myles, Melissa Artstein-McNassar, Hazel D. Dean, Beverly Bohannon, Charles E. Rose, Julia Zhu & Kenneth L. Dominguez

  2. Washington State University, Pullman, WA, USA

    Melissa Artstein-McNassar

  3. Texas Department of State Health Services, Austin, TX, USA

    Sharon K. Melville

  4. Texas A & M University—Central Texas, Killeen, TX, USA

    Richard Yeager

  5. Northrop Grumman Inc., Atlanta, GA, USA

    John Wheeling

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  1. Ranell L. Myles
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  2. Melissa Artstein-McNassar
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  3. Hazel D. Dean
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  4. Beverly Bohannon
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  5. Sharon K. Melville
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  7. John Wheeling
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  8. Charles E. Rose
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  9. Julia Zhu
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  10. Kenneth L. Dominguez
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Correspondence to Ranell L. Myles.

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Disclaimer: The opinions expressed by authors contributing to this journal do not necessarily reflect the opinions of the Centers for Disease Control and Prevention or the institutions with which the authors are affiliated.

On behalf of the PSD Consortium.

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Myles, R.L., Artstein-McNassar, M., Dean, H.D. et al. Perinatal HIV Prevention Outcomes in U.S.-Born Versus Foreign-Born Blacks, PSD Cohort, 1995–2004. J Immigrant Minority Health 17, 1010–1018 (2015). https://doi.org/10.1007/s10903-014-0034-7

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  • DOI: https://doi.org/10.1007/s10903-014-0034-7

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