Journal of Immigrant and Minority Health

, Volume 17, Issue 4, pp 1010–1018

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

  • Ranell L. Myles
  • Melissa Artstein-McNassar
  • Hazel D. Dean
  • Beverly Bohannon
  • Sharon K. Melville
  • Richard Yeager
  • John Wheeling
  • Charles E. Rose
  • Julia Zhu
  • Kenneth L. Dominguez
Original Paper

DOI: 10.1007/s10903-014-0034-7

Cite this article as:
Myles, R.L., Artstein-McNassar, M., Dean, H.D. et al. J Immigrant Minority Health (2015) 17: 1010. doi:10.1007/s10903-014-0034-7

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.

Keywords

Mother-to-child transmission HIV/AIDS Perinatal health Black women Foreign-born US-born Disaggregation Country of origin Birthplace 

Copyright information

© Springer Science+Business Media New York (Outside the USA) 2014

Authors and Affiliations

  • Ranell L. Myles
    • 1
  • Melissa Artstein-McNassar
    • 1
    • 2
  • Hazel D. Dean
    • 1
  • Beverly Bohannon
    • 1
  • Sharon K. Melville
    • 3
  • Richard Yeager
    • 4
  • John Wheeling
    • 5
  • Charles E. Rose
    • 1
  • Julia Zhu
    • 1
  • Kenneth L. Dominguez
    • 1
  1. 1.Centers for Disease Control and PreventionNational Center for HIV/AIDS, Viral Hepatitis, STD, and TB PreventionAtlantaUSA
  2. 2.Washington State UniversityPullmanUSA
  3. 3.Texas Department of State Health ServicesAustinUSA
  4. 4.Texas A & M University—Central TexasKilleenUSA
  5. 5.Northrop Grumman Inc.AtlantaUSA

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