{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T00:03:04Z","timestamp":1784592184775,"version":"3.55.0"},"reference-count":48,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T00:00:00Z","timestamp":1688083200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100001807","name":"S\u00e3o Paulo Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001807","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003593","name":"National Council of Scientific and Technological Development","doi-asserted-by":"publisher","award":["30127\/2019-0"],"award-info":[{"award-number":["30127\/2019-0"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Foundation of Faculty of Medicine scholarship","award":["2019\/25511-4"],"award-info":[{"award-number":["2019\/25511-4"]}]},{"name":"NUBANK"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,12,20]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Mother-to-child transmission (MTCT) of human T-lymphotropic virus type 1 (HTLV-1) is an important route of transmission that can cause lifelong infection. There is high morbidity and mortality due to adult T-cell leukemia\/lymphoma, HTLV-1\u2013associated myelopathy (HAM), and other inflammatory disorders. These conditions develop in nearly 10% of people with HTLV-1 infection, with a higher risk if infection occurs early in life. Identification of risk factors can inform targeted measures to reduce HTLV-1 MTCT. This study aimed to investigate the potential of cesarean delivery to prevent HTLV-1 MTCT.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a review of the cases of women and their offspring under regular follow-up at the HTLV-1 outpatient clinic at the Institute of Infectious Diseases Emilio Ribas.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 177 HTLV-1\u2013infected women and 369 adult offspring were investigated. Overall, 15% of the children were positive for HTLV-1 and 85% were negative. Regarding vertical transmission, we found that a breastfeeding duration of &amp;gt;6 months was associated with MTCT. Moreover, maternal proviral load was not associated with transmission, but high educational level and cesarean delivery were identified as protective factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>HTLV-1 MTCT was associated with mother's age at delivery of &amp;gt;25 years, low educational level, prolonged breastfeeding, and vaginal delivery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/infdis\/jiad219","type":"journal-article","created":{"date-parts":[[2023,6,22]],"date-time":"2023-06-22T19:44:07Z","timestamp":1687463047000},"page":"1766-1775","source":"Crossref","is-referenced-by-count":3,"title":["Could Cesarean Delivery Help Prevent Mother-to-Child Transmission of Human T-Lymphotropic Virus Type 1?"],"prefix":"10.1093","volume":"228","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3728-9621","authenticated-orcid":false,"given":"Gabriela","family":"Prates","sequence":"first","affiliation":[{"name":"Departamento de Dermatologia, Faculdade de Medicina da Universidade de Sao Paulo , Sao Paulo ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur","family":"Paiva","sequence":"additional","affiliation":[{"name":"Departamento de Dermatologia, Faculdade de Medicina da Universidade de Sao Paulo , Sao Paulo ,","place":["Brazil"]},{"name":"Universitary Hospital of the Federal University of Alagoas , Macei\u00f3 ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michel E","family":"Haziot","sequence":"additional","affiliation":[{"name":"Institute of Infectious Diseases \u201cEmilio Ribas\u201d (IIER) of Sao Paulo , Sao Paulo ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luiz Augusto M","family":"Fonseca","sequence":"additional","affiliation":[{"name":"Departamento de Dermatologia, Faculdade de Medicina da Universidade de Sao Paulo , Sao Paulo ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jerusa","family":"Smid","sequence":"additional","affiliation":[{"name":"Institute of Infectious Diseases \u201cEmilio Ribas\u201d (IIER) of Sao Paulo , Sao Paulo ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa Maria do N","family":"Marcusso","sequence":"additional","affiliation":[{"name":"Institute of Infectious Diseases \u201cEmilio Ribas\u201d (IIER) of Sao Paulo , Sao Paulo ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tatiane","family":"Assone","sequence":"additional","affiliation":[{"name":"Departamento de Dermatologia, Faculdade de Medicina da Universidade 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