{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T06:57:11Z","timestamp":1770274631441,"version":"3.49.0"},"reference-count":40,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2022,3,15]],"date-time":"2022-03-15T00:00:00Z","timestamp":1647302400000},"content-version":"vor","delay-in-days":14,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["HIV Medicine"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>Antiretroviral treatment (ART) is essential in preventing mother\u2010to\u2010child transmission of human immunodeficiency virus (HIV), and postpartum discontinuation of ART is associated with adverse outcomes. This study identified factors associated with postpartum follow\u2010up of HIV\u2010positive women.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective cohort study of 170 HIV\u2010infected pregnant women who received regular obstetric examination and delivered successfully in Beijing between 2003 and 2020.The women's sociodemographic, clinical, treatment, obstetric, and gestational characteristics were analyzed. Cox proportional hazards models were used to estimate adjusted hazard ratios (AHRs) of loss to follow\u2010up between levels of confounders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In the multivariable Cox proportional hazard models, women with a longer time from HIV diagnosis to delivery per year had a 1.4\u2010timeshigher risk (AHR\u00a0=\u00a01.433, 95% CI: 0.897\u20132.229) and a higher rate of loss to follow\u2010up than the other women. Perinatal health care (AHR\u00a0=\u00a00.003,95% CI: 0.000\u20130.105) and gestational age above 37\u00a0weeks at delivery (AHR\u00a0=\u00a00.294, 95% CI: 0.005\u201315.818) were associated with a longer follow\u2010up of postpartum HIV\u2010positive women, when compared to women who did not receive perinatal healthcare and who delivered before 37\u00a0weeks of gestation, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The longer time from HIV diagnosis to delivery, access to perinatal care, and full\u2010term gestation at delivery improved postpartum ART adherence and follow\u2010up among HIV\u2010positive women. Early initiation of ART, integration of adult ART into prevention of mother\u2010to\u2010child transmission, combination ART with maternal healthcare, and enhanced pregnancy care will improve ART adherence among HIV\u2010positive women after delivery.<\/jats:p><\/jats:sec>","DOI":"10.1111\/hiv.13248","type":"journal-article","created":{"date-parts":[[2022,3,16]],"date-time":"2022-03-16T01:39:48Z","timestamp":1647394788000},"page":"42-53","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Loss to follow\u2010up among human immunodeficiency virus\u2010positive postpartum women and its predictive factors: A retrospective study"],"prefix":"10.1111","volume":"23","author":[{"given":"Jianwei","family":"Li","sequence":"first","affiliation":[{"name":"Center for Infectious Diseases Beijing Youan Hospital Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aixin","family":"Li","sequence":"additional","affiliation":[{"name":"Center for Infectious Diseases Beijing Youan Hospital Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiangzhu","family":"Ye","sequence":"additional","affiliation":[{"name":"Center for Infectious Diseases Beijing Youan Hospital Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ying","family":"Shao","sequence":"additional","affiliation":[{"name":"Center for Infectious Diseases Beijing Youan Hospital Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongwei","family":"Zhang","sequence":"additional","affiliation":[{"name":"Center for Infectious Diseases Beijing Youan Hospital Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"An","family":"Liu","sequence":"additional","affiliation":[{"name":"Center for Infectious Diseases Beijing Youan Hospital Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaicun","family":"Li","sequence":"additional","affiliation":[{"name":"Center for Infectious Diseases Beijing Youan Hospital Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guang","family":"Zhang","sequence":"additional","affiliation":[{"name":"National Center for AIDS\/STD Control and Prevention China CDC  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lijun","family":"Sun","sequence":"additional","affiliation":[{"name":"Center for Infectious Diseases Beijing Youan Hospital Capital Medical University  Beijing China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,3,15]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Ministry of Health of the People\u2019s Republic of China.Joint United Nations Programme on HIV\/AIDS World Health Organization. 2018 estimates for HIV\/AIDS epidemic in China [R\/OL].https:\/\/baijiahao.baidu.com\/s?id=1617892095416477576&wfr=spider&for=pc. 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