{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T08:13:01Z","timestamp":1759565581797,"version":"3.37.3"},"reference-count":30,"publisher":"Wiley","license":[{"start":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T00:00:00Z","timestamp":1554076800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["K23 HD090993"],"award-info":[{"award-number":["K23 HD090993"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Infectious Diseases in Obstetrics and Gynecology"],"published-print":{"date-parts":[[2019,4,1]]},"abstract":"<jats:p><jats:italic>Background<\/jats:italic>. Sexually transmitted infections (STIs) are associated with adverse birth outcomes. Current prenatal STI screening guidelines define \u201crisk\u201d without explicit consideration of HIV status. Our objective was to test the hypothesis that HIV status is associated with bacterial STI in pregnant women.<jats:italic>Methods<\/jats:italic>. We designed a retrospective cohort study to identify pregnant women with HIV who delivered at our facility during 2000-2014. HIV+ women were compared to HIV- women with matching by year of delivery. Logistic regression was used to model adjusted odds of prevalent and incident STI. Prevalent STI was defined as chlamydia (CT), gonorrhea (GC), syphilis, or trichomoniasis detected on an initial prenatal screening test and incident STI as a newly positive result following a negative prenatal test.<jats:italic>Results<\/jats:italic>. The cohort included 432 women, 210 HIV+ and 222 HIV-. Most pregnant women were screened for STI (92% of HIV+ women and 74% of HIV- women). STI rates were high and particularly elevated in HIV+ women: 29% vs 18% (p=0.02), for prevalent STI and 11% vs 2% (p&lt;0.001) for incident STI. Risk factors for prevalent STI were as follows: HIV status (aOR 3.0, CI: 1.4-6.4), Black race (aOR 2.7, 95% CI: 1.1-6.6), and more recent delivery (2007-2014 compared to 2000-2006) (aOR 2.3, CI: 1.1-4.7). HIV status was an independent risk factor for incident STI (aOR 7.2, CI: 2.1-25.0).<jats:italic>Conclusion<\/jats:italic>. Pregnant women who delivered in our center had high STI rates. Since HIV infection was independently associated with prevalent and incident STI, prenatal screening guidelines may need to incorporate HIV status as a high-risk group for repeat testing.<\/jats:p>","DOI":"10.1155\/2019\/6584101","type":"journal-article","created":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T19:34:10Z","timestamp":1554147250000},"page":"1-8","source":"Crossref","is-referenced-by-count":9,"title":["HIV Status and Other Risk Factors for Prevalent and Incident Sexually Transmitted Infection during Pregnancy (2000-2014)"],"prefix":"10.1155","volume":"2019","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3625-5174","authenticated-orcid":true,"given":"Jodie","family":"Dionne-Odom","sequence":"first","affiliation":[{"name":"Department of Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle J.","family":"Khan","sequence":"additional","affiliation":[{"name":"Departments of Obstetrics and Gynecology and Adult and Family Medicine, Kaiser Permanente, San Leandro, California, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria C.","family":"Jauk","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Center for Women\u2019s Reproductive Health, University of Alabama at Birmingham, Birmingham, Alabama, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeff","family":"Szychowski","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Center for Women\u2019s Reproductive Health, University of Alabama at Birmingham, Birmingham, Alabama, USA"},{"name":"Department of Biostatistics, University of Alabama at Birmingham School of Public Health, Birmingham, Alabama, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dustin M.","family":"Long","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, University of Alabama at Birmingham School of Public Health, Birmingham, Alabama, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Suzanne","family":"Wallace","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cherry","family":"Neely","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Center for Women\u2019s Reproductive Health, University of Alabama at Birmingham, Birmingham, Alabama, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Karen","family":"Fry","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jeanne","family":"Marrazzo","sequence":"additional","affiliation":[{"name":"Department of Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marilyn","family":"Crain","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alan T. N.","family":"Tita","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Center for Women\u2019s Reproductive Health, University of Alabama at Birmingham, Birmingham, Alabama, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"2","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6728a3"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1155\/2016\/8048457"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000001355"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1213566"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1097\/inf.0000000000000578"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1097\/olq.0000000000000340"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1001\/jama.256.14.1899"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0000000000000592"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e3181f2e85f"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)32474-1"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-017-2422-9"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr6404a1"},{"issue":"11","key":"17","first-page":"907","volume":"94","year":"2016","journal-title":"American Family Physician"},{"issue":"10","key":"20","doi-asserted-by":"crossref","first-page":"710","DOI":"10.7326\/0003-4819-150-10-200905190-00009","volume":"150","year":"2009","journal-title":"Annals of Internal Medicine"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1701666"},{"issue":"1","key":"22","volume":"13","year":"2018","journal-title":"PLoS One"},{"journal-title":"The Journal of infectious diseases","year":"2018","key":"23"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1097\/QAI.0000000000000103"},{"issue":"2","key":"25","doi-asserted-by":"crossref","first-page":"260","DOI":"10.1093\/cid\/civ298","volume":"61","year":"2015","journal-title":"Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1089\/aid.2015.0011"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000000793"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.1097\/qad.0b013e32834a9338"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001608"},{"key":"30","doi-asserted-by":"publisher","DOI":"10.1097\/QAD.0000000000000503"},{"key":"31","doi-asserted-by":"publisher","DOI":"10.1097\/OLQ.0b013e31812e6b9a"},{"issue":"5","key":"32","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1097\/OLQ.0000000000000820","volume":"45","year":"2018","journal-title":"Sexually Transmitted Diseases"},{"key":"33","doi-asserted-by":"publisher","DOI":"10.3109\/14659891.2016.1144805"},{"key":"34","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002807"},{"key":"35","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6806a4"},{"key":"37","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000756"}],"container-title":["Infectious Diseases in Obstetrics and Gynecology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/idog\/2019\/6584101.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/idog\/2019\/6584101.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/idog\/2019\/6584101.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,11,22]],"date-time":"2019-11-22T17:35:00Z","timestamp":1574444100000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/idog\/2019\/6584101\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,4,1]]},"references-count":30,"alternative-id":["6584101","6584101"],"URL":"https:\/\/doi.org\/10.1155\/2019\/6584101","relation":{},"ISSN":["1064-7449","1098-0997"],"issn-type":[{"type":"print","value":"1064-7449"},{"type":"electronic","value":"1098-0997"}],"subject":[],"published":{"date-parts":[[2019,4,1]]}}}