{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T20:08:59Z","timestamp":1781640539805,"version":"3.54.5"},"reference-count":36,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"abstract":"<jats:p>ABSTRACT  Objectives: To estimate the prevalence of HIV infection in pregnant women; analyze the gestational and maternal outcomes of women with HIV; and evaluate process indicators for the prevention of vertical transmission of HIV according to type of financing for hospital admission in the state of Rio de Janeiro (RJ).  Methods: cross-sectional study with 1,923 women, conducted between 2021-2023. Interviews were carried out with women, and data was extracted from the pregnancy booklet and hospital records. The prevalence of HIV infection, gestational and maternal outcomes, and the adequacy of process indicators for the management of HIV infection were estimated with respective 95% confidence intervals (95%CI) according to the type of financing \u2014 public or private \u2014 for hospital admission for childbirth or abortion.  Results: Coverage of prenatal care (PNC), HIV testing during PNC (one and two tests), and testing during hospital admission was 93.7, 79.7, 45.8, and 79.2%, respectively. The prevalence of HIV infection was estimated at 0.79% (95%CI 0.31\u20131.99). Only 40% of women with HIV had registered antiretroviral treatment and 26% had registered viral load tests in their pregnancy booklet. Women with public funding were more socially vulnerable and had less coverage of PNC and testing with two tests.  Conclusion: Missed opportunities were identified in the management of pregnant women with HIV in public and private services in RJ. The detection rate was higher than that of the Notifiable Diseases Information System and suggests underreporting of cases.<\/jats:p>","DOI":"10.1590\/1980-549720250020","type":"journal-article","created":{"date-parts":[[2025,5,10]],"date-time":"2025-05-10T22:56:45Z","timestamp":1746917805000},"source":"Crossref","is-referenced-by-count":1,"title":["HIV infection during pregnancy in the state of Rio de Janeiro, Brazil, 2021-2023"],"prefix":"10.1590","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5722-8127","authenticated-orcid":false,"given":"Rosa Maria Soares Madeira","family":"Domingues","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1386-7001","authenticated-orcid":false,"given":"Marcos Augusto Bastos","family":"Dias","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0236-2043","authenticated-orcid":false,"given":"Ana Paula","family":"Esteves-Pereira","sequence":"additional","affiliation":[{"name":"S\u00e9rgio Arouca National School of Public Health,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9746-719X","authenticated-orcid":false,"given":"Paula Mendes","family":"Luz","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6017-5660","authenticated-orcid":false,"given":"Emilia","family":"Jalil","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2524-9905","authenticated-orcid":false,"given":"Vania","family":"Rocha","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3298-0456","authenticated-orcid":false,"given":"Angela Cristina Vasconcelos de Andrade","family":"Rabello","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3330-0830","authenticated-orcid":false,"given":"Ruth Khalili","family":"Friedman","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3047-515X","authenticated-orcid":false,"given":"Maria do Carmo","family":"Leal","sequence":"additional","affiliation":[{"name":"S\u00e9rgio Arouca National School of Public Health,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","series-title":"Global guidance on criteria and processes for validation: elimination of mother-to child transmission of HIV, syphilis and hepatitis B virus [Internet]","year":"2021"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1007\/s10461-016-1670-9","article-title":"Prevention of mother-to-child transmission of HIV and paediatric HIV care and treatment monitoring: from measuring process to impact and elimination of mother-to-child transmission of HIV","volume":"21","author":"Idele P","year":"2017","journal-title":"AIDS Behav"},{"issue":"8","key":"ref3","article-title":"Accelerating progress towards the elimination of mother-to-child transmission of HIV: a narrative review","volume":"23","author":"Chi BH","year":"2020","journal-title":"J Int AIDS Soc"},{"issue":"2","key":"ref4","article-title":"Mother to child transmission of HIV in Brazil: data from the \"birth in Brazil study\", a national hospital-based study","volume":"13","author":"Domingues RMSM","year":"2018","journal-title":"PLoS One"},{"key":"ref5","doi-asserted-by":"crossref","DOI":"10.6061\/clinics\/2019\/e318","article-title":"Review of the missed opportunities for the prevention of vertical transmission of HIV in Brazil","volume":"74","author":"Guimar\u00e3es MF","year":"2019","journal-title":"Clinics"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"1182386","DOI":"10.3389\/fpubh.2023.1182386","article-title":"Perspectives and challenges for mother-to-child transmission of HIV, hepatitis B, and syphilis in Brazil","volume":"11","author":"Miranda AE","year":"2023","journal-title":"Front Public Health"},{"key":"ref7","series-title":"Minist\u00e9rio da Sa\u00fade. Secretaria de Vigil\u00e2ncia em Sa\u00fade e Ambiente. Departamento de HIV\/Aids, Tuberculose, Hepatites Virais e Infec\u00e7\u00f5es Sexualmente Transmiss\u00edveis. 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1996-2016","volume":"39","author":"Domingues RMSM","year":"2023","journal-title":"Cad Sa\u00fade P\u00fablica"},{"issue":"4","key":"ref30","doi-asserted-by":"crossref","first-page":"335.e1","DOI":"10.1016\/j.ajog.2013.06.021","article-title":"Cesarean section for HIV infected women in the combination antiretroviral therapies era, 2000-2010","volume":"209","author":"Briand N","year":"2013","journal-title":"Am J Obstet Gynecol"},{"issue":"9","key":"ref31","doi-asserted-by":"crossref","first-page":"1078","DOI":"10.1111\/j.1471-0528.2008.01706.x","article-title":"Trends in management and outcome of pregnancies in HIV-infected women in the UK and Ireland, 1990-2006","volume":"115","author":"Townsend CL","year":"2008","journal-title":"BJOG"},{"issue":"1","key":"ref32","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1002\/ijgo.15528","article-title":"Impact of maternal HIV infection on perinatal outcomes: A systematic review","volume":"166","author":"Atowoju I","year":"2024","journal-title":"Int J Gynaecol Obstet"},{"issue":"6","key":"ref33","doi-asserted-by":"crossref","first-page":"946","DOI":"10.1111\/1471-0528.13614","article-title":"Network for Surveillance of Severe Maternal Morbidity: a powerful national collaboration generating data on maternal health outcomes and care","volume":"123","author":"Cecatti JG","year":"2016","journal-title":"BJOG"},{"issue":"12","key":"ref34","doi-asserted-by":"crossref","first-page":"2449","DOI":"10.2105\/AJPH.2015.302886","article-title":"Contribution of HIV to maternal morbidity among refugee women in Canada","volume":"105","author":"Wanigaratne S","year":"2015","journal-title":"Am J Public Health"},{"issue":"2","key":"ref35","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1111\/tmi.12633","article-title":"The role of infection and sepsis in the Brazilian Network for Surveillance of Severe Maternal Morbidity","volume":"21","author":"Pfitscher LC","year":"2016","journal-title":"Trop Med Int Health"},{"key":"ref36","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1111\/1471-0528.15623","article-title":"Non-obstetric causes of severe maternal complications: a secondary analysis of the Nigeria Near-miss and Maternal Death Survey","volume":"126","author":"Adeniran AS","year":"2019","journal-title":"BJOG"}],"container-title":["Revista Brasileira de Epidemiologia"],"original-title":["Infec\u00e7\u00e3o pelo HIV na gesta\u00e7\u00e3o no estado do Rio de Janeiro, Brasil, 2021\u20132023"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1415-790X2025000100420&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,10]],"date-time":"2025-05-10T22:56:57Z","timestamp":1746917817000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1415-790X2025000100420&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":36,"alternative-id":["S1415-790X2025000100420"],"URL":"https:\/\/doi.org\/10.1590\/1980-549720250020","relation":{"is-translation-of":[{"id-type":"doi","id":"10.1590\/1980-549720250020.2","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1980-549720250020.2","asserted-by":"object"}]},"ISSN":["1980-5497","1415-790X"],"issn-type":[{"value":"1980-5497","type":"electronic"},{"value":"1415-790X","type":"print"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e250020"}}