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Association of Adverse Neighborhood Exposures With HIV Viral Load in Pregnant Women at Delivery
Author(s) -
Florence Momplaisir,
Tanner Nassau,
Kari Moore,
Clara Grayhack,
Wanjikũ Njoroge,
Ana V. Diez Roux,
Kathleen A. Brady
Publication year - 2020
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2020.24577
Subject(s) - medicine , viral load , confounding , odds ratio , pregnancy , logistic regression , demography , population , environmental health , cohort , immunology , human immunodeficiency virus (hiv) , biology , sociology , genetics
Key Points Question Are adverse neighborhood exposures associated with poor virologic control of HIV in pregnant women at labor and delivery? Findings In this cohort study of 905 births among 684 women with HIV, women residing in neighborhoods with high rates of violent and prostitution crimes were more likely to have poor virologic control, whereas women residing in neighborhoods with high rates of education were more likely to have better virologic control. Meaning These findings suggest that social determinants need to be addressed to improve maternal health.

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