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Adolescent Motherhood and HIV

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Women's Health".

Deadline for manuscript submissions: closed (28 February 2023) | Viewed by 1847

Special Issue Editors


E-Mail Website
Guest Editor
Centre for Social Science Research, University of Cape Town, Cape Town 7700, South Africa
Interests: adolescents; HIV; pregnancy & motherhood; sexual and reproductive health; development accelerators

E-Mail Website
Guest Editor
Centre for Social Science Research, University of Cape Town, Cape Town 7700, South Africa
Interests: adolescent and reproductive health; maternal and child health; evidence-based parent support programmes; policy advocacy

Special Issue Information

Dear Colleagues,

HIV infection and motherhood overlap in adolescents and often share similar risk factors. When they co-occur, they may affect maternal and child outcomes in syndemic (additive or multiplicative) ways. However, our knowledge of how this happens remains limited. Understanding experiences of adolescent mothers, their children, their families, and the service providers that support them, in the context of high HIV risk and prevalence, is critical to breaking intergenerational cycles of adversity. Evidence on promising practices and effective programs in different settings and sectors is needed, including health services, social development (including parenting and caregiver support), education, and labor/employment sectors. Ultimately, individual interventions may be insufficient to address the drivers and negative outcomes linked to HIV acquisition and early adolescent pregnancy.

This Special Issue of The International Journal of Environmental Research and Public Health (IJERPH) focuses on the current state of knowledge on HIV and motherhood during adolescence in different communities, highlights possible solutions, and identifies future research gaps.

Dr. Elona Toska
Dr. Hlengiwe Sacolo
Guest Editors

Manuscript Submission Information

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Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • HIV
  • motherhood
  • pregnancy
  • adolescence
  • drivers
  • solutions

Published Papers (1 paper)

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Research

12 pages, 879 KiB  
Article
Adverse Perinatal Outcomes among Adolescent Pregnant Women Living with HIV: A Propensity-Score-Matched Study
by Gilmar de Souza Osmundo Junior, Fábio Roberto Cabar, Stela Verzinhasse Peres, Adriana Lippi Waissman, Marco Aurélio Knippel Galletta and Rossana Pulcineli Vieira Francisco
Int. J. Environ. Res. Public Health 2023, 20(8), 5447; https://doi.org/10.3390/ijerph20085447 - 10 Apr 2023
Viewed by 1560
Abstract
HIV infection and adolescent pregnancy are known to increase the risk of adverse perinatal outcomes. However, data are limited concerning the outcomes of pregnancies among adolescent girls living with HIV. This retrospective propensity-score matched study aimed to compare adverse perinatal outcomes in adolescent [...] Read more.
HIV infection and adolescent pregnancy are known to increase the risk of adverse perinatal outcomes. However, data are limited concerning the outcomes of pregnancies among adolescent girls living with HIV. This retrospective propensity-score matched study aimed to compare adverse perinatal outcomes in adolescent pregnant women living with HIV (APW-HIV-positive) with HIV-negative adolescent pregnant women (APW-HIV-negative) and adult pregnant women with HIV (PW-HIV). APW-HIV-positive were propensity-score matched with APW-HIV-negative and PW-HIV. The primary endpoint was a composite endpoint of adverse perinatal outcomes, comprising preterm birth and low birth weight. There were 15 APW-HIV-positive and 45 women in each control group. The APW-HIV-positive were aged 16 (13–17) years and had had HIV for 15.5 (4–17) years, with 86.7% having perinatally acquired HIV. The APW-HIV-positive had higher rates of perinatally acquired HIV infection (86.7 vs. 24.4%, p < 0.001), a longer HIV infection time (p = 0.021), and longer exposure to antiretroviral therapy (p = 0.034) compared with the PW-HIV controls. The APW-HIV-positive had an almost five-fold increased risk of adverse perinatal outcomes compared with healthy controls (42.9% vs. 13.3%, p = 0.026; OR 4.9, 95% CI 1.2–19.1). The APW-HIV-positive and APW-HIV-negative groups had similar perinatal outcomes. Full article
(This article belongs to the Special Issue Adolescent Motherhood and HIV)
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