Rates of Perinatal HIV Decreased From 2002 to 2013 in US
As of 2013, the incidence of perinatal HIV infection remained 1.75 times the proposed CDC elimination of mother-to-child HIV transmission goal of 1 per 100, 000 live births.
HealthDay News — The estimated annual number of perinatal HIV-infected infants born in the United States decreased from 2002 to 2013, according to a study published in JAMA Pediatrics.
Allan W. Taylor, MD, MPH, from the US Centers for Disease Control and Prevention in Atlanta, and colleagues estimated the number of perinatal HIV cases using data from the National HIV Surveillance System on infants with HIV born in the United States and their mothers from 2002 to 2013. The researchers found that from 2002 to 2013, there was a decrease in the estimated annual number of perinatally infected infants born in the United States, from 216 to 69.
Among perinatally HIV-infected children born in 2002 to 2013, 63% and 18.3% of the mothers identified as black or African-American and as Hispanic or Latino, respectively. Overall, 37.5% of mothers had HIV infection diagnosed before pregnancy in 2002 to 2005, compared with 51.5% in 2010 to 2013.
The proportion of mother-infant pairs that received all of prenatal, intrapartum, and postnatal antiretroviral prophylaxis or treatment was 22.4% and 31.8% in 2002 to 2005 and 2010 to 2013, respectively; about 28.4% and 40.3%, respectively, received antiretroviral prophylaxis or treatment during pregnancy.
"Despite reduced perinatal HIV infection in the United States, missed opportunities for prevention were common among infected infants and their mothers in recent years," the researchers write.
Taylor AW, Nesheim SR, Zhang X, et al. Estimated perinatal HIV infection among infants born in the United States, 2002-2013 [published online March 20, 2017] JAMA Pediatr. doi: 10.1001/jamapediatrics.2016.5053