Hepatitis C prevalence and quality of health services among HIV-positive mothers in the Democratic Republic of the Congo

被引:3
|
作者
Thompson, Peyton [1 ]
Mpody, Christian [2 ]
Sayre, Wesley [3 ]
Rigney, Clare [4 ]
Tabala, Martine [5 ]
Ravelomanana, Noro Lantoniaina Rosa [5 ]
Malongo, Fathy [5 ]
Kawende, Bienvenu [5 ]
Behets, Frieda [6 ]
Okitolonda, Emile [5 ]
Yotebieng, Marcel [7 ]
机构
[1] Univ N Carolina, Dept Pediat, Div Infect Dis, Chapel Hill, NC 27599 USA
[2] Ohio State Univ, Coll Publ Hlth, Div Epidemiol, Columbus, OH USA
[3] Univ N Carolina, Sch Med, Chapel Hill, NC USA
[4] Cleveland State Univ, Coll Hlth Sci, Cleveland, OH USA
[5] Univ Kinshasa, Sch Publ Hlth, Kinshasa, DEM REP CONGO
[6] Univ N Carolina, Gillings Sch Global Publ Hlth, Dept Epidemiol, Chapel Hill, NC USA
[7] Albert Einstein Coll Med, Dept Med, Div Gen Internal Med, Bronx, NY USA
基金
美国国家卫生研究院;
关键词
VIRUS;
D O I
10.1038/s41598-022-05014-3
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Hepatitis C virus (HCV) contributes to liver-related morbidity and mortality throughout Africa despite effective antivirals. HCV is endemic in the Democratic Republic of the Congo (DRC) but data on HCV/HIV co-infection in pregnancy is limited. We estimated the prevalence of and risk factors for HCV/HIV co-infection among pregnant women in the Kinshasa province of the DRC. This cross-sectional study was conducted as a sub-study of an ongoing randomized trial to assess continuous quality improvement interventions (CQI) for prevention of mother-to-child transmission (PMTCT) of HIV (CQI-PMTCT study, NCT03048669). HIV-infected women in the CQI-PMTCT cohort were tested for HCV, and risk factors were evaluated using logistic regression. The prevalence of HCV/HIV co-infection among Congolese women was 0.83% (95% CI 0.43-1.23). Women who tested positive for HCV were younger, more likely to live in urban areas, and more likely to test positive during pregnancy versus postpartum. HCV-positive women had significantly higher odds of infection with hepatitis B virus (HBV) (aOR 13.87 [3.29,58.6]). An inverse relationship was noted between HCV infection and the overall capacity of the health facility as measured by the service readiness index (SRI) (aOR:0.92 [0.86,0.98] per unit increase). Women who presented to rural, for-profit and PEPFAR-funded health facilities were more likely to test positive for HCV. In summary, this study identified that the prevalence of HCV/HIV co-infection was < 1% among Congolese women. We also identified HBV infection as a major risk factor for HCV/HIV co-infection. Individuals with triple infection should be linked to care and the facility-related differences in HCV prevalence should be addressed in future studies.
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页数:10
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