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Mehta SN, Murrill M, Suryavanshi N, Bhosale R, Naik S, Patil N, Gupta A, Mathad J, Shivakoti R, Alexander M. TB-related knowledge and stigma among pregnant women in low-resource settings. Int J Tuberc Lung Dis 2021; 25:148-150. [PMID: 33656428 DOI: 10.5588/ijtld.20.0241] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Affiliation(s)
- S N Mehta
- Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - M Murrill
- Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - N Suryavanshi
- Johns Hopkins University School of Medicine, Baltimore, Maryland, USA, Byramjee-Jeejeebhoy Medical College-Johns Hopkins University Clinical Research Site, Pune
| | - R Bhosale
- Byramjee-Jeejeebhoy Medical College-Johns Hopkins University Clinical Research Site, Pune, Byramjee-Jeejeebhoy Government Medical College, Pune, India
| | - S Naik
- Byramjee-Jeejeebhoy Medical College-Johns Hopkins University Clinical Research Site, Pune, Byramjee-Jeejeebhoy Government Medical College, Pune, India
| | - N Patil
- Byramjee-Jeejeebhoy Medical College-Johns Hopkins University Clinical Research Site, Pune
| | - A Gupta
- Johns Hopkins University School of Medicine, Baltimore, Maryland, USA, Byramjee-Jeejeebhoy Medical College-Johns Hopkins University Clinical Research Site, Pune
| | - J Mathad
- Weill Cornell Medical College, New York, NY
| | - R Shivakoti
- Columbia University Mailman School of Public Health, New York, NY, USA
| | - M Alexander
- Byramjee-Jeejeebhoy Medical College-Johns Hopkins University Clinical Research Site, Pune
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Vaidya A, Bhosale R, Sambarey P, Suryavanshi N, Young S, Mave V, Kanade S, Kulkarni V, Deshpande P, Balasubramanian U, Elf J, Gupte N, Gupta A, Mathad JS. Household food insecurity is associated with low interferon-gamma levels in pregnant Indian women. Int J Tuberc Lung Dis 2018. [PMID: 28633705 DOI: 10.5588/ijtld.16.0718] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
SETTING Over 20% of tuberculosis (TB) cases during pregnancy occur in India. OBJECTIVE To determine the association between household food insecurity and interferon-gamma (IFN-γ) levels in pregnancy. DESIGN Pregnant women in India were administered the Household Food Insecurity Access Scale (HFIAS) questionnaire and underwent an IFN-γ release assay. Logistic regression was used to identify factors associated with food insecurity. RESULTS Of 538 women, 60 (11%) had household food insecurity, 47 (78%) of which were moderate or severe food insecure. After mitogen stimulation, moderate or severe food insecure women had a median IFN-γ concentration of 4.2 IU/ml (IQR 2.2-9.8) vs. 8.4 IU/ml (IQR 3.0-10) in women with no or mild food insecurity (P = 0.03). In multivariate analysis, higher IFN-γ concentrations were associated with human immunodeficiency virus infection (OR 1.3, 95%CI 0.51-2.1, P = 0.001), and inversely associated with moderate or severe food insecurity (OR -1.6, 95%CI -2.9 to -0.27, P = 0.02) and the number of adults in the household (OR -0.08, 95%CI -0.16 to -0.01, P = 0.03). There was no association between food insecurity and IFN-γ response to Mycobacterium tuberculosis antigen. CONCLUSION Food insecurity in pregnancy is associated with low IFN-γ levels. There was no association between food insecurity and IFN-γ response to M. tuberculosis antigen, but our study was underpowered to detect this outcome.
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Affiliation(s)
- A Vaidya
- School of Medicine, Weill Cornell Medical College, New York, New York, Emory University School of Medicine, Department of Internal Medicine, Atlanta, Georgia, USA
| | - R Bhosale
- Department of Obstetrics and Gynaecology, Byramjee-Jeejeebhoy Government Medical College (BJGMC), Pune
| | - P Sambarey
- Department of Obstetrics and Gynaecology, Byramjee-Jeejeebhoy Government Medical College (BJGMC), Pune
| | - N Suryavanshi
- BJGMC-Johns Hopkins Clinical Trials Unit, Pune, India
| | - S Young
- Department of Population Medicine and Diagnostic Sciences, Cornell University, Ithaca, New York, Department of Anthropology, Northwestern University, Evanston, Illinois
| | - V Mave
- BJGMC-Johns Hopkins Clinical Trials Unit, Pune, India, Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - S Kanade
- BJGMC-Johns Hopkins Clinical Trials Unit, Pune, India
| | - V Kulkarni
- BJGMC-Johns Hopkins Clinical Trials Unit, Pune, India
| | - P Deshpande
- BJGMC-Johns Hopkins Clinical Trials Unit, Pune, India
| | | | - J Elf
- Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - N Gupte
- BJGMC-Johns Hopkins Clinical Trials Unit, Pune, India, Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - A Gupta
- BJGMC-Johns Hopkins Clinical Trials Unit, Pune, India, Division of Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, Maryland
| | - J S Mathad
- Center for Global Health, Weill Cornell Medical College, New York, New York, USA
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Mave V, Chandanwale A, Bhosale R, Shere D, Gupte N, Suryavanshi N, Kulkarni V, Kagal A, Bharadwaj R, Joshi S, Bollinger RC, Gupta A. Vitamin D deficiency and risk of postpartum tuberculosis among HIV-infected breastfeeding mothers in India. Int J Tuberc Lung Dis 2015; 19:302-4. [PMID: 25686138 DOI: 10.5588/ijtld.14.0658] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
Abstract
Some studies have associated low vitamin D levels with the risk of tuberculosis (TB), but its association in human immunodeficiency virus (HIV) infected mothers in a TB-endemic region has not been well studied. We conducted a nested 1:2 case-control study among HIV-infected mothers in western India to evaluate the association between maternal vitamin D levels and the risk of postpartum TB. Vitamin D insufficiency, moderate deficiency and severe deficiency were observed in a high proportion of HIV-infected mothers, but were not associated with the risk of postpartum TB.
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Affiliation(s)
- V Mave
- *Byramjee-Jeejeebhoy Medical College Clinical Trials Unit, Pune, India, †Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - A Chandanwale
- *Byramjee-Jeejeebhoy Medical College Clinical Trials Unit, Pune, India
| | - R Bhosale
- *Byramjee-Jeejeebhoy Medical College Clinical Trials Unit, Pune, India
| | - D Shere
- *Byramjee-Jeejeebhoy Medical College Clinical Trials Unit, Pune, India
| | - N Gupte
- *Byramjee-Jeejeebhoy Medical College Clinical Trials Unit, Pune, India, †Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - N Suryavanshi
- *Byramjee-Jeejeebhoy Medical College Clinical Trials Unit, Pune, India
| | - V Kulkarni
- *Byramjee-Jeejeebhoy Medical College Clinical Trials Unit, Pune, India
| | - A Kagal
- *Byramjee-Jeejeebhoy Medical College Clinical Trials Unit, Pune, India
| | - R Bharadwaj
- *Byramjee-Jeejeebhoy Medical College Clinical Trials Unit, Pune, India
| | - S Joshi
- *Byramjee-Jeejeebhoy Medical College Clinical Trials Unit, Pune, India
| | - R C Bollinger
- *Byramjee-Jeejeebhoy Medical College Clinical Trials Unit, Pune, India, †Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
| | - A Gupta
- *Byramjee-Jeejeebhoy Medical College Clinical Trials Unit, Pune, India, †Johns Hopkins University School of Medicine, Baltimore, Maryland, USA
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Mave V, Kadam D, Kinikar A, Gupte N, Bhattacharya D, Bharadwaj R, McIntire K, Kulkarni V, Balasubramanian U, Suryavanshi N, Thio C, Deshpande P, Sastry J, Bollinger R, Gupta A, Bhosale R. Impact of maternal hepatitis B virus coinfection on mother-to-child transmission of HIV. HIV Med 2014; 15:347-54. [PMID: 24422893 DOI: 10.1111/hiv.12120] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/24/2013] [Indexed: 01/05/2023]
Abstract
OBJECTIVES Despite high hepatitis B virus (HBV) endemicity in various resource-limited settings (RLSs), the impact of maternal HIV/HBV coinfection on infant health outcomes has not been defined. We aimed to assess the prevalence of HBV coinfection among HIV-infected pregnant women and its impact on HIV transmission and infant mortality. METHODS In this study, the seroprevalence of HBV coinfection was determined among HIV-infected pregnant women enrolled in the Six-Week Extended-Dose Nevirapine (SWEN) India trial. The impact of maternal HIV/HBV coinfection on mother-to-child transmission (MTCT) of HIV and infant mortality was assessed using univariate and multivariate logistic regression analysis. RESULTS Among 689 HIV-infected pregnant Indian women, 32 (4.6%) had HBV coinfection [95% confidence interval (CI) 3.4%, 5.3%]. HBV DNA was detectable in 18 (64%) of 28 HIV/HBV-coinfected women; the median HBV viral load was 155 copies/mL [interquartile range (IQR) < 51-6741 copies/mL]. Maternal HIV/HBV coinfection did not increase HIV transmission risk [adjusted odds ratio (aOR) 1.06; 95% CI 0.30, 3.66; P = 0.93]. Increased odds of all-cause infant mortality was noted (aOR 3.12; 95% CI 0.67, 14.57; P = 0.15), but was not statistically significant. CONCLUSIONS The prevalence of active maternal HBV coinfection in HIV-infected pregnant women in India was 4.6%. HIV/HBV coinfection was not independently associated with HIV transmission.
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Affiliation(s)
- V Mave
- Byramjee-Jeejeebhoy Medical College Clinical Trials Unit, Pune, India; Johns Hopkins School of Medicine, Baltimore, MD, USA
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Gupta A, Bhosale R, Sambarey P, Patil S, Gupte N, Bollinger R. Reply to Hanrahan et al. Clin Infect Dis 2012. [DOI: 10.1093/cid/cis135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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