PMID- 7882109 OWN - NLM STAT- MEDLINE DCOM- 19950410 LR - 20061115 IS - 1077-9450 (Print) IS - 1077-9450 (Linking) VI - 8 IP - 4 DP - 1995 Apr 1 TI - Risk factors for maternal HTLV-I infection in French Guiana: high HTLV-I prevalence in the Noir Marron population. PG - 420-5 AB - The aim of this study was to compare rates of human T-cell lymphotropic virus type I (HTLV-I) seroprevalence in pregnant women belonging to different ethnic groups in French Guiana and to determine the risk factors associated with HTLV-I seropositivity. All 1,873 deliveries between 1 July 1991 and 30 June 1993 in the only gynecologic and obstetric unit at Saint Laurent du Maroni were enrolled. Serologic status could be established for 1,727 women, with 75 (4.3%) being HTLV-I seropositive. The HTLV-I seroprevalence rate differed significantly between ethnic groups: 5.7% for Noir-Marron (70/1,302), 6.3% for Haitian (3/50), and 0% for Creole (126), Amerindians (166), and Hmong (64). In Noir-Marron pregnant women, HTLV-I seropositivity was associated with a maternal age of > 35 years [odds ratio (OR), 3.3; 95% confidence interval (CI), 1.4-7.6], prior miscarriage (OR, 1.7; CI, 1-2.8), prior cesarean section (OR, 2.1; CI, 1.1-4.0), a parity > 4 (OR, 4.0; CI, 1.8-8.8), a gravidity > 6 (OR, 4.2; CI, 2.0-7.2), and a negative Rhesus factor (OR, 2.2; CI, 1.1-4.5). Two separate stepwise logistic regressions were done because gravidity and parity were highly correlated. HTLV-I seropositivity remained associated with a gravidity > 6 (OR, 3.9; CI, 2.1-7.4) and a negative Rhesus factor (OR, 2.6; CI, 1.2-5.3) for the first model and with a parity > 4 (OR, 4.1; CI, 1.9-9.0) and a negative Rhesus factor (OR, 2.5; CI, 1.2-5.1) for the second model.(ABSTRACT TRUNCATED AT 250 WORDS) FAU - Tuppin, P AU - Tuppin P AD - Unite d'Epidemiologie des Virus Oncogenes, Institut Pasteur, Paris, France. FAU - Lepere, J F AU - Lepere JF FAU - Carles, G AU - Carles G FAU - Ureta-Vidal, A AU - Ureta-Vidal A FAU - Gerard, Y AU - Gerard Y FAU - Peneau, C AU - Peneau C FAU - Tortevoye, P AU - Tortevoye P FAU - de The, G AU - de The G FAU - Moreau, J P AU - Moreau JP FAU - Gessain, A AU - Gessain A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Acquir Immune Defic Syndr Hum Retrovirol JT - Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association JID - 9501482 RN - 0 (HTLV-I Antibodies) SB - IM MH - Adult MH - Enzyme-Linked Immunosorbent Assay MH - Female MH - French Guiana/epidemiology MH - HTLV-I Antibodies/analysis MH - HTLV-I Infections/epidemiology/*ethnology/transmission MH - *Human T-lymphotropic virus 1 MH - Humans MH - Odds Ratio MH - Pregnancy MH - Pregnancy Complications, Infectious/epidemiology/*ethnology MH - Prevalence MH - Risk Factors MH - Seroepidemiologic Studies EDAT- 1995/04/01 00:00 MHDA- 1995/04/01 00:01 CRDT- 1995/04/01 00:00 PHST- 1995/04/01 00:00 [pubmed] PHST- 1995/04/01 00:01 [medline] PHST- 1995/04/01 00:00 [entrez] PST - ppublish SO - J Acquir Immune Defic Syndr Hum Retrovirol. 1995 Apr 1;8(4):420-5.