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Record W2122551991 · doi:10.1177/2325957413494238

Self-Reported Preconception Care of HIV-Positive Women of Reproductive Potential

2013· article· en· W2122551991 on OpenAlexafffundabout
Mona Loutfy, Sandra Blitz, Yimeng Zhang, Trevor Hart, Sharon Walmsley, Fiona Smaill, Anita Rachlis, Mark H. Yudin, Jonathan B. Angel, Edward D. Ralph, Wangari Tharao, Janet Raboud

Bibliographic record

VenueJournal of the International Association of Providers of AIDS Care (JIAPAC) · 2013
Typearticle
Languageen
FieldMedicine
TopicReproductive Health and Contraception
Canadian institutionsWomen's Health In Women's HandsToronto Metropolitan UniversityHealth Sciences CentreOttawa HospitalSt. Michael's HospitalSunnybrook Health Science CentreSt Joseph's Health CareHamilton Health SciencesUniversity of TorontoToronto General HospitalPublic Health OntarioWomen's College Hospital
FundersCanadian Institutes of Health Research
KeywordsMedicineInterquartile rangePregnancyLogistic regressionFamily medicineHuman immunodeficiency virus (HIV)OddsMarital statusObstetrics and gynaecologyOdds ratioCross-sectional studyCohortObstetricsDemographyPopulationInternal medicineEnvironmental health

Abstract

fetched live from OpenAlex

OBJECTIVES: We determined the proportion and correlates of self-reported pregnancy planning discussions (that is preconception counseling) that HIV-positive women reported to their family physicians (FPs), HIV specialists, and obstetrician/gynecologists (OB/Gyns). METHODS: In a cross-sectional substudy, HIV-positive women of reproductive potential were asked whether their care providers discussed pregnancy planning. Logistic regression was used to calculate odds ratios for the correlates of preconception counseling. RESULTS: A total of 431 eligible participants (median age 38, interquartile range = 32-43) reported having discussion with a physician (92% FP, 96% HIV specialists, and 45% OB/Gyns). In all, 34%, 41%, and 38% had their pregnancy planning discussion with FP, HIV specialist, and Ob/Gyns, respectively; 51% overall. In the multivariable model, significant correlates of preconception counseling were age (P = .02), marital status (P < .01), number of years living in Canada (P < .001), and age of youngest child (P < .01). CONCLUSIONS: Preconception care in our cohort was suboptimal. We recommend that counseling on healthy preconception should be part of routine HIV care.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.236
Threshold uncertainty score0.430

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.006
GPT teacher head0.252
Teacher spread0.246 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations20
Published2013
Admission routes3
Has abstractyes

Explore more

Same venueJournal of the International Association of Providers of AIDS Care (JIAPAC)Same topicReproductive Health and ContraceptionFrench-language works237,207