Between 2000 and 2005, 84 HIV-infected children were referred to Children's National Medical Center; 28 were born to immigrant mothers, 89% of whom were of African descent. Rates of antiretroviral prophylaxis were low regardless of maternal origin. Nonimmigrant mothers (30.4%) used illicit drugs (P < 0.001), and 50% of immigrant mothers breast-fed their children (P < 0.001). These data can guide intervention strategies.
From the *Division of Infectious Disease, Department of †Pediatrics, Immunology and Tropical Medicine, The George Washington University School of Medicine and Health Sciences; ‡Department of Epidemiology and Biostatistics, The George Washington University School of Public Health and Health Services; §Children's National Medical Center, Washington, DC; ∥Pediatric Residency Program, Children's Hospital of Philadelphia, Philadelphia, PA; ¶Department of Global Health, The George Washington University School of Public Health and Health Services; and #Department of Microbiology, Immunology and Tropical Medicine, The George Washington University School of Medicine and Health Sciences, Washington, DC.
Accepted for publication February 29, 2008.
Supported by Department of Health and Human Services, NIH PHS grants NCRR 1K12 RR017613, MO1-RR-020359, and NICHD 1U10 HD45993.
Address for correspondence: Natella Rakhmanina, MD, Special Immunology/Infectious Diseases, Children's National Medical Center, The George Washington University, 111 Michigan Avenue, NW, Washington, DC 20010. E-mail: firstname.lastname@example.org.
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