Characteristics of HIV-infected pregnant women in the Bahamas

The Commonwealth of the Bahamas has one of the highest rates of acquired immunodeficiency syndrome (AIDS) in the English-speaking Caribbean. A seroprevalence study of pregnant women attending antenatal clinics in New Providence in 1990-91 showed that of 3,914 pregnant women tested, 2.9% were human immunodeficiency virus (HIV) infected. Women born in the Bahamas constituted 79.2% of the women tested; 17.7% were born in Haiti. The rate of HIV infection was 2.5% in the Bahamian women as compared with 4.5% in those born in Haiti. The highest incidence was in women aged 25-34 years and in women who had multiple pregnancies. There was a significant association with a history of crack cocaine use by the Bahamian women. There was also a significant association between a lack of education and HIV infection in this group. There was a lower rate of condom use among women with less education and also among women in common-law relationships, but the association of lack of condom use and HIV infection did not reach statistical significance.