Health Outcomes around Pregnancy and Exposure to HIV/Antiretrovirals (HOPE) study protocol: a prospective observational cohort study of reproductive-aged women living with HIV
Introduction Over 265 000 women are living with HIV in the USA, but limited research has investigated the physical, mental and behavioural health outcomes among women living with HIV of reproductive age. Health status during the reproductive years before, during and after pregnancy affects pregnancy...
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BMJ Publishing Group
2024-07-01
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| author | Jessica Lee Kathleen M Powis Alejandra Martinez Jennifer Green Paige L Williams Cristina Hernández Lisa B Haddad Anna-Barbara Moscicki Lynn M Yee Kunjal Patel Deborah Kacanek Suzanne Siminski Mariam Davtyan Tzy-Jyun Yao Denise L Jacobson Tamarra James-Todd Ellen G Chadwick Emily A Barr Claire A Berman Alex DiPerna Amanda Flores Laurie Hyzy Jennifer Jao Anisa Khadraoui Kathleen M Malee Lisa-Gaye Robinson Liz Salomon Kimbrae Sanders Renee A Smith Tracy Wolbach Lela Lartey Kathleen Malee Mary Paul Lynnette Harris Murli Purswani Martha Cavallo Mahoobullah Mirza Baig Alma Villegas-Schwalenberg Kierra Archer Alan Bernegger Patricia Garvie Katherine Knapp Chloe Burkhead Gheri Terry Megan Wilkins Margarita Silio Dornese Jones Medea Gabriel Patricia Sirois Cecelia Hutto Paige Hickman Dan Marullo Elizabeth McFarland Carrie Chambers Robin McEvoy Mobeen Rathore Saniyyah Mahmoudi Staci Routman Gwendolyn Scott Lorena Bracho Anai Cuadra Zoe M. Rodriguez Lizmarie Torres Nydia Scalley Toniette Frederick Guadalupe Morales Avendano |
| author_facet | Jessica Lee Kathleen M Powis Alejandra Martinez Jennifer Green Paige L Williams Cristina Hernández Lisa B Haddad Anna-Barbara Moscicki Lynn M Yee Kunjal Patel Deborah Kacanek Suzanne Siminski Mariam Davtyan Tzy-Jyun Yao Denise L Jacobson Tamarra James-Todd Ellen G Chadwick Emily A Barr Claire A Berman Alex DiPerna Amanda Flores Laurie Hyzy Jennifer Jao Anisa Khadraoui Kathleen M Malee Lisa-Gaye Robinson Liz Salomon Kimbrae Sanders Renee A Smith Tracy Wolbach Lela Lartey Kathleen Malee Mary Paul Lynnette Harris Murli Purswani Martha Cavallo Mahoobullah Mirza Baig Alma Villegas-Schwalenberg Kierra Archer Alan Bernegger Patricia Garvie Katherine Knapp Chloe Burkhead Gheri Terry Megan Wilkins Margarita Silio Dornese Jones Medea Gabriel Patricia Sirois Cecelia Hutto Paige Hickman Dan Marullo Elizabeth McFarland Carrie Chambers Robin McEvoy Mobeen Rathore Saniyyah Mahmoudi Staci Routman Gwendolyn Scott Lorena Bracho Anai Cuadra Zoe M. Rodriguez Lizmarie Torres Nydia Scalley Toniette Frederick Guadalupe Morales Avendano |
| author_sort | Jessica Lee |
| collection | DOAJ |
| description | Introduction Over 265 000 women are living with HIV in the USA, but limited research has investigated the physical, mental and behavioural health outcomes among women living with HIV of reproductive age. Health status during the reproductive years before, during and after pregnancy affects pregnancy outcomes and long-term health. Understanding health outcomes among women living with HIV of reproductive age is of substantial public health importance, regardless of whether they experience pregnancy. The Health Outcomes around Pregnancy and Exposure to HIV/Antiretrovirals (HOPE) study is a prospective observational cohort study designed to investigate physical and mental health outcomes of young women living with HIV as they age, including HIV disease course, engagement in care, reproductive health and choices and cardiometabolic health. We describe the HOPE study design, and characteristics of the first 437 participants enrolled as of 1 January 2024.Methods and analysis The HOPE study seeks to enrol and follow 1630 women living with HIV of reproductive age, including those with perinatally-acquired HIV, at 12 clinical sites across 9 US states and Puerto Rico. HOPE studies multilevel dynamic determinants influencing physical, mental and social well-being and behaviours of women living with HIV across the reproductive life course (preconception, pregnancy, post partum, not or never-pregnant), informed by the socioecological model. Key research areas include the clinical course of HIV, relationship of HIV and antiretroviral medications to reproductive health, pregnancy outcomes and comorbidities and the influence of racism and social determinants of health. HOPE began enrolling in April 2022.Ethics and dissemination The HOPE study received approval from the Harvard Longwood Campus Institutional Review Board, the single institutional review board of record for all HOPE sites. Results will be disseminated through conference presentations, peer-reviewed journals and lay summaries. |
| format | Article |
| id | doaj-art-d014d967489947ba9e35b6a7aff1767e |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2024-07-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-d014d967489947ba9e35b6a7aff1767e2025-08-20T02:13:04ZengBMJ Publishing GroupBMJ Open2044-60552024-07-0114710.1136/bmjopen-2024-084835Health Outcomes around Pregnancy and Exposure to HIV/Antiretrovirals (HOPE) study protocol: a prospective observational cohort study of reproductive-aged women living with HIVJessica Lee0Kathleen M Powis1Alejandra Martinez2Jennifer Green3Paige L Williams4Cristina HernándezLisa B Haddad5Anna-Barbara Moscicki6Lynn M Yee7Kunjal Patel8Deborah Kacanek9Suzanne Siminski10Mariam Davtyan11Tzy-Jyun Yao12Denise L Jacobson13Tamarra James-Todd14Ellen G Chadwick15Emily A Barr16Claire A Berman17Alex DiPerna18Amanda Flores19Laurie Hyzy20Jennifer Jao21Anisa Khadraoui22Kathleen M Malee23Lisa-Gaye Robinson24Liz Salomon25Kimbrae Sanders26Renee A Smith27Tracy Wolbach28Lela LarteyKathleen MaleeMary PaulLynnette HarrisMurli PurswaniMartha CavalloMahoobullah Mirza BaigAlma Villegas-SchwalenbergKierra ArcherAlan BerneggerPatricia GarvieKatherine KnappChloe BurkheadGheri TerryMegan WilkinsMargarita SilioDornese JonesMedea GabrielPatricia SiroisCecelia HuttoPaige HickmanDan MarulloElizabeth McFarlandCarrie ChambersRobin McEvoyMobeen RathoreSaniyyah MahmoudiStaci RoutmanGwendolyn ScottLorena BrachoAnai CuadraZoe M. RodriguezLizmarie TorresNydia ScalleyToniette FrederickGuadalupe Morales Avendano1 Center for Biostatistics in AIDS Research, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA18 Department of Immunology and Infectious Disease, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA1Department of Surgical Oncology, Institut Universitaire du Cancer de Toulouse – Oncopole, Toulouse, France9 Westat Inc, Rockville, Maryland, USA4 Departments of Epidemiology and Biostatistics, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA10 Population Council Center for Biomedical Research, New York City, New York, USA13 University of California Los Angeles, Los Angeles, California, USA2 Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA6 Department of Epidemiology, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA1 Center for Biostatistics in AIDS Research, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA8 Frontier Science Foundation, Amherst, New York, USA7 Department of Pediatrics, University of Southern California Keck School of Medicine, Los Angeles, California, USA1 Center for Biostatistics in AIDS Research, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA1 Center for Biostatistics in AIDS Research, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA6 Department of Epidemiology, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA3 Department of Pediatrics, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA5 The University of Texas Health Science Center at Houston Cizik School of Nursing, Houston, Texas, USA6 Department of Epidemiology, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA8 Frontier Science Foundation, Amherst, New York, USA6 Department of Epidemiology, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA8 Frontier Science Foundation, Amherst, New York, USA11 Department of Internal Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA6 Department of Epidemiology, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA12 Department of Psychiatry and Behavioral Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA14 Broward Health, Children’s Diagnostic and Treatment Center, Fort Lauderdale, Florida, USA6 Department of Epidemiology, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA15 Baylor Texas Children’s Hospital, Houston, Texas, USA16 Department of Pediatrics, University of Illinois Chicago, Chicago, Illinois, USA9 Westat Inc, Rockville, Maryland, USAIntroduction Over 265 000 women are living with HIV in the USA, but limited research has investigated the physical, mental and behavioural health outcomes among women living with HIV of reproductive age. Health status during the reproductive years before, during and after pregnancy affects pregnancy outcomes and long-term health. Understanding health outcomes among women living with HIV of reproductive age is of substantial public health importance, regardless of whether they experience pregnancy. The Health Outcomes around Pregnancy and Exposure to HIV/Antiretrovirals (HOPE) study is a prospective observational cohort study designed to investigate physical and mental health outcomes of young women living with HIV as they age, including HIV disease course, engagement in care, reproductive health and choices and cardiometabolic health. We describe the HOPE study design, and characteristics of the first 437 participants enrolled as of 1 January 2024.Methods and analysis The HOPE study seeks to enrol and follow 1630 women living with HIV of reproductive age, including those with perinatally-acquired HIV, at 12 clinical sites across 9 US states and Puerto Rico. HOPE studies multilevel dynamic determinants influencing physical, mental and social well-being and behaviours of women living with HIV across the reproductive life course (preconception, pregnancy, post partum, not or never-pregnant), informed by the socioecological model. Key research areas include the clinical course of HIV, relationship of HIV and antiretroviral medications to reproductive health, pregnancy outcomes and comorbidities and the influence of racism and social determinants of health. HOPE began enrolling in April 2022.Ethics and dissemination The HOPE study received approval from the Harvard Longwood Campus Institutional Review Board, the single institutional review board of record for all HOPE sites. Results will be disseminated through conference presentations, peer-reviewed journals and lay summaries.https://bmjopen.bmj.com/content/14/7/e084835.full |
| spellingShingle | Jessica Lee Kathleen M Powis Alejandra Martinez Jennifer Green Paige L Williams Cristina Hernández Lisa B Haddad Anna-Barbara Moscicki Lynn M Yee Kunjal Patel Deborah Kacanek Suzanne Siminski Mariam Davtyan Tzy-Jyun Yao Denise L Jacobson Tamarra James-Todd Ellen G Chadwick Emily A Barr Claire A Berman Alex DiPerna Amanda Flores Laurie Hyzy Jennifer Jao Anisa Khadraoui Kathleen M Malee Lisa-Gaye Robinson Liz Salomon Kimbrae Sanders Renee A Smith Tracy Wolbach Lela Lartey Kathleen Malee Mary Paul Lynnette Harris Murli Purswani Martha Cavallo Mahoobullah Mirza Baig Alma Villegas-Schwalenberg Kierra Archer Alan Bernegger Patricia Garvie Katherine Knapp Chloe Burkhead Gheri Terry Megan Wilkins Margarita Silio Dornese Jones Medea Gabriel Patricia Sirois Cecelia Hutto Paige Hickman Dan Marullo Elizabeth McFarland Carrie Chambers Robin McEvoy Mobeen Rathore Saniyyah Mahmoudi Staci Routman Gwendolyn Scott Lorena Bracho Anai Cuadra Zoe M. Rodriguez Lizmarie Torres Nydia Scalley Toniette Frederick Guadalupe Morales Avendano Health Outcomes around Pregnancy and Exposure to HIV/Antiretrovirals (HOPE) study protocol: a prospective observational cohort study of reproductive-aged women living with HIV BMJ Open |
| title | Health Outcomes around Pregnancy and Exposure to HIV/Antiretrovirals (HOPE) study protocol: a prospective observational cohort study of reproductive-aged women living with HIV |
| title_full | Health Outcomes around Pregnancy and Exposure to HIV/Antiretrovirals (HOPE) study protocol: a prospective observational cohort study of reproductive-aged women living with HIV |
| title_fullStr | Health Outcomes around Pregnancy and Exposure to HIV/Antiretrovirals (HOPE) study protocol: a prospective observational cohort study of reproductive-aged women living with HIV |
| title_full_unstemmed | Health Outcomes around Pregnancy and Exposure to HIV/Antiretrovirals (HOPE) study protocol: a prospective observational cohort study of reproductive-aged women living with HIV |
| title_short | Health Outcomes around Pregnancy and Exposure to HIV/Antiretrovirals (HOPE) study protocol: a prospective observational cohort study of reproductive-aged women living with HIV |
| title_sort | health outcomes around pregnancy and exposure to hiv antiretrovirals hope study protocol a prospective observational cohort study of reproductive aged women living with hiv |
| url | https://bmjopen.bmj.com/content/14/7/e084835.full |
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