Encyclopedia of AIDS

Living Edition
| Editors: Thomas J. Hope, Douglas Richman, Mario Stevenson

Women, Epidemiology of HIV/AIDS

Living reference work entry
DOI: https://doi.org/10.1007/978-1-4614-9610-6_167-1

Definition

Women worldwide bear a substantial burden of human immunodeficiency virus (HIV) infection, the majority attributed to heterosexual transmission. A woman’s risk of HIV acquisition results from a complex intersection of biological, behavioral, social, and structural factors. Timely diagnosis and linkage to care and treatment can reduce morbidity and mortality as well as perinatal transmission of HIV. Effective HIV prevention efforts among women will require a synthesis of biomedical, behavioral, and structural approaches which address the underlying social structures (e.g., gender inequality) which promote vulnerability to HIV infection among women.

HIV/AIDS in Women

Globally, over 50% of all adults aged 15 years and older living with HIV are women, an estimated total of 17.8 million women in 2015 (UNAIDS 2017). The burden of HIV among women varies by geographic region of the world. The majority of HIV-infected women live in sub-Saharan Africa, which constitutes roughly 80%...
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References

  1. Baeten JM, Haberer JE, Liu AY, Sista N. Preexposure prophylaxis for HIV prevention: where have we been and where are we going? J Acquir Immune Defic Syndr. 2013;63(Suppl 2):S122–9. doi:10.1097/QAI.0b013e3182986f69.CrossRefPubMedPubMedCentralGoogle Scholar
  2. Baral S, Beyrer C, Muessig K, Poteat T, Wirtz AL, Decker MR, ... Kerrigan D. Burden of HIV among female sex workers in low-income and middle-income countries: a systematic review and meta-analysis. Lancet Infect Dis. 2012;12(7):538–49. doi:10.1016/S1473-3099(12)70066-X.Google Scholar
  3. Baral SD, Poteat T, Strömdahl S, Wirtz AL, Guadamuz TE, Beyrer C. Worldwide burden of HIV in transgender women: a systematic review and meta-analysis. Lancet Infect Dis. 2013;13(3):214–22. doi:10.1016/S1473-3099(12)70315-8.CrossRefPubMedGoogle Scholar
  4. Boily MC, Baggaley RF, Wang L, Masse B, White RG, Hayes RJ, Alary M. Heterosexual risk of HIV-1 infection per sexual act: systematic review and meta-analysis of observational studies. Lancet Infect Dis. 2009;9(2):118–29. doi:10.1016/S1473-3099(09)70021-0.CrossRefPubMedPubMedCentralGoogle Scholar
  5. Center for Disease Control and Prevention (CDC). Vital signs: HIV prevention through care and treatment – United States. MMWR Morb Mortal Wkly Rep. 2011;60(47):1618–23.Google Scholar
  6. Cooper HL, Linton S, Haley DF, Kelley ME, Dauria EF, Karnes CC, ... Bonney LE. Changes in exposure to neighborhood characteristics are associated with sexual network characteristics in a cohort of adults relocating from public housing. AIDS Behav. 2014. doi: 10.1007/s10461-014-0883-z.Google Scholar
  7. Cohen MS, Chen YQ, McCauley M, Gamble T, Hosseinipour MC, Kumarasamy N,... Fleming TR. Prevention of HIV-1 infection with early antiretroviral therapy. N Engl J Med. 2011;365(6):493–505. doi:10.1056/NEJMoa1105243.Google Scholar
  8. Dolan K, Kite B, Black E, Aceijas C, Stimson GV, Reference Group on HIV/AIDS Prevention and Care among Injecting Drug Users in Developing and Transitional Countries. HIV in prison in low-income and middle-income countries. Lancet Infect Dis. 2007;7(1):32–41. doi:10.1016/S1473-3099(06)70685-5.CrossRefPubMedGoogle Scholar
  9. Hallett TB, Alsallaq RA, Baeten JM, Weiss H, Celum C, Gray R, Abu-Raddad L. Will circumcision provide even more protection from HIV to women and men? New estimates of the population impact of circumcision interventions. Sex Transm Infect. 2011;87(2):88–93. doi:10.1136/sti.2010.043372.CrossRefPubMedGoogle Scholar
  10. UNAIDS. Joint United Nations Programme on HIV/AIDS. Global report: UNAIDS report on the global AIDS epidemic. Geneva: Joint United Nations Programme on HIV/AIDS; 2013.Google Scholar
  11. UNAIDS. Joint United Nations Programme on HIV/AIDS. The gap report. Geneva: Joint United Nations Programme on HIV/AIDS; 2014.Google Scholar
  12. UNAIDS. Joint United Nations Programme on HIV/AIDS. AIDS Data, 2016. Geneva: Joint United Nations Programme on HIV/AIDS; 2017.Google Scholar
  13. Jolley E, Rhodes T, Platt L, Hope V, Latypov A, Donoghoe M, Wilson D. HIV among people who inject drugs in Central and Eastern Europe and Central Asia: a systematic review with implications for policy. BMJ Open. 2012;2(5). doi: 10.1136/bmjopen-2012-001465.Google Scholar
  14. Prejean J, Song R, Hernandez A, Ziebell R, Green T, Walker F, ... HIV Incidence Surveillance Group. Estimated HIV incidence in the United States, 2006–2009. PLoS One. 2011;6(8):e17502. doi: 10.1371/journal.pone.0017502.Google Scholar
  15. Weller S, Davis K. Condom effectiveness in reducing heterosexual HIV transmission. Cochrane Database Syst Rev. 2002;1:CD003255. doi:10.1002/14651858.CD003255.Google Scholar
  16. World Health Organization. Consolidated guidelines on the use of antiretroviral drugs for treating and preventing HIV infection: recommendations for a public health approach. Geneva: WHO Press; 2013.Google Scholar

Copyright information

© Springer Science+Business Media LLC 2017

Authors and Affiliations

  1. 1.Department of Behavioral Sciences and Health Education, Rollins School of Public HealthEmory UniversityAtlantaUSA
  2. 2.Institute for Global Health and Infectious DiseasesUniversity of North CarolinaChapel HillUSA