HIV-Infected Women: An Update

June 28, 2007

Kathleen McDavid, PhD, MPHHIV Incidence and Case Surveillance Branch

Division of HIV/AIDS Prevention, CDC

The findings and conclusions in this presentation are those of the presenter’s and do not necessarily represent the views of the Centers

for Disease Control and Prevention.

Core HIV/AIDS Surveillance Information Flow

Estimated Number of AIDS Cases, Deaths, and Persons Living with AIDS: United States, 1985–2005

Note: Data have been adjusted for reporting delays.

Female Context

Diagnoses in 2005 11,710 estimated new diagnoses of HIV/AIDS 127,150 females living with HIV/AIDS

Deaths in 2005 4,128 estimated deaths of females with AIDS (25% of all deaths)

HIV and AIDS as cause of death in 2004 6th cause of death for females 25–34 years 5th cause of death for all females 35–44 years

Proportion of Female AIDS Cases over Time

Estimated* Number of HIV/AIDS Diagnoses by Age Group and Sex: 33 States, 2001–2005

Age group (years) # of Females % of Females

13–24 8,040 15

25–34 14,768 28

35–44 16,589 31

45–54 9,230 17

55–64 2,801 5

≥65 874 2

*Adjusted for reporting delays

Proportion of HIV/AIDS Cases Among Female Adults and Adolescents, by Transmission Category and Age

at Diagnosis: 33 States, 2005

Note: Data include persons with a diagnosis of HIV infection regardless of AIDS status at diagnosis. Data from 33 States with confidential name-based HIV infection reporting since at least 2001. Data have been adjusted for reporting delays,and cases without risk factor information were proportionally redistributed.* Heterosexual contact with a person known to have, or to be at high risk for, HIV infection.† Includes hemophilia, blood transfusion, perinatal exposure, and risk factors not reported or identified.

Age at diagnosis (in years):

Transmission category

13–19 20–24 25–34 35–44

45 and up

Injection drug use 14 13 17 21 22

High-risk heterosexual contact*

85 86 82 78 77

Other/not identified† 1 1 1 1 2

Proportion of HIV/AIDS Cases and Population among Female Adults and Adolescents, by Race and Ethnicity:

33 States, 2005

Note: Data include persons with a diagnosis of HIV infection regardless of AIDS status at diagnosis. Data form 33 States with confidential name-based HIV infection reporting since at least 2001. Data have been adjusted for reporting delays. * Includes 87 female adults and adolescents of unknown race or multiple races.

Estimated Number of HIV and AIDS Cases and Rates for Female Adults and Adolescents, by Race and

Ethnicity: 33 States, 2005

Note: Data include persons with a diagnosis of HIV infection regardless of AIDS status at diagnosis.Data from 33 States with confidential name-based HIV infection reporting since at least 2001.Data have been adjusted for reporting delays. * Includes 87 female adults and adolescents of unknown race or multiple races.

Race or Ethnicity

Cases Rate(cases per 100,000 people)

White, not Hispanic

1,711 3.0

Black, not Hispanic

6,515 61.4

Hispanic 1,432 16.1

Asian/Pacific Islander

91 3.9

American Indian/Alaska Native

57 7.6

TOTAL* 9,893 12.4

Rank of Cause of Death for Races and Ethnic Groups

HIV/AIDS as cause of death in 2004 Leading cause for Black females 25–34 years 3rd cause for Black females 35–44 years 4th cause for Hispanic females 35–44 years 4th cause for Black females 45–54 years

Estimated Number of Perinatally Acquired AIDS Cases by Year of Diagnosis: United States, 1985–2005

Selected CDC-Supported Efforts

Revised HIV testing guidelines (2006) Prevention interventions

SISTA, RAPP, DEBI, REP+, Comm. Demo Proj, Microfinance

African American Initiative (2007) Media/Educational campaigns

Take charge. Take the test. One test, two lives.

Acknowledgements

Suzanne Whitmore

RADT staff

Andy Mitsch

HIV Incidence and Case Surveillance Branch staff

Graphics Unit at DHAP

Contact Information

Kathleen McDavid, PhD, MPHEpidemiologistHIV Incidence and Case Surveillance

BranchDivision of HIV/AIDS PreventionCenters for Disease Control and

Prevention KMcDavid@cdc.gov 404.639.2050