HIV-Infected Women: An Update June 28, 2007 Kathleen McDavid, PhD, MPH HIV 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 ,710 estimated new diagnoses of HIV/AIDS 127,150 females living with HIV/AIDS Deaths in ,128 estimated deaths of females with AIDS (25% of all deaths) HIV and AIDS as cause of death in th cause of death for females 25–34 years 5 th 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 13–248, –3414, –4416, –549, –642,8015 ≥ *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 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 13–1920–2425–3435–4445 and up Injection drug use High-risk heterosexual contact* Other/not identified † 11112

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 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 Data have been adjusted for reporting delays. * Includes 87 female adults and adolescents of unknown race or multiple races. Race or EthnicityCasesRate (cases per 100,000 people) White, not Hispanic1, Black, not Hispanic6, Hispanic1, Asian/Pacific Islander American Indian/ Alaska Native TOTAL*9,

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 3 rd cause for Black females 35–44 years 4 th cause for Hispanic females 35–44 years 4 th 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, MPH Epidemiologist HIV Incidence and Case Surveillance Branch Division of HIV/AIDS Prevention Centers for Disease Control and Prevention