Post on 04-Feb-2021
Ending the HIV Epidemic Among Women in America
Dawn K. Smith, MD, MS, MPHEpidemiology Branch, Division of HIV/AIDS PreventionNational Center for HIV, Viral Hepatitis, STD, and TB Prevention11 February 2020
Ending the HIV Epidemic: A Plan for America
Diagnoses of HIV Infection among Female Adults and Adolescents, by Race/Ethnicity, 2010–2017—United States and 6 Dependent Areas
a Hispanics/Latinos can be of any race.
Rates of Diagnoses of HIV Infection among Adults and Adolescents by Sex and Race/Ethnicity, 2018—United States
Note. Data for the year 2018 are considered preliminary and based on 6 months reporting delay.a Hispanics/Latinos can be of any race.
New Diagnoses in Women: Race/Ethnicity by Region, 2018
Lifetime Risk of HIV Diagnosis Among Women by Race/Ethnicity
Black/African American
Hispanic/Latina
White
American Indian/Alaskan Native
Native Hawaiian/Pacific Islander
Asian
Women
1 in 54
1 in 943
1 in 432
1 in 403
1 in 256
1 in 941
Lifetime risk of ovarian cancer 1 in 70
Knowledge of HIV-Positive Status
70
80
90
100
Sex
% o
r per
sons
with
HIV
infe
ctio
n w
ho
know
thei
r sta
tus
2017
Male Female
Persons Living with Diagnosed or Undiagnosed HIV Infection HIV Care Continuum Outcomes, by Sex, 2016—United States
Note. Receipt of medical care was defined as ≥1 test (CD4 or VL) in 2016. Retained in continuous medical care was defined as ≥2 tests (CD4 or VL) ≥3 months apart in 2016. Viral suppression was defined as
0%10%20%30%40%50%60%70%80%90%
100%
Persons Transmissions
Undiagnosed HIV+Diagnosed but not in careIn care but not virally suppressed
HIV Transmission in the Care Continuum
0
20
43
38
51
11
23
15
Viral Suppression Among Women% Time with viral load >1500 copies/ml, 2014
0102030405060708090
100
Sex% o
f pe
rson
s with
dia
gnos
ed H
IV
Male Female
Viral Suppression, 2017
Age-Adjusted* Average Rates of Death with HIV Infection as the Underlying Causeby Sex and Race/Ethnicity, 2013−2017 — United States
*Standard age distribution of 2000 US population**Hispanics/Latinos can be of any race.
In 2017, HIV was the 9th leading cause of death for women ages 25-44 years)
Estimated Persons Prescribed PrEP, 2012-2019
02012 2013 2014 2015 2016 2017 2018 2019
Number of Persons Prescribed PrEP by Sex (AIDSVu)
Males Females
50,000
100,000
150,000
200,000
250,000
*
*Gilead 2019 estimate, Truvada or Descovy for PrEP
0
1,000
2,000
3,000
4,000
5,000
6,000
7,000
8,000
2012
2013
2014
2015
2012
2013
2014
2015
2012
2013
2014
2015
2012
2013
2014
2015
Females MalesWhite Hispanic/Latino African American Asian
PrEP Starts
Preliminary Estimate:PrEP Coverage by Race Ethnicity, 2018
0 10 20 30 40 50%
Indications Coverage
Hispanic
Black
White
HIV Diagnoses 2009-2014
Transgender Women
New HIV Diagnoses, Female and Transgender Female, 2018
0
200
400
600
800
1000
1200
NYC WA CA FL LA NC
Num
ber p
erso
ns d
iagn
osed
with
HIV
Female Transgender Female
In 2018, 1 in 5 new diagnoses were in women Women are below levels needed to achieve EHE goals
– 89% of women with HIV know their status– 53% of women with HIV were virally suppressed in 2016– 61% of women with diagnosed HIV were virally suppressed in 2017– 7% of women with indications for PrEP received a prescription in 2018
To achieve EHE goals, it is necessary to– Identify, implement, and evaluate the effectiveness of women-focused
strategies and activities targeting the three EHE goals– Monitor the impact of EHE efforts on HIV diagnoses among women
Ending the HIV Epidemic Among Women
Dr. Dawn K. Smithdsmith1@cdc.gov404.429.0904
mailto:dsmith1@cdc.gov
Ending the HIV Epidemic Among Women in America� �Dawn K. Smith, MD, MS, MPH�Epidemiology Branch, Division of HIV/AIDS Prevention�National Center for HIV, Viral Hepatitis, STD, and TB Prevention�11 February 2020���Ending the HIV Epidemic: A Plan for AmericaKey actions to help end the HIV epidemicNew HIV Diagnoses in the US and Dependent Areas for the Most-Affected Subpopulations, 2018Diagnoses of HIV Infection among Female Adults and Adolescents, by Race/Ethnicity, 2010–2017—United States and 6 Dependent Areas�Rates of Diagnoses of HIV Infection among Adults and Adolescents �by Sex and Race/Ethnicity, 2018—United StatesNew Diagnoses in Women: Race/Ethnicity by Region, 2018Lifetime Risk of HIV Diagnosis Among Women by Race/EthnicityKnowledge of HIV-Positive Status �Persons Living with Diagnosed or Undiagnosed HIV Infection �HIV Care Continuum Outcomes, by Sex, 2016—United States HIV Transmission in the Care ContinuumViral Suppression Among WomenAge-Adjusted* Average Rates of Death with HIV Infection as the Underlying Cause�by Sex and Race/Ethnicity, 2013−2017 — United StatesEstimated Persons Prescribed PrEP, 2012-2019Preliminary Estimate:�PrEP Coverage by Race Ethnicity, 2018Transgender WomenNew HIV Diagnoses, Female and Transgender Female, 2018Ending the HIV Epidemic Among WomenSlide Number 19