HIV/AIDS HIV/AIDS Among Among

Women in Women in FloridaFlorida

Nita HarrelleNita Harrelle

Perinatal Prevention CoordinatorPerinatal Prevention Coordinator

Bureau of HIV/AIDSBureau of HIV/AIDS

Betsy Wood, BSN, MPHBetsy Wood, BSN, MPHDirector, Infant, Maternal and Reproductive HealthDirector, Infant, Maternal and Reproductive Health

~ Among Women in Florida ~ Among Women in Florida ~~

Women Women accounted for accounted for 27% of AIDS 27% of AIDS cases in 1997. cases in 1997. In 2006, that In 2006, that figure rose to figure rose to 32%.32%.

Proportion of HIV Cases and Population Proportion of HIV Cases and Population Among Women in Florida, by Race and Among Women in Florida, by Race and

Ethnicity Ethnicity

This represents:This represents: 1 in 83 African-American 1 in 83 African-American

womenwomen 1 in 553 Hispanic women1 in 553 Hispanic women 1 in 1,625 white women1 in 1,625 white women

Adult AIDS Cases and Case Rates per Adult AIDS Cases and Case Rates per 100,000 People by Race and Ethnicity, 100,000 People by Race and Ethnicity,

Florida, 2005Florida, 2005

Some Excellent News:Some Excellent News:

HIV diagnosis rates among African-HIV diagnosis rates among African-American women American women declineddeclined by an by an average of 10.2% per year from average of 10.2% per year from

1999 through 2004.1999 through 2004.

This trend appears to have continued in This trend appears to have continued in 2005 and 2006.2005 and 2006.

What Are We Doing Now?What Are We Doing Now?SSisters isters IInforming nforming SSisters About isters About

TTopics on opics on AAIDS (SISTA)IDS (SISTA)

Open communication about sexual choicesOpen communication about sexual choices

The need for women to protect themselves from The need for women to protect themselves from HIV and STDs through condom useHIV and STDs through condom use

Ways to negotiate condom use with their male Ways to negotiate condom use with their male partners successfullypartners successfully

Addressing the challenges and joys of being an Addressing the challenges and joys of being an African-American womanAfrican-American woman

Media Campaign Media Campaign Targets MinoritiesTargets Minorities

HIV/AIDSHIV/AIDSwemakethechange.com

This interactive Web site targets a This interactive Web site targets a culturally diverse audience and has culturally diverse audience and has video clips, radio spots, prevention video clips, radio spots, prevention information, directions to the AIDS information, directions to the AIDS

Hotline, and more.Hotline, and more.

Ride the Bus InitiativeRide the Bus Initiative

Another successful Another successful initiative involved initiative involved outreach workers outreach workers who rode city busses who rode city busses in Miami giving out in Miami giving out free condoms and free condoms and engaging people to engaging people to talk about safer sex.talk about safer sex.

Pediatric* AIDS Patients by Age Group Pediatric* AIDS Patients by Age Group and Year of Diagnosis, Florida, 1990–and Year of Diagnosis, Florida, 1990–

2006**2006**

*Includes patients aged >12 years at AIDS diagnosis with a pediatric risk aged <=12 (N = 240). Data as of January 9, 2007.**Due to reporting lags, 2005 & 2006 data are provisional.

Targeted Outreach for Targeted Outreach for Pregnant Women Act (TOPWA)Pregnant Women Act (TOPWA)

Outreach-based program Outreach-based program In nine cities targeted to womenIn nine cities targeted to women

of childbearing age at risk of HIVof childbearing age at risk of HIVand substance abuseand substance abuse

TOPWA offers:TOPWA offers: HIV and pregnancy testingHIV and pregnancy testing Linkage to needed services such as Linkage to needed services such as prenatal care or substance prenatal care or substance abuse treatmentabuse treatment

HIV Perinatal Education to the HIV Perinatal Education to the Medical CommunityMedical Community

We estimate that there We estimate that there will be 1,100 infants will be 1,100 infants born to HIV-infected born to HIV-infected moms in 2007. moms in 2007.

AETC educates O.B. AETC educates O.B. providers about the providers about the need for HIV/STD need for HIV/STD testing and treatment testing and treatment for pregnant women.for pregnant women.

Partnering at the State Partnering at the State LevelLevel

Perinatal Integration ProjectPerinatal Integration Project HIV Testing in Pregnant HIV Testing in Pregnant

WomenWomen Preconception Education Preconception Education

MessagesMessages

Partnering at the Community Partnering at the Community LevelLevel

Community Review of HIV+ Community Review of HIV+ Pregnant WomenPregnant Women

Magnolia ClinicMagnolia Clinic

Contact InformationContact Information

Betsy Wood, BSN, MPHBetsy Wood, BSN, MPH

Betsy_wood@doh.state.fl.usBetsy_wood@doh.state.fl.us

(850) 245-4465(850) 245-4465

Nita Harrelle, BSWNita Harrelle, BSW

Nita_harrelle@doh.state.fl.usNita_harrelle@doh.state.fl.us

(850) 245-4444, ext. 2565(850) 245-4444, ext. 2565