Advances in the prevention of heterosexual transmission of HIV/AIDS among women in the United States
Identifieur interne : 002003 ( Ncbi/Merge ); précédent : 002002; suivant : 002004Advances in the prevention of heterosexual transmission of HIV/AIDS among women in the United States
Auteurs : Nadine E. Chen ; Jaimie P. Meyer ; Sandra A. SpringerSource :
- Infectious Disease Reports [ 2036-7430 ] ; 2011.
Abstract
Despite recent advances in testing and treatment, the incidence of HIV/AIDS in the United States has remained stagnant with an estimated 56,300 new infections every year. Women account for an increasing proportion of the epidemic. The vulnerability of women to HIV stems from both increased biologic susceptibility to heterosexual transmission and also the social, economic, and structural disadvantages they often confront. This review describes the main reasons for the increased vulnerability of U.S. women to HIV transmission with particular emphasis on specific highrisk groups including: non-Hispanic blacks, women who use drugs, women with a history of incarceration, and victims of intimate partner violence. Although behavioral approaches to HIV prevention may be effective, pragmatic implementation is often difficult, especially for women who lack sociocultural capital to negotiate condoms with their male partners. Recent advances in HIV prevention show promise in terms of female-initiated interventions. These notably include female condoms, non-specific vaginal microbicides, and antiretroviral oral and vaginal pre-exposure prophylaxis. In this review, we will present evidence in support of these new female-initiated interventions while also emphasizing the importance of advocacy and the political support for these scientific advances to be successful.
Url:
DOI: 10.4081/idr.2011.e6
PubMed: 23745166
PubMed Central: 3671603
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<front><div type="abstract" xml:lang="en"><p>Despite recent advances in testing and treatment, the incidence of HIV/AIDS in the United States has remained stagnant with an estimated 56,300 new infections every year. Women account for an increasing proportion of the epidemic. The vulnerability of women to HIV stems from both increased biologic susceptibility to heterosexual transmission and also the social, economic, and structural disadvantages they often confront. This review describes the main reasons for the increased vulnerability of U.S. women to HIV transmission with particular emphasis on specific highrisk groups including: non-Hispanic blacks, women who use drugs, women with a history of incarceration, and victims of intimate partner violence. Although behavioral approaches to HIV prevention may be effective, pragmatic implementation is often difficult, especially for women who lack sociocultural capital to negotiate condoms with their male partners. Recent advances in HIV prevention show promise in terms of female-initiated interventions. These notably include female condoms, non-specific vaginal microbicides, and antiretroviral oral and vaginal pre-exposure prophylaxis. In this review, we will present evidence in support of these new female-initiated interventions while also emphasizing the importance of advocacy and the political support for these scientific advances to be successful.</p>
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</TEI>
<pmc article-type="review-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Infect Dis Rep</journal-id>
<journal-id journal-id-type="iso-abbrev">Infect Dis Rep</journal-id>
<journal-id journal-id-type="publisher-id">IDR</journal-id>
<journal-title-group><journal-title>Infectious Disease Reports</journal-title>
</journal-title-group>
<issn pub-type="ppub">2036-7430</issn>
<issn pub-type="epub">2036-7449</issn>
<publisher><publisher-name>PAGEPress Publications</publisher-name>
<publisher-loc>Pavia, Italy</publisher-loc>
</publisher>
</journal-meta>
<article-meta><article-id pub-id-type="pmid">23745166</article-id>
<article-id pub-id-type="pmc">3671603</article-id>
<article-id pub-id-type="publisher-id">idr.2011.e6</article-id>
<article-id pub-id-type="doi">10.4081/idr.2011.e6</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
</subj-group>
</article-categories>
<title-group><article-title>Advances in the prevention of heterosexual transmission of HIV/AIDS among women in the United States</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><name><surname>Chen</surname>
<given-names>Nadine E.</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Meyer</surname>
<given-names>Jaimie P.</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Springer</surname>
<given-names>Sandra A.</given-names>
</name>
</contrib>
</contrib-group>
<aff id="A1">Yale AIDS Program, Section of Infectious Diseases, Department of Internal Medicine, Yale University School of Medicine, New Haven, USA</aff>
<author-notes><corresp id="FN1">Correspondence: Sandra A. Springer, <addr-line>135 College St, Suite 323, New Haven, CT 06510-2283, USA</addr-line>
Tel. <phone>203.737.5530</phone>
- Fax: <fax>203.737.4051.</fax>
E-mail: <email>sandra.springer@yale.edu</email>
</corresp>
<fn id="FN2" fn-type="con"><p>Contributions: NEC, JPM, SAS, manuscript conception and design, manuscript revision and final approval; NEC, JPM, data, analysis and interpretation, manuscript drafting.</p>
</fn>
<fn id="FN3" fn-type="conflict"><p>Conflict of interest: the authors report no conflicts of interest.</p>
</fn>
</author-notes>
<pub-date pub-type="epub"><day>24</day>
<month>6</month>
<year>2011</year>
</pub-date>
<pub-date pub-type="collection"><day>08</day>
<month>3</month>
<year>2011</year>
</pub-date>
<volume>3</volume>
<issue>1</issue>
<elocation-id>e6</elocation-id>
<history><date date-type="received"><day>27</day>
<month>2</month>
<year>2011</year>
</date>
<date date-type="rev-recd"><day>03</day>
<month>5</month>
<year>2011</year>
</date>
<date date-type="accepted"><day>10</day>
<month>5</month>
<year>2011</year>
</date>
</history>
<permissions><copyright-statement>©Copyright N.E. Chen et al., 2011</copyright-statement>
<copyright-year>2011</copyright-year>
<license license-type="open-access"><license-p>This work is licensed under a Creative Commons Attribution NonCommercial 3.0 License (CC BY-NC 3.0).</license-p>
<license-p>Licensee PAGEPress, Italy</license-p>
</license>
</permissions>
<self-uri xlink:title="pdf" xlink:type="simple" xlink:href="idr-2011-1-e6.pdf"></self-uri>
<abstract><p>Despite recent advances in testing and treatment, the incidence of HIV/AIDS in the United States has remained stagnant with an estimated 56,300 new infections every year. Women account for an increasing proportion of the epidemic. The vulnerability of women to HIV stems from both increased biologic susceptibility to heterosexual transmission and also the social, economic, and structural disadvantages they often confront. This review describes the main reasons for the increased vulnerability of U.S. women to HIV transmission with particular emphasis on specific highrisk groups including: non-Hispanic blacks, women who use drugs, women with a history of incarceration, and victims of intimate partner violence. Although behavioral approaches to HIV prevention may be effective, pragmatic implementation is often difficult, especially for women who lack sociocultural capital to negotiate condoms with their male partners. Recent advances in HIV prevention show promise in terms of female-initiated interventions. These notably include female condoms, non-specific vaginal microbicides, and antiretroviral oral and vaginal pre-exposure prophylaxis. In this review, we will present evidence in support of these new female-initiated interventions while also emphasizing the importance of advocacy and the political support for these scientific advances to be successful.</p>
</abstract>
<kwd-group><title>Key words:</title>
<kwd>HIV</kwd>
<kwd>AIDS</kwd>
<kwd>HIV prevention</kwd>
<kwd>heterosexual transmission</kwd>
<kwd>women</kwd>
</kwd-group>
</article-meta>
</front>
</pmc>
<affiliations><list></list>
<tree><noCountry><name sortKey="Chen, Nadine E" sort="Chen, Nadine E" uniqKey="Chen N" first="Nadine E." last="Chen">Nadine E. Chen</name>
<name sortKey="Meyer, Jaimie P" sort="Meyer, Jaimie P" uniqKey="Meyer J" first="Jaimie P." last="Meyer">Jaimie P. Meyer</name>
<name sortKey="Springer, Sandra A" sort="Springer, Sandra A" uniqKey="Springer S" first="Sandra A." last="Springer">Sandra A. Springer</name>
</noCountry>
</tree>
</affiliations>
</record>
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