Background
Male injecting drug
users drove the onset of the HIV epidemic in Indonesia but over time more women
have been diagnosed. We examined the relative proportion of female patients in
an HIV cohort and characterized their probable transmission route and reproductive
profile.
Designs
Prospective cohort study
in a referral hospital in West Java.
Methods
Interviews with
standardized questionnaires, physical and laboratory examinations were done for
2622 individuals enrolled in HIV care between 2007 and 2012. The proportion of
women in this cohort was compared with national estimates. The general
characteristics of HIV-infected women and men as well as the sexual and
reproductive health of HIV-infected women were described.
Results
The proportion of female
patients enrolled in HIV care increased from 22.2 % in 2007 to 38.3 %
in 2012, in line with national estimates. Women were younger than men, fewer
reported a history of IDU (16.1 vs. 73.8 %, p < 0.001)
and more were tested for HIV because of a positive partner (25.5 vs.
4.0 %, p < 0.001). The
majority of women were in their reproductive age, had children, and were not
using contraceptives at the time of enrolment.
Conclusion
HIV-infected women in
Indonesia have specific characteristics that differ them from women in the
general population. Further research to elucidate the characteristics of women
exposed to HIV, their access to testing and care and sexual and reproductive
needs can help reduce transmission to women and children in the context of
concentrated HIV epidemic in Indonesia.
Below: a Proportion
of female adult patients entering HIV care at Hasan Sadikin Hospital between
2007 and 2012. b Proportion
of female new HIV cases reported to the Ministry of Health between 2008 and
2013 [21]. Unfilled bar Number
of women; striped bar Number
of men; dotted bar Total
number of new cases; Grey line %
of women. Left y-axis refers
to bar graphs. Right y-axis refers
toline graphs
Full article at: http://goo.gl/r0WESJ
By: 
Rudi Wisaksana, Hinta Meijerink, Agnes R. Indrati, Bachti Alisjahbana, Nel Roeleveld, Andre J. A. M. van der Ven, Marie Laga, and Reinout van Crevel
Rudi Wisaksana, Hinta Meijerink, Agnes R. Indrati, Bachti Alisjahbana, Nel Roeleveld, Andre J. A. M. van der Ven, Marie Laga, and Reinout van Crevel
Tuberculosis and
HIV Research Centre, Faculty of Medicine Universitas Padjadjaran, Jl. Dr.
Eijkman No. 38, Bandung, 40161 Indonesia
Department of
Internal Medicine, Radboud University Medical Centre, Nijmegen, The Netherlands
Department of
Internal Medicine, Faculty of Medicine Universitas Padjadjaran, Bandung,
Indonesia
Department of
Clinical Pathology, Faculty of Medicine Universitas Padjadjaran, Bandung,
Indonesia
Department for
Health Evidence, Radboud University Medical Centre, Nijmegen, The Netherlands
Department of
Paediatrics, Radboud University Medical Centre, Nijmegen, The Netherlands
Department of
Public Health, Institute of Tropical Medicine, Antwerp, Belgium
Annisa Rahmalia, Email: ln.cmuduobdar@ailamhaR.asinnA.
More at: https://twitter.com/hiv_insight
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