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Women with HIV in Indonesia: are they bridging a concentrated epidemic to the wider community?

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: Prospect...

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Autores principales: Rahmalia, Annisa, Wisaksana, Rudi, Meijerink, Hinta, Indrati, Agnes R., Alisjahbana, Bachti, Roeleveld, Nel, van der Ven, Andre J. A. M., Laga, Marie, van Crevel, Reinout
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4673839/
https://www.ncbi.nlm.nih.gov/pubmed/26645634
http://dx.doi.org/10.1186/s13104-015-1748-x
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author Rahmalia, Annisa
Wisaksana, Rudi
Meijerink, Hinta
Indrati, Agnes R.
Alisjahbana, Bachti
Roeleveld, Nel
van der Ven, Andre J. A. M.
Laga, Marie
van Crevel, Reinout
author_facet Rahmalia, Annisa
Wisaksana, Rudi
Meijerink, Hinta
Indrati, Agnes R.
Alisjahbana, Bachti
Roeleveld, Nel
van der Ven, Andre J. A. M.
Laga, Marie
van Crevel, Reinout
author_sort Rahmalia, Annisa
collection PubMed
description 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.
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spelling pubmed-46738392015-12-10 Women with HIV in Indonesia: are they bridging a concentrated epidemic to the wider community? Rahmalia, Annisa Wisaksana, Rudi Meijerink, Hinta Indrati, Agnes R. Alisjahbana, Bachti Roeleveld, Nel van der Ven, Andre J. A. M. Laga, Marie van Crevel, Reinout BMC Res Notes Research Article 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. BioMed Central 2015-12-09 /pmc/articles/PMC4673839/ /pubmed/26645634 http://dx.doi.org/10.1186/s13104-015-1748-x Text en © Rahmalia et al. 2015 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Rahmalia, Annisa
Wisaksana, Rudi
Meijerink, Hinta
Indrati, Agnes R.
Alisjahbana, Bachti
Roeleveld, Nel
van der Ven, Andre J. A. M.
Laga, Marie
van Crevel, Reinout
Women with HIV in Indonesia: are they bridging a concentrated epidemic to the wider community?
title Women with HIV in Indonesia: are they bridging a concentrated epidemic to the wider community?
title_full Women with HIV in Indonesia: are they bridging a concentrated epidemic to the wider community?
title_fullStr Women with HIV in Indonesia: are they bridging a concentrated epidemic to the wider community?
title_full_unstemmed Women with HIV in Indonesia: are they bridging a concentrated epidemic to the wider community?
title_short Women with HIV in Indonesia: are they bridging a concentrated epidemic to the wider community?
title_sort women with hiv in indonesia: are they bridging a concentrated epidemic to the wider community?
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4673839/
https://www.ncbi.nlm.nih.gov/pubmed/26645634
http://dx.doi.org/10.1186/s13104-015-1748-x
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