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African American women have 19 times higher rates of HIV diagnosis.....44% of women retained in care....Viral Suppression 33% to 53% in Women Depending on Age with Younger women 33-36% vs 42-53% for Older Women
 
 
  Almost half of US women with HIV not in regular care in CDC analysis - link to webcast ......
http://www.natap.org/2015/CROI/croi_16.htm ........Among the 102,726 women in the retention analysis, 44% reached an undetectable viral load. Compared with whites, a significantly higher proportion of Hispanic women attained viral suppression (49% versus 47%), while significantly lower proportions of blacks (42%) and American Indians/Alaska Natives (30%) hit the viral suppression target.........Among 102,726 women diagnosed with HIV through 2010, only 67% were retained in care by the definition requiring 1 or more CD4 counts or viral load tests, and only 52% stayed in care by the definition requiring 2 or more CD4 counts or viral loads 3 months apart. With the 2-test definition, significantly higher proportions of Hispanics (59%) and blacks (50%) than whites (47%) stayed in care.
 
44% Retention in Care for Women - Lowest among Black Women vs Hispanic & White

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African American Women Less Likely To Achieve HIV Viral Suppression
 
Interview with:
Dr. Ndidi Nwangwu-Ike
Center Disease Control
 
Posted on March 5, 2015
 
MedicalResearch: What is the background for this study? What are the main findings?
 
Response:
CDC data has shown encouraging signs of a decrease in new HIV infections among black women in recent years. However, African American women continue to be far more affected by HIV than women of any other race or ethnicity, with a rate of new infection 20 times that of white women and nearly five times that of Hispanic women. Ensuring people with HIV are diagnosed and remain in care is key to controlling HIV in the nation. When used consistently, antiretroviral medication can keep HIV controlled at very low levels in the body (known as viral suppression), allowing people with HIV to live longer, healthier lives and reducing the likelihood they will transmit HIV to others. Our study finds that viral suppression among women diagnosed with HIV is low, with young women and black women the least likely to achieve viral suppression.
 
Specifically, we found that:
 
· Of women newly diagnosed with HIV in 2012, 83 percent were linked to care within three months of diagnosis.
 
· Retention in care varied by age and race/ethnicity; overall, just over half of women (52 percent) diagnosed and living with HIV in 2011 received ongoing HIV care.
 
· Overall, only 44 percent of women diagnosed and living with HIV in 2011 had a suppressed viral load.
 
MedicalResearch: What should clinicians and patients take away from your report?
 
Response: With fewer than half of American women diagnosed with HIV achieving viral suppression, the analysis underscores the need to improve care and treatment for all women, with a particular focus on younger women, and African American women.
 
MedicalResearch: What recommendations do you have for future research as a result of this study?
 
Response: It is important to understand why African American women are less likely to achieve viral suppression and adhere to medications in order to effectively tailor interventions for this population.

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