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U Marcus1

  • 1Robert Koch-Institut, Berlin, Germany.

Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz
|March 2, 2017
PubMed
Summary

The number of HIV-infected women in Germany is rising, with heterosexual contact being the primary transmission route. Effective prevention strategies have significantly reduced mother-to-child HIV transmission rates.

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Area of Science:

  • Epidemiology
  • Public Health

Context:

  • The HIV epidemic disproportionately affects men in Germany, but the proportion of women with HIV has steadily increased to 20%.
  • Transmission routes for women have shifted from intravenous drug use to heterosexual intercourse since the 1990s.

Purpose:

  • To analyze the changing epidemiology of HIV infection among women in Germany.
  • To highlight the success of interventions in preventing mother-to-child HIV transmission.

Summary:

  • While the prevalence of HIV in women in Germany is increasing, reaching 20%, transmission methods have evolved.
  • Mother-to-child HIV transmission has decreased to below 2% due to antiretroviral therapy and cesarean sections.

Impact:

  • Established prevention protocols have drastically reduced perinatal HIV transmission.
  • Universal HIV testing and counseling for pregnant women are crucial for continued success in preventing transmission.