Abstract
Many women are unaware of their potential risk of becoming infected with the human immunodeficiency virus (HIV), the virus presumed to cause AIDS. Other women are confused about what prophylactic measures to adopt to lower their susceptibility to infection. Moreover, the needs of women who do not inject drugs have been largely ignored in media and public information campaigns. Rising rates of AIDS infection among women underscore the need for targeted prevention efforts. In this paper, the risks of the spectrum of HIV-related disease,i.e., HIV seropositive, lymphadenopathy syndrome, AIDS-related complex or full-blown AIDS, for women are described. Methods of disease transmission, prevention means, and issues and barriers to adopting practices for reducing risk of exposure to and transmission of the human immunodeficiency virus are reviewed. Finally, practice, research and policy initiatives for AIDS prevention are offered.
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Alexander, P. (1987). Prostitutes are being scapegoated for heterosexual AIDS. In F. Delacoste & P. Alexander (Eds.),Sex Work, Pittsburgh, Pennsylvania: Cleis Press.
Bakeman, R., Lumb, J. R., Jackson, R. E., & Smith, D. W. (1986). AIDS risk-reduction group profiles in whites and members of minority groups.The New England Journal of Medicine, 315, 1215–1218.
Bishop of Los Angeles cancels AIDS seminar. (1986, December).The New York Times.
Blanche, S., Rouzioux, C., Veber F., Le Diest, F., Mayaux, M.J., & Griscelli C. (1987, June). Prospective study on newborns of HIV seropositive women. Paper presented at the Third International conference on AIDS, Washington, D.C.
Bowen, O. (1987, March). AIDS information/education plan to prevent and control AIDS in the United States. Washington, DC: United States Department of Health and Human Services, Public Health Service.
Burke, D.S., Brundage, J.F., Herbod, J.R., Berner, W., Gardner, L.I., Guzenhauser, J.D., et al. (1987, July 16). Human immunodeficiency virus infections among civilian applicants for United States military service, October 1985 to March 1986.The New England Journal of Medicine, 317, 131–136.
Calabrese, L.H., & Gopalakrishna, K.V. (1986, April 10). Transmission of HTLV-III infection from man to woman to man.The New England Journal of Medicine, 314, 987.
Centers for Disease Control. (1986). Acquired immunodeficiency syndrome (AIDS) among blacks and Hispanics—United States.Morbidity and Mortality Weekly Report, 35, 655–658, 633–666.
Centers for Disease Control. (1987, March 30) AIDS Program, Center for Infectious Diseases.AIDS Weekly Surveillance Report—United States.
Centers for Disease Control. (1987, November 2). Antibody to human immunodeficiency virus in female prostitutes.Morbidity and Mortality Weekly Report, 36, 157–161.
Centers for Disease Control. (1985) Heterosexual transmission of human T-lymphotropic virus type III/lymphadenopathy associated virus.Morbidity and Mortality, Weekly Report, 34, 561–563.
Centers for Disease Control. (1986) Recommendations assisting in the prevention of perinatal transmission of HTLV-III and AIDS.Morbidity and Mortality Weekly Report, 34, 48.
Centers for Disease Control. (1986, December 12). Update: Acquired immunodeficiency syndrome-United States.Morbidity and Mortality Weekly Report, 35, 757–759;760;765–766.
Chase, M., & Stipp, D. (1986, March 7). Belief that women may transmit AIDS virus grows.The Wall Street Journal.
Chiasson, M., Fleisher, E., Walker, J., Petrus, & Miller, B. (1987, June). Epidemiologic characteristics of women with AIDS in New York City. Poster session, Third International Conference on AIDS, Washington, D.C.
Chiodo, F., Ricchi, E., Castigliola, P., Michelacci, L., Bovicelli, L. & Dallacasa, P. (1986, March 29). Vertical transmission of HTLV-III.The Lancet, 1(8483, 739.
Clark, M., Gosnell, M. and Hager, M. (1986, July). Women and AIDS.Newsweek.
Clumeck, N., Robert-Guroff, M., Van De Perre, P., Jennings, A., Sibomana, J., Demol, P., Cran, S. & Gallo, R. C. (1985, November 8). Seroepidemiological prevalence among selected groups of heterosexual Africans.Journal of the American Medical Association, 254, 2599–2602.
Cohen, J. B., Wofsy, C. B., Hauer, L. B., & Poole, L. E. (1986, June).Prevalence of AIDS antibody in a prospective study of 400 sexually active women. Paper presented at the Second International Conference on AIDS, Paris, France.
Conant, M., Hardy, D., Sernatinger, J., Spicer, D. & Levy, J. A. (1986, April 14). Condoms prevent transmission of AIDS-associated retrovirus.Journal of the American Medical Association, 255, 1706.
Darrow, W., Cohen, J.B., French, J., Gill, P., Sikes, R.K., Witte, J. et al. (1987, June). Multicenter study of HIV antibody in U.S. prostitutes. Paper presented at the Third International Conference on Acquired Immunodeficiency Syndrome, Washington, DC.
Deuchar, N. (1984). AIDS in New York City with particular reference to the psychosocial aspects.British Journal of Psychiatry, 145, 612–619.
DeVita, V., Hellman, S., & Rosenberg, S. (1985).AIDS: Etiology, diagnosis, treatment, and prevention. New York: Lippincott.
Eckholm, E. (1986, August 28). Heterosexuals and AIDS: The concern is growing.The New York Times.
Fischl, M.A., Dickinson, G.M., Flanagan, S. & Fletcher, M.A. (1987, June). Human immunodeficiency virus (HIV) among female prostitutes in South Florida. Paper presented at the Third International Conference on Acquired Immunodeficiency Syndrome, Washington, DC.
Fischl, M.A., Dickinson, G.M., Scott, G.B., Klimas, N., Fletcher, M.A., & Parks, W. (1987, February 6). Evaluation of heterosexual partners, children, and household contacts of adults with AIDS.Journal of the American Medical Association, 257, 640–644.
Gay Men's Health Crisis. (1987, April 1). GMHC responds to presidential remarks on AIDS for immediate release, Press Release.
Gido, R.L., & Gaunay, W. (1987, September).Update Acquired Immune Deficiency Syndrome. A demographic profile of New York State inmate mortalities. New York: New York State Commission of Correction.
Goedart, J., Eyster, M.E., & Biggar, R.J. Heterosexual transmission of human immunodeficiency virus (HIV): association with severe T4-cell depletion in male hemophiliac. Paper presented at the Third International Conference on Acquired Immunodeficiency Syndrome, Washington, DC.
Greenfield, W. (1986, October 24). New package, new pitch, to a new audience.Staten Island Advance.
Guidelines on AIDS in Europe (1985). Copenhagen, Denmark: World Health Organization.
Guinan, M. & Hardy, A. (1987, April 17). The epidemiology of AIDS in women in the United States.Journal of the American Medical Association, 257, 2039–2042.
Gruson, L. (1987, August 18). Condoms: Experts fear false sense of security.The New York Times, page C1.
Haverkos, H. W., & Edelman, R. (1985). Female-to-male transmission of AIDS.Journal of the American Medical Association, 254, 1035–1036.
Hopkins, D. R. (1986, May/June). Key epidemiologic questions about AIDS and infection with HTLV-III/LAV.Public Health Reports, 101, 234–237.
Institute of Medicine, National Academy of Sciences. (1986).Confronting AIDS: Directions for public health care and research. National Academy Press: Washington, D.C.
Jackson, J., & Rotkiewicz, L. (1987, June). A coupon program: AIDS education and drug treatment. Paper presented at the Third International Conference on AIDS, Washington, DC.
Jemmot, J. B., & Locke, S. E. (1984). Psychosocial factors, immunological mediation, and human susceptibility to infectious diseases.Psychological Bulletin, 95 78–108.
Joseph, S. C. (1986, December). Intravenous drug abuse is the front line on the war on AIDS (Letter to the editor).The New York Times, p. A22.
Kantrowitz, B. (1986, November 24). Fear of sex.Newsweek, pp. 40–42.
Kelly, D.A., Hallett, R.J., Saeed, A., Morgan, G., Levinsky, R.J., & Strobel, S. (1987, April 4). Prolonged survival and late presentation of vertically transmitted HIV infection in childhood.The Lancet, 1 806–807.
Kelly, J.A. & St. Lawrence, J.S. (1987, February). Cautions about condoms in prevention of AIDS.The Lancet, 1(8528 323.
Kinnier, R. T. (1986). The need for sociopsychological research on AIDS and counseling interventions for AIDS victims.Journal of Counseling and Development, 64 472–474.
Kolder, V.E.B., Gallagher, J., & Parsons, M.T. (1987, May 7). Court-ordered obstetrical interventions.The New England Journal of Medicine 316 1192–1196.
Koop, C. E. (1986).The Surgeon General's Report on Acquired Immune Deficiency Syndrome. United States Public Health Service: Washington, D.C.
Kreiss, J. K., Koech, D., Plummer, F. A., Holmes, K. K., Lightfoote, M., Piot, P., Ronald, A.R., Ndinya-Achola, M. B., D'Costa, L. J., Roberts, P., Ngugi, E. N. & Quinn, T.C. (1986, February 13). AIDS virus infection in Nairobi prostitutes.The New England Journal of Medicine, 314 414–418.
Kristal, A. The impact of the acquired immunodeficiency syndrome on patterns of premature death in New York City. (1986, May 2).Journal of the American Medical Association, 255 2306–2310.
Lader, L. (1987, November 11). The networks censor health.The New York Times.
Lipman, J. (1986, December 8). Controversial product isn't an easy subject for ad copywriters.The Wall Street Journal, p. 8.
Loewenstein, S.F. (1980, January). Understanding lesbian women.Social Casework: The Journal of Contemporary Social Work, 62 29–38.
Mann, J., Quinn, T.C., Piot, P., et al. (1987). Condom use and HIV infection among prostitutes in Zaire.The New England Journal of Medicine, 316 345.
Marmor, M.J., Weiss, L.R., Lyden, M.,et al. (1986, December). Possible female to female transmission of human immunodeficiency virus.Annals of Internal Medicine, 105 969.
Mascola, L. (1987). Semen donors as the source of sexually transmitted diseases in artificially inseminated women: The saga unfolds.Journal of The American Medical Association, 257 1093–1094.
McDonald, K. (1986, May 28). Pediatricians warn of increase in cases of children with AIDS.The Chronicle of Higher Education.
Mok, J.Q., De Rossi, A., Ades, A.E., Giaquinto, C., Grosch-Worner, I., and Peckham, C.S. (1987, May 23). Infants born to mothers seropositive for human immunodeficiency virus.The Lancet 1: 1164–1168.
Mondanaro, J. (1987, April-June). Strategies for AIDS prevention: Motivating health behavior in drug dependent women.Journal of Psychoactive Drugs 19: 143–149.
Morgan, W.M. & Curran, J.W. (1986). Acquired immunodeficiency syndrome: Current and future trends.Public Health Reports, 101 459–464.
Newman, A. (1987, July 15–31). Patterns of AIDS spread elicit proposals to tighten precautions for involuntary sterilizations?Ob. Gyn. News 22(12):1, 36–37.
New York City Department of Health. (1987, May). AIDS Monthly Surveillance Report.
Nzilambi, N., Ryder, R.W., Behets, F., Francis, H., Bayende, E., Nelson, A.et al. (1987, June). Perinatal HIV transmission in two African hospitals. Paper presented at the Third International Conference on AIDS, Washington, D.C..
Padian, N.,et al. (1987, August 4). Infection risk from single episode.The Advocate. Also, Interview with N. Padian on the Public Broadcasting System, August 23, 1987.
Padian, N. (1987, September/October). Heterosexual tranmission of acquired immunodeficiency syndrome: International perspectives and national projections.Reviews of Infectious Diseases, 9 947–960.
Padian, N., Marquis, L., Francis, D.P., Anderson, R.E., Rutherford, G.W., O'Malley, P.M., and Winkelstein, W. (1987, August 14).Journal of the American Medical Association, 258 788–790.
Pahwa, S., Kaplan, M., Fikrig, S., Pahwa, R., Sarngadharan, M. G., Popovic, M., and Gallo, R.C. (1986, May 2). Spectrum of human T-cell lymphotropic virus type iII infection in children.The Journal of the American Medical Association, 255 2299–2305.
Pearce, R. B. (1986). Heterosexual transmission of AIDS (Letter to the editor).Journal of the American Medical Association, 256.
Piot, P., Plummer, F., Rey, M.A., Ngugi, E., Rouzioux, C., Ndinya-Achola, J.,et al. (1987, June). Retrospective seroepidemiology of AIDS virus infection in Nairobi populations.The Journal of Infectious Diseases, 155 1108–1112.
Potter, G. C., & Pritchard, R. E. (1986).Preventing AIDS: Facts and myths. Wenonah, NJ: University Information Associates.
Rigg, C. (1986, December 1). Scare tactics and sex.Crain's New York Business.
Redfield, R.R., Markham, P.D., Salahuddin, S.Z., Sarngadaharan, M.G. & Gallo, R.C. (1985, October 18). Heterosexually acquired HTLV-III/LAV disease (AIDS-related complex and AIDS): Epidemiological evidence for female-to-male transmission.Journal of The American Medical Association, 254 2094–2096.
Rothenberg, R., Woelfel, M., Stoneburner, R., Milberg, J., Parker, R., & Truman, B. (1987, November 19). Survival with the acquired immunodeficiency syndrome.The New England Journal of Medicine, 317 1297–1302.
San Francisco Chronicle (1987, July 28). Koop opposes some mandatory AIDS tests, page 9.
Scesney, S.M., Gantz, N.M. & Sullivan, J.L. Impermeability of condoms to HIV and inactivation of HIV by the spermicide Nonoxynol-9 (1987, June). Paper presented at the III International Conference on Acquired Immunodeficiency Syndrome, Washington, DC.
Schneider, B.E. (1986, August). The impact of AIDS on the lesbian community through 1986. Paper presented at the annual meetings of the Society for the Study of Social Problems, New York.
Schultz, S. (1987). Deputy Commissioner, Epidemiology and Prevention Services, New York City Department of Health, personal communication.
Schultz, S., Milberg, J. A., Kristal, A. R., & Stoneburner, R. L. (1986, April 14). Female-to-male transmission of HTLV-III.Journal of the American Medical Association, 255 1703–1704.
Selwyn, P., Schoenbaum, E.E., Feingold, A.R., Mayers, M., Davenny, K., Rogers, M.,et al. (1987, June). Perinatal tranmission of HIV in intravenous drug abusers. Paper presented at the Third International Conference on AIDS, Washington, D.C.
Sex transmits AIDS. (1986, July 5).The Economist.
Shannon, K.M., & Ammaan, A.J. (1985). Acquired immunodeficiency syndrome in childhood.Journal of Pediatrics, 105, 332–342.
Stewart, G. J., Tyler, J. P. P., Cunningham, A. L., et al. (1985). Transmission of human T-cell lymphotropic virus type III by artificial insemination by donor.The Lancet, 2, 581–585.
Sullivan, R. (1987, May 23). More women are seeking test for AIDS.The New York Times, page 29.
Vogt, M. W., Witt, D. J., Craven, D. E., Byington, R., Crawford, D. F., Schooley, R. T., & Hirsch, M. S. (1986, March 8). Isolation of HTLV-III/LAV from cervical secretions of women at risk for AIDS.The Lancet, 1, 525–527.
Vogt, M.W., Witt, D.J., Craven, D.E.,et al. (1987, March). Isolation patterns of the human immunodeficiency virus from cervical secretions during the menstrual cycle of women at risk for the acquired immunodeficiency syndrome.Annals of Internal Medicine, 106, 380–382.
Weisberg, M.S. (1987, August 25). Marketing condoms for women.The New York Post, page M6.
Wofsy, C. B., Cohen, J. B., Hauer, L. B., Padian, N. S., Michaelis, B. A., Evans, L. A., & Levy, J. A. (1986, March 8). Isolation of AIDS associated retrovirus from genital secretions of women with antibodies to the virus.The Lancet, 1, 527–529.
Wofsy, C.B. (1987, April 17). Human immunodeficiency virus infection in women.Journal of the American Medical Association, 257, 2075–2076.
Worth, D., & Rodriguez, R. (1987, January/February). Latina women and AIDS.SIECUS Report, 12, 5–7.
Ziegler, J. B., Cooper, D. A., Johnson, R. O., & Gold, J. (1985, April 20). Postnatal transmission of AIDS-associated retrovirus from mother to infant.The Lancet, 1, 869–898.
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Preparation of this paper was supported in part by grants from the Centers for Disease Control (Cooperative Agreement No. U62/CCU2C1065-01), National Cancer Institute (CA29640), National Institute on Drug Abuse (DA03277), and National Institute of Disability and Rehabilitation Research (G008535120).
The authors warmly thank Mark Ketcham, David Blaustein, Mark Alexander and Ken Anderson for their assistance in preparing the many drafts of this manuscript. The authors also appreciate the contributions of Steven Bowen, M.D., M.P.H., Deputy Director for AIDS, Gary West, M.P.A., Assistant to the Deputy Director for AIDS, Center for Prevention Services, The Centers for Disease Control, and Stephen Schultz, M.D., Deputy Commissioner, Epidemiology and Prevention Services, New York City Department of Health, incorporated after their review of this manuscript.
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Mantell, J.E., Schinke, S.P. & Akabas, S.H. Women and AIDS prevention. J Primary Prevent 9, 18–40 (1988). https://doi.org/10.1007/BF01326525
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DOI: https://doi.org/10.1007/BF01326525