Powell Anna M
Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Clin Obstet Gynecol. 2025 Jun 1;68(2):159-163. doi: 10.1097/GRF.0000000000000939. Epub 2025 Mar 25.
This paper examines the challenges and advancements related to human immunodeficiency virus (HIV) in women, focusing on incidence, disparities, and reproductive health. HIV disproportionately affects Black women, with socioeconomic and health care access factors worsening outcomes. Pre-exposure prophylaxis (PrEP) is promising but underutilized due to awareness and accessibility issues. Contraception access and abortion care remain limited for women living with HIV, while menopause poses additional health risks. Future directions in research and policy call for expanded prevention, improved health care services, and greater support for reproductive and menopausal care, aiming to enhance health care equity and quality of life for women affected by HIV.
本文探讨了与女性人类免疫缺陷病毒（HIV）相关的挑战和进展，重点关注发病率、差异以及生殖健康。HIV对黑人女性的影响尤为严重，社会经济和医疗保健可及性因素使情况恶化。暴露前预防（PrEP）前景广阔，但由于认知和可及性问题未得到充分利用。感染HIV的女性获得避孕和堕胎护理的机会仍然有限，而更年期带来了额外的健康风险。研究和政策的未来方向要求扩大预防、改善医疗服务，并为生殖和更年期护理提供更多支持，旨在提高受HIV影响女性的医疗保健公平性和生活质量。
