At present, women represent approximately one-third of new diagnoses of HIV in Europe – most are infected by heterosexual transmission. Some specific populations of women, such as migrants, sex workers and those who are intravenous drug users, may be at increased risk of HIV infection. Women living with HIV face a range of intersecting situations and challenges distinct from those faced by men. The most familiar of these is pregnancy and motherhood; however, family and social situations will also be different for women compared with men, and can affect how individuals access care and manage their disease. The stigma of HIV can be a particular problem for women in many communities. Improved surveillance of HIV and increased study of the situations facing women living with HIV will help to identify improved strategies to support the care of this patient population.
d'Arminio MonforteA., AndersonJ., OlczakA.What do we know about antiretroviral treatment of HIV in women?Antivir Ther2013; 18Suppl 2: 27–34.
4.
FloridiaM., GiulianoM., PalmisanoL., VellaS.Gender differences in the treatment of HIV infection. Pharmacol Res2008; 58: 173–182.
5.
HaberlA., ReitterA.How does HIV affect the reproductive choices of women of childbearing age?Antivir Ther2013; 18Suppl 2: 35–44.
6.
DominguezS., BrancoT., HaruperiT.Considerations for the long-term management of women living with HIV in Europe. Antivir Ther2013; 18Suppl 2: 45–52.
7.
SantoroN., FanM., MaslowB., SchoenbaumE.Women and HIV infection: the makings of a midlife crisis. Maturitas2009; 64: 160–164.
8.
DoyalL.Challenges in researching life with HIV/AIDS: an intersectional analysis of Black African migrants in London. Cult Health Sex2009; 11: 173–188.
9.
LogieC.H., JamesL., TharaoW., LoutfyM.R.HIV, gender, race, sexual orientation, and sex work: a qualitative study of intersectional stigma experienced by HIV-positive women in Ontario, Canada. PLoS Med2011; 8: e1001124.
10.
JohnsonM., AfoninaL., HaanyamaO.The challenges of testing for HIV in women: experience from the UK and other European countries. Antivir Ther2013; 18Suppl 2: 19–25.
11.
BurruanoL., KruglovY.HIV/AIDS epidemic in Eastern Europe: recent developments in the Russian Federation and Ukraine among women. Gend Med2009; 6: 277–289.
12.
HamersF.F., PhillipsA.N.Diagnosed and undiagnosed HIV-infected populations in Europe. HIV Med2008; 9Suppl 2: 6–12.
ThorneC., NewellM.L., DunnD., PeckhamC.Characteristics of pregnant HIV-1 infected women in Europe. European Collaborative Study. AIDS Care1996; 8: 33–42.
15.
JasseronC., PolletJ., HammouY.Mode of delivery in HIV-infected women in France between 2005 and 2009.6th IAS Conference on HIV Pathogenesis, Treatment and Prevention. 17–20 July 2011, Rome, Italy. Abstract CDC058.
16.
del AmoJ., LikataviciusG., Perez-CachafeiroS.The epidemiology of HIV and AIDS reports in migrants in the 27 European Union countries, Norway and Iceland: 1999–2006. Eur J Public Health2011; 21: 620–626.
ThomasF., AggletonP., AndersonJ.'If I cannot access services, then there is no reason for me to test': the impacts of health service charges on HIV testing and treatment amongst migrants in England. AIDS Care2010; 22: 526–531.
19.
ThomasF., AggletonP., AndersonJ.'Experts’, ‘partners’ and ‘fools': exploring agency in HIV treatment seeking among African migrants in London. Soc Sci Med2010; 70: 736–743.
20.
ManirankundaL., LoosJ., AlouT.A., ColebundersR., NostlingerC.'It's better not to know': perceived barriers to HIV voluntary counseling and testing among sub-Saharan African migrants in Belgium. AIDS Educ Prev2009; 21: 582–593.
21.
BurnsF.M., ArthurG., JohnsonA.M., NazrooJ., FentonK.A.United Kingdom acquisition of HIV infection in African residents in London: more than previously thought. AIDS2009; 23: 262–266.
22.
BarrettH.R., MulugetaB.Human immunodeficiency virus (HIV) and migrant ‘risk environments': the case of the Ethiopian and Eritrean immigrant community in the West Midlands of the UK. Psychol Health Med2010; 15: 357–369.
23.
BurnsF.M., EvansA.R., MercerC.H.Sexual and HIV risk behaviour in central and eastern European migrants in London. Sex Transm Infect2011; 87: 318–324.
24.
Dubois-ArberF., JeanninA., SpencerB.Mapping HIV/ STI behavioural surveillance in Europe. BMC Infect Dis2010; 10: 290.
25.
MorenoS., MocroftA., d'Arminio MonforteA.Medical and societal consequences of late presentation. Antivir Ther2010; 15Suppl 1: 9–15.
26.
CastillaJ., SobrinoP., De La FuenteL., NoguerI., GuerraL., ParrasF.Late diagnosis of HIV infection in the era of highly active antiretroviral therapy: consequences for AIDS incidence. AIDS2002; 16: 1945–1951.
27.
GirardiE., AloisiM.S., AriciC.Delayed presentation and late testing for HIV: demographic and behavioral risk factors in a multicenter study in Italy. J Acquir Immune Defic Syndr2004; 36: 951–959.
LanoyE., Mary-KrauseM., TattevinP.Frequency, determinants and consequences of delayed access to care for HIV infection in France. Antivir Ther2007; 12: 89–96.
30.
van LunzenJ., FatkenheuerG., LutzT., KlaukeS., MaussS., ScheweC.K.Late presentation is frequent in the elderly, in female and in patients from high prevalence countries in a German outpatient cohort.5th IAS Conference on HIV Pathogenesis, Treatment and Prevention. 19–22 July 2009, Cape Town, South Africa. Abstract MOPEB061.
31.
JohnsonM., SabinC., GirardiE.Definition and epidemiology of late presentation in Europe. Antivir Ther2010; 15Suppl 1: 3–8.
32.
SabinC.A., SmithC.J., GumleyH.Late presenters in the era of highly active antiretroviral therapy: uptake of and responses to antiretroviral therapy. AIDS2004; 18: 2145–2151.
33.
Diaz-MenendezM., Perez-MolinaJ.A., NormanF.High prevalence of HIV infection among asymptomatic immigrants: is universal HIV testing justified in all immigrants?6th IAS Conference on HIV Pathogenesis, Treatment and Prevention. 17–20 July 2011, Rome, Italy. Abstract MOPE318.
34.
BravoP., EdwardsA., RollnickS., ElwynG.Tough decisions faced by people living with HIV: a literature review of psychosocial problems. AIDS Rev2010; 12: 76–88.
35.
BungenerC., Marchand-GonodN., JouventR.African and European HIV-positive women: psychological and psychosocial differences. AIDS Care2000; 12: 541–548.
36.
PierretJ.An analysis over time (1990–2000) of the experiences of living with HIV. Soc Sci Med2007; 65: 1595–1605.
37.
WatersL., BartonS.Contraception and HIV: what do we know and what needs to be done?J Fam Plann Reprod Health Care2006; 32: 10–14.
38.
KirshenbaumS.B., HirkyA.E., CorrealeJ.'Throwing the dice': pregnancy decision-making among HIV-positive women in four U.S. cities. Perspect Sex Reprod Health2004; 36: 106–113.
39.
de RuiterA., MerceyD., AndersonJ.British HIV Association and Children's HIV Association guidelines for the management of HIV infection in pregnant women 2008. HIV Med2008; 9: 452–502.
40.
SherrL., ClucasC., HardingR., SibleyE., CatalanJ.HIV and depression–a systematic review of interventions. Psychol Health Med2011; 16: 493–527.
41.
FumazC.R., FerrerM.J., Munoz-MorenoJ.A.Gender differences in aging associated symptoms and their impact on quality of life in HIV-infected subjects.1st International Workshop on HIV and Aging. 4–5 October 2010, Baltimore, MD, USA. Abstract O_13.
42.
SherrL., ClucasC., LampeF.Gender and mental health aspects of living with HIV disease and its longer-term outcomes for UK heterosexual patients. Women Health2012; 52: 214–233.
43.
GordilloV., FeketeE.M., PlatteauT., AntoniM.H., SchneidermanN., NostlingerC.Emotional support and gender in people living with HIV: effects on psychological well-being. J Behav Med2009; 32: 523–531.
44.
TurnerB.J., LaineC., CoslerL., HauckW.W.Relationship of gender, depression, and health care delivery with antiretroviral adherence in HIV-infected drug users. J Gen Intern Med2003; 18: 248–257.
45.
Sordo del CastilloL., Ruiz-PerezI., Olry de LabryL.A.Biological, psychosocial, therapeutic and quality of life inequalities between HIV-positive men and women - a review from a gender perspective. AIDS Rev2010; 12: 113–120.
46.
SerovichJ.M.Helping HIV-positive persons to negotiate the disclosure process to partners, family members, and friends. J Marital Fam Ther2000; 26: 365–372.
