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Women bear about half of the HIV infections worldwide. In sub-Saharan Africa, 58% of those infected are women; in Asia this figure is 30%. While the epidemic occurs in varied geographic regions, all women are biologically and socioculturally vulnerable. Our common prevention options fail to take into account women's realities: being in, or wanting to be in, a union; wanting to have children; the imbalance of power in male/female relationships; inaccessibility of education; the threat of sexual violence; and the economic vulnerability that leads to engaging in sexual activity for survival. Female-controlled methods, including female condoms and microbicides, are essential and must take into account these realities. The prevention needs of women already infected with HIV must be addressed by supporting disclosure, fighting stigma, and being sensitive to the threat of violence and disinheritance. The burden of care for those living with HIV/AIDS most often falls to women and girls. Recognition of the value of this work is vital, as is addressing practical issues that can help alleviate this burden of care.
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Ogden et al. (2004) studied this question.
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