Aims: We aimed to describe the epidemiology of women with HIV infection in the Auckland and Northland regions, and to assess whether there were missed opportunities for an earlier diagnosis of HIV infection.
Methods: We undertook a retrospective cohort analysis of women diagnosed with HIV infection between July 2011 and June 2021 under the care of the Infectious Disease Unit, Auckland City Hospital.
Results: Fifty-six women (54 cis and 2 trans) were diagnosed during the period. Eleven (20%) were diagnosed following a presentation with one or more AIDS-defining illnesses. Three (6%) died within six months of diagnosis. Fifteen of 44 (34%) women residing in New Zealand prior to their diagnosis of HIV infection had identifiable healthcare interactions that could have resulted in an earlier diagnosis of this infection.
Conclusions: Women account for one in eight of the total population of people diagnosed with HIV infection in the Auckland and Northland regions. There are currently inadequate levels of HIV testing for women in the Auckland and Northland regions. There is a need for targeted HIV screening efforts for women. HIV screening needs to be optimised to maximise coverage, normalise testing and reduce the stigmatisation associated with testing.
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