Dr. Alba Cortez Alfaro

Department School Health, National Institute of Hygiene, Epidemiology and Microbiology (INHEM), Cuba

Title: Epidemiological Behavior of HIV Infection in Adolescents. Cuba, 1987-2018



HIV/AIDS infection is considered a public health problem worldwide and Cuba is no stranger to this phenomenon and work continues to stop the progress of the epidemicin the country. Adolescence, a period of turbulence with affective ambivalence, which together with the early onset of sexual intercourse and its unprotected practice make them a vulnerable stage to HIV/AIDS infection.

Objective: To characterize the epidemiological behavior of HIV in adolescence (10 to 19 years old) from 1987 (report of the first cases in Cuba at these ages) to December 2018.

Method: Retrospective descriptive study of the total cases of adolescents diagnosed as HIV in Cuba in the period from January 1987 to December 2018. The information was obtained from the registry of Sexually Transmitted Infection(STI) and HIV/AIDS from the National Directorate of Epidemiology of the Ministry of Public Health (MINSAP). The universe was made up of 2090 cases diagnosed with male predominance for 63.3 with low percentages in the ages of 10 to 14 years with 38 cases (1.8%) throughout the epidemic, 1,434 (68.6) remain asymptomatic and 656 cases have developed AIDS for 31.4%. of those killed by AIDS, only 14.5% of the 303 cases have died from this cause. As for its location, the highest percentages are found in Outpatient Care.

Conclusions: Male predominance, the source of transmission was primarily homosexual. The highest percentage of those diagnosed with HIV are in the condition of Outpatient Care.


Dr. Alba Cortés Alfaro is a 2nd Grade Specialist in School Hygiene. Master in Epidemiology, Diploma in HIV/AIDS. Member of the Multidisciplinary Society for the study of Sexuality (SOCUMES). 1986-2021 (current), Member of the National Commission of Suicide Experts. Reviewer of international and national journals on STI/HIV/AIDS and suicidal behavior. Assistant Professor and Researcher. She works in the Department of School Health of the National Institute of Hygiene, Epidemiology and Microbiology of Cuba. Research line STI-HIV/AIDS in children and adolescents for more than 37 years among other lines of research. She has directed 13 projects related to STI-HIV/AIDS, has around 80 publications in international and national peer-reviewed journals.

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