Gender and the use of antiretroviral treatment in resource-constrained settings: findings from a multicenter collaboration

Braitstein, Paula; Boulle, Andrew; Nash, Denis; Brinkhof, Martin W G; Dabis, François; Laurent, Christian; Schechter, Mauro; Tuboi, Suely H; Sprinz, Eduardo; Miotti, Paolo; Hosseinipour, Mina; May, Margaret; Egger, Matthias; Bangsberg, David R; Low, Nicola (2008). Gender and the use of antiretroviral treatment in resource-constrained settings: findings from a multicenter collaboration. Journal of women's health, 17(1), pp. 47-55. Larchmont, N.Y.: Mary Ann Liebert 10.1089/jwh.2007.0353

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AIMS: To compare the gender distribution of HIV-infected adults receiving highly active antiretroviral treatment (HAART) in resource-constrained settings with estimates of the gender distribution of HIV infection; to describe the clinical characteristics of women and men receiving HAART. METHODS: The Antiretroviral Therapy in Lower-Income Countries, ART-LINC Collaboration is a network of clinics providing HAART in Africa, Latin America, and Asia. We compared UNAIDS data on the gender distribution of HIV infection with the proportions of women and men receiving HAART in the ART-LINC Collaboration. RESULTS: Twenty-nine centers in 13 countries participated. Among 33,164 individuals, 19,989 (60.3%) were women. Proportions of women receiving HAART in ART-LINC centers were similar to, or higher than, UNAIDS estimates of the proportions of HIV-infected women in all but two centers. There were fewer women receiving HAART than expected from UNAIDS data in one center in Uganda and one center in India. Taking into account heterogeneity across cohorts, women were younger than men, less likely to have advanced HIV infection, and more likely to be anemic at HAART initiation. CONCLUSIONS: Women in resource-constrained settings are not necessarily disadvantaged in their access to HAART. More attention needs to be paid to ensuring that HIV-infected men are seeking care and starting HAART.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine

UniBE Contributor:

Brinkhof, Martin; Egger, Matthias and Low, Nicola

ISSN:

1540-9996

ISBN:

18240981

Publisher:

Mary Ann Liebert

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 15:04

Last Modified:

09 Jun 2015 14:38

Publisher DOI:

10.1089/jwh.2007.0353

PubMed ID:

18240981

Web of Science ID:

000253575300006

BORIS DOI:

10.7892/boris.27757

URI:

https://boris.unibe.ch/id/eprint/27757 (FactScience: 111432)

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