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

被引:163
作者
Braitstein, Paula [2 ,3 ]
Boulle, Andrew [4 ]
Nash, Denis [5 ]
Brinkhof, Martin W. G. [1 ]
Dabis, Francois [6 ]
Laurent, Christian [7 ]
Schechter, Mauro [8 ]
Tuboi, Suely H. [9 ]
Sprinz, Eduardo [10 ]
Miotti, Paolo [11 ]
Hosseinipour, Mina [12 ]
May, Margaret [13 ]
Egger, Matthias [13 ]
Bangsberg, David R. [14 ]
Low, Nicola [1 ]
机构
[1] Univ Bern, Inst Social & Prevent Med, CH-3012 Bern, Switzerland
[2] Indiana Univ, Dept Med, Indianapolis, IN 46204 USA
[3] Moi Univ, Sch Med, Eldoret, Kenya
[4] Univ Cape Town, Sch Publ Hlth & Family Med, ZA-7925 Cape Town, South Africa
[5] Columbia Univ, Int Ctr AIDS Care & Treatment Programs, New York, NY USA
[6] Univ Victor Segalen Bordeaux, Inst Sante Publ Epidemiol & Dev, INSERM U593, Bordeaux, France
[7] Inst Rech Pour Dev, UMR 145, Montpellier, France
[8] Univ Fed Rio de Janeiro, Hosp Univ Clemintino Fraga Filho, Rio De Janeiro, Brazil
[9] Univ Fed Rio Grande do Sul, Hosp Escola S Francisco Assis, Rio De Janeiro, Brazil
[10] Univ Fed Rio Grande do Sul, Hosp Clin Porto Alegre, BR-90046900 Porto Alegre, RS, Brazil
[11] NIH, Bethesda, MD 20892 USA
[12] Univ N Carolina Project, Lilongwe, Malawi
[13] Univ Bristol, Dept Social Med, Bristol, Avon, England
[14] Univ Calif San Francisco, Epidemiol Prevent & Intervent Ctr, San Francisco, CA 94143 USA
基金
英国医学研究理事会;
关键词
D O I
10.1089/jwh.2007.0353
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
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.
引用
收藏
页码:47 / 55
页数:9
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