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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Gender and the use of antiretroviral treatment in resource-constrained settings: Findings from a multicenter collaboration
Journal of Women's Health, Volume 17, No. 1, Year 2008
Notification
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Description
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. © 2008 Mary Ann Liebert, Inc.
Authors & Co-Authors
Braitstein, Paula K.A.
United States, Indianapolis
Indiana University-purdue University Indianapolis
Kenya, Eldoret
Moi University
Boulle, Andrew
South Africa, Cape Town
University of Cape Town
Nash, Denis B.
United States, New York
Columbia University
Brinkhof, Martin W.G.
Switzerland, Bern
Institute of Social and Preventive Medicine
Dabis, Franćois Ç.Ois
France, Paris
Inserm
Laurent, Christian
France, Montpellier
Ird Centre de Montpellier
Schechter, Mauro T.
Brazil, Rio de Janeiro
Universidade Federal do Rio de Janeiro
Tuboi, Suely Hiromi
Brazil, Rio de Janeiro
Universidade Federal do Rio de Janeiro
Sprinz, Eduardo
Brazil, Porto Alegre
Hospital de Clinicas de Porto Alegre
Miotti, Paolo G.
United States, Bethesda
National Institutes of Health Nih
Hosseinipour, Mina C.
Malawi, Lilongwe
Unc Project-malawi
May, Margaret T.
United Kingdom, Bristol
University of Bristol
Egger, Matthias
United Kingdom, Bristol
University of Bristol
Bangsberg, David R.
United States, San Francisco
University of California, San Francisco
Low, Nicola M.
Switzerland, Bern
Institute of Social and Preventive Medicine
Balestre, Eric
Unknown Affiliation
Brinkhof, Martin
Unknown Affiliation
Graber, Claire
Unknown Affiliation
Keiser, Olivia
Unknown Affiliation
Seyler, Catherine
Unknown Affiliation
Anastos, Kathryn M.
Unknown Affiliation
Ba-Gomis, Franck Olivier
Unknown Affiliation
Chisanga, Jennipher
Unknown Affiliation
Delaporte, Éric
Unknown Affiliation
Dickinson, Diana B.
Unknown Affiliation
Ekong, Ernest
Unknown Affiliation
Marhoum El Filali, Kamal
Unknown Affiliation
Kabugo, Charles
Unknown Affiliation
Kimaiyo, Sylvester N.
Unknown Affiliation
Khongphatthanayothin, Mana
Unknown Affiliation
Kumarasamy, Nagalingeswaran
Unknown Affiliation
Lüthy, Rüedi P.
Unknown Affiliation
McIntyre, James Alasdair
Unknown Affiliation
Meade, Timothy
Unknown Affiliation
Messou, Eugéne
Unknown Affiliation
Mokaya, Winstone Nyandiko
Unknown Affiliation
Ndir, Adama
Unknown Affiliation
Pascoe, Margaret J.
Unknown Affiliation
Pepper, Larry
Unknown Affiliation
Sow, Papa Salif
Unknown Affiliation
Phiri, Sam John Peter
Unknown Affiliation
Sidle, John E.
Unknown Affiliation
Tonwe-Gold, Besigin
Unknown Affiliation
Touré, Siaka
Unknown Affiliation
van der Borght, Stefaan F.M.
Unknown Affiliation
Weigel, Ralf
Unknown Affiliation
Wood, Robin R.
Unknown Affiliation
Achmat, Zackie
Unknown Affiliation
Bailey, Christopher T.
Unknown Affiliation
de Cock, Kevin M.
Unknown Affiliation
El-Sadr, W. M.
Unknown Affiliation
Freedberg, Ken
Unknown Affiliation
Gayle, Helene
Unknown Affiliation
Gilks, Charles F.
Unknown Affiliation
Hankins, Catherine
Unknown Affiliation
Harries, Tony
Unknown Affiliation
Katabira, Elly Tebasoboke
Unknown Affiliation
Sterne, Jonathan A.C.
Unknown Affiliation
Wainberg, Mark
Unknown Affiliation
Whitescarver, Jack
Unknown Affiliation
Bazin, Brigitte
Unknown Affiliation
Statistics
Citations: 219
Authors: 61
Affiliations: 15
Identifiers
Doi:
10.1089/jwh.2007.0353
ISSN:
15409996
Research Areas
Genetics And Genomics
Health System And Policy
Infectious Diseases
Study Design
Cohort Study
Study Locations
Uganda
Participants Gender
Male
Female