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Lower Levels of Antiretroviral Therapy Enrollment Among Men with HIV Compared with Women - 12 Countries, 2002-2013.

Publication ,  Journal Article
Auld, AF; Shiraishi, RW; Mbofana, F; Couto, A; Fetogang, EB; El-Halabi, S; Lebelonyane, R; Pilatwe, PT; Hamunime, N; Okello, V; Mugurungi, O ...
Published in: MMWR Morb Mortal Wkly Rep
November 27, 2015

Equitable access to antiretroviral therapy (ART) for men and women with human immunodeficiency virus (HIV) infection is a principle endorsed by most countries and funding bodies, including the U.S. President's Emergency Plan for AIDS (acquired immunodeficiency syndrome) Relief (PEPFAR) (1). To evaluate gender equity in ART access among adults (defined for this report as persons aged ≥15 years), 765,087 adult ART patient medical records from 12 countries in five geographic regions* were analyzed to estimate the ratio of women to men among new ART enrollees for each calendar year during 2002-2013. This annual ratio was compared with estimates from the Joint United Nations Programme on HIV/AIDS (UNAIDS)(†) of the ratio of HIV-infected adult women to men in the general population. In all 10 African countries and Haiti, the most recent estimates of the ratio of adult women to men among new ART enrollees significantly exceeded the UNAIDS estimates for the female-to-male ratio among HIV-infected adults by 23%-83%. In six African countries and Haiti, the ratio of women to men among new adult ART enrollees increased more sharply over time than the estimated UNAIDS female-to-male ratio among adults with HIV in the general population. Increased ART coverage among men is needed to decrease their morbidity and mortality and to reduce HIV incidence among their sexual partners. Reaching more men with HIV testing and linkage-to-care services and adoption of test-and-treat ART eligibility guidelines (i.e., regular testing of adults, and offering treatment to all infected persons with ART, regardless of CD4 cell test results) could reduce gender inequity in ART coverage.

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Published In

MMWR Morb Mortal Wkly Rep

DOI

EISSN

1545-861X

Publication Date

November 27, 2015

Volume

64

Issue

46

Start / End Page

1281 / 1286

Location

United States

Related Subject Headings

  • Vietnam
  • Sex Factors
  • Patient Acceptance of Health Care
  • Male
  • Humans
  • Haiti
  • HIV Infections
  • General & Internal Medicine
  • Female
  • Anti-HIV Agents
 

Citation

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ICMJE
MLA
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Auld, A. F., Shiraishi, R. W., Mbofana, F., Couto, A., Fetogang, E. B., El-Halabi, S., … Ellerbrock, T. V. (2015). Lower Levels of Antiretroviral Therapy Enrollment Among Men with HIV Compared with Women - 12 Countries, 2002-2013. MMWR Morb Mortal Wkly Rep, 64(46), 1281–1286. https://doi.org/10.15585/mmwr.mm6446a2
Auld, Andrew F., Ray W. Shiraishi, Francisco Mbofana, Aleny Couto, Ernest Benny Fetogang, Shenaaz El-Halabi, Refeletswe Lebelonyane, et al. “Lower Levels of Antiretroviral Therapy Enrollment Among Men with HIV Compared with Women - 12 Countries, 2002-2013.MMWR Morb Mortal Wkly Rep 64, no. 46 (November 27, 2015): 1281–86. https://doi.org/10.15585/mmwr.mm6446a2.
Auld AF, Shiraishi RW, Mbofana F, Couto A, Fetogang EB, El-Halabi S, et al. Lower Levels of Antiretroviral Therapy Enrollment Among Men with HIV Compared with Women - 12 Countries, 2002-2013. MMWR Morb Mortal Wkly Rep. 2015 Nov 27;64(46):1281–6.
Auld, Andrew F., et al. “Lower Levels of Antiretroviral Therapy Enrollment Among Men with HIV Compared with Women - 12 Countries, 2002-2013.MMWR Morb Mortal Wkly Rep, vol. 64, no. 46, Nov. 2015, pp. 1281–86. Pubmed, doi:10.15585/mmwr.mm6446a2.
Auld AF, Shiraishi RW, Mbofana F, Couto A, Fetogang EB, El-Halabi S, Lebelonyane R, Pilatwe PT, Hamunime N, Okello V, Mutasa-Apollo T, Mugurungi O, Murungu J, Dzangare J, Kwesigabo G, Wabwire-Mangen F, Mulenga M, Hachizovu S, Ettiegne-Traore V, Mohamed F, MSAE, Bashorun A, Nhan DT, Hai NH, Quang TH, Van Onacker JD, Francois K, Robin EG, Desforges G, Farahani M, Kamiru H, Nuwagaba-Biribonwoha H, Ehrenkranz P, Denison JA, Koole O, Tsui S, Torpey K, Mukadi YD, van Praag E, Menten J, Mastro TD, Hamilton CD, Abiri OO, Griswold M, Pierre E, Xavier C, Alfredo C, Jobarteh K, Letebele M, Agolory S, Baughman AL, Mutandi G, Preko P, Ryan C, Ao T, Gonese E, Herman-Roloff A, Ekra KA, Kouakou JS, Odafe S, Onotu D, Dalhatu I, Debem HH, Nguyen DB, Yen LN, Abdul-Quader AS, Pelletier V, Williams SG, Behel S, Bicego G, Swaminathan M, Dokubo EK, Adjorlolo-Johnson G, Marlink R, Lowrance D, Spira T, Colebunders R, Bangsberg D, Zee A, Kaplan J, Ellerbrock TV. Lower Levels of Antiretroviral Therapy Enrollment Among Men with HIV Compared with Women - 12 Countries, 2002-2013. MMWR Morb Mortal Wkly Rep. 2015 Nov 27;64(46):1281–1286.

Published In

MMWR Morb Mortal Wkly Rep

DOI

EISSN

1545-861X

Publication Date

November 27, 2015

Volume

64

Issue

46

Start / End Page

1281 / 1286

Location

United States

Related Subject Headings

  • Vietnam
  • Sex Factors
  • Patient Acceptance of Health Care
  • Male
  • Humans
  • Haiti
  • HIV Infections
  • General & Internal Medicine
  • Female
  • Anti-HIV Agents