Abstract
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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 1281-1286 |
| Number of pages | 6 |
| Journal | MMWR. Morbidity and mortality weekly report |
| Volume | 64 |
| Issue number | 46 |
| DOIs | |
| State | Published - Nov 27 2015 |
| Externally published | Yes |
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ASJC Scopus subject areas
- Epidemiology
- Health(social science)
- Health, Toxicology and Mutagenesis
- Health Information Management
Cite this
Lower Levels of Antiretroviral Therapy Enrollment Among Men with HIV Compared with Women - 12 Countries, 2002-2013. / Auld, Andrew F.; Shiraishi, Ray W.; Mbofana, Francisco; Couto, Aleny; Fetogang, Ernest B enny; El-Halabi, Shenaaz; Lebelonyane, Refeletswe; Pilatwe, Pilatwe T lhagiso; Hamunime, Ndapewa; Okello, Velephi; Mutasa-Apollo, Tsitsi; Mugurungi, Owen; Murungu, Joseph; Dzangare, Janet; Kwesigabo, Gideon; Wabwire-Mangen, Fred; Mulenga, Modest; Hachizovu, Sebastian; Ettiegne-Traore, Virginie; Mohamed, Fayama; Bashorun, Adebobola; Nhan, Do T hi; Hai, Nguyen H uu; Quang, Tran H uu; Van Onacker, Joelle D eas; Francois, Kesner; Robin, Ermane G.; Desforges, Gracia; Farahani, Mansour; Kamiru, Harrison; Nuwagaba-Biribonwoha, Harriet; Ehrenkranz, Peter; Denison, Julie A.; Koole, Olivier; Tsui, Sharon; Torpey, Kwasi; Mukadi, Ya D iul; van Praag, Eric; Menten, Joris; Mastro, Timothy D.; Hamilton, Carol D ukes; Abiri, Oseni O momo; Griswold, Mark; Pierre, Edna; Xavier, Carla; Alfredo, Charity; Jobarteh, Kebba; Letebele, Mpho; Agolory, Simon; Bangsberg, David; MSAE.
In: MMWR. Morbidity and mortality weekly report, Vol. 64, No. 46, 27.11.2015, p. 1281-1286.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Lower Levels of Antiretroviral Therapy Enrollment Among Men with HIV Compared with Women - 12 Countries, 2002-2013
AU - Auld, Andrew F.
AU - Shiraishi, Ray W.
AU - Mbofana, Francisco
AU - Couto, Aleny
AU - Fetogang, Ernest B enny
AU - El-Halabi, Shenaaz
AU - Lebelonyane, Refeletswe
AU - Pilatwe, Pilatwe T lhagiso
AU - Hamunime, Ndapewa
AU - Okello, Velephi
AU - Mutasa-Apollo, Tsitsi
AU - Mugurungi, Owen
AU - Murungu, Joseph
AU - Dzangare, Janet
AU - Kwesigabo, Gideon
AU - Wabwire-Mangen, Fred
AU - Mulenga, Modest
AU - Hachizovu, Sebastian
AU - Ettiegne-Traore, Virginie
AU - Mohamed, Fayama
AU - Bashorun, Adebobola
AU - Nhan, Do T hi
AU - Hai, Nguyen H uu
AU - Quang, Tran H uu
AU - Van Onacker, Joelle D eas
AU - Francois, Kesner
AU - Robin, Ermane G.
AU - Desforges, Gracia
AU - Farahani, Mansour
AU - Kamiru, Harrison
AU - Nuwagaba-Biribonwoha, Harriet
AU - Ehrenkranz, Peter
AU - Denison, Julie A.
AU - Koole, Olivier
AU - Tsui, Sharon
AU - Torpey, Kwasi
AU - Mukadi, Ya D iul
AU - van Praag, Eric
AU - Menten, Joris
AU - Mastro, Timothy D.
AU - Hamilton, Carol D ukes
AU - Abiri, Oseni O momo
AU - Griswold, Mark
AU - Pierre, Edna
AU - Xavier, Carla
AU - Alfredo, Charity
AU - Jobarteh, Kebba
AU - Letebele, Mpho
AU - Agolory, Simon
AU - Bangsberg, David
AU - MSAE
PY - 2015/11/27
Y1 - 2015/11/27
N2 - 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.
AB - 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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U2 - 10.15585/mmwr.mm6446a2
DO - 10.15585/mmwr.mm6446a2
M3 - Article
VL - 64
SP - 1281
EP - 1286
JO - Morbidity and Mortality Weekly Report
JF - Morbidity and Mortality Weekly Report
SN - 0149-2195
IS - 46
ER -