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

Paula Braitstein, Andrew Boulle, Denis Nash, Martin W G Brinkhof, François Dabis, Christian Laurent, Mauro Schechter, Suely H. Tuboi, Eduardo Sprinz, Paolo Miotti, Mina Hosseinipour, Margaret May, Matthias Egger, David R. Bangsberg, Nicola Low, Eric Balestre, Martin Brinkhof, Claire Graber, Olivia Keiser, Catherine SeylerKathryn Anastos, Franck Olivier Ba-Gomis, David Bangsberg, Jennipher Chisanga, Eric Delaporte, Diana Dickinson, Ernest Ekong, Kamal Marhoum El Filali, Charles Kabugo, Silvester Kimaiyo, Mana Khongphatthanayothin, N. Kumarasamy, Ruedi Luthy, James McIntyre, Timothy Meade, Eugene Messou, Winstone Nyandiko Mokaya, Adama Ndir, Margaret Pascoe, Larry Pepper, Papa Salif Sow, Sam Phiri, John Sidle, Besigin Tonwe-Gold, Siaka Toure, Stefaan Van Der Borght, Ralf Weigel, Robin Wood, Zackie Achmat, Chris Bailey, Kevin De Cock, Wafaa El-Sadr, Ken Freedberg, Helene Gayle, Charlie Gilks, Catherine Hankins, Tony Harries, Elly Katabira, Jonathan Sterne, Mark Wainberg, Jack Whitescarver, Brigitte Bazin

Research output: Contribution to journalArticle

143 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)47-55
Number of pages9
JournalJournal of Women's Health
Volume17
Issue number1
DOIs
StatePublished - Jan 1 2008
Externally publishedYes

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HIV Infections
Therapeutics
HIV
Uganda
Latin America
Vulnerable Populations
India

ASJC Scopus subject areas

  • Medicine(all)

Cite this

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; Balestre, Eric; Brinkhof, Martin; Graber, Claire; Keiser, Olivia; Seyler, Catherine; Anastos, Kathryn; Ba-Gomis, Franck Olivier; Bangsberg, David; Chisanga, Jennipher; Delaporte, Eric; Dickinson, Diana; Ekong, Ernest; El Filali, Kamal Marhoum; Kabugo, Charles; Kimaiyo, Silvester; Khongphatthanayothin, Mana; Kumarasamy, N.; Luthy, Ruedi; McIntyre, James; Meade, Timothy; Messou, Eugene; Mokaya, Winstone Nyandiko; Ndir, Adama; Pascoe, Margaret; Pepper, Larry; Sow, Papa Salif; Phiri, Sam; Sidle, John; Tonwe-Gold, Besigin; Toure, Siaka; Van Der Borght, Stefaan; Weigel, Ralf; Wood, Robin; Achmat, Zackie; Bailey, Chris; De Cock, Kevin; El-Sadr, Wafaa; Freedberg, Ken; Gayle, Helene; Gilks, Charlie; Hankins, Catherine; Harries, Tony; Katabira, Elly; Sterne, Jonathan; Wainberg, Mark; Whitescarver, Jack; Bazin, Brigitte.

In: Journal of Women's Health, Vol. 17, No. 1, 01.01.2008, p. 47-55.

Research output: Contribution to journalArticle

Braitstein, P, Boulle, A, Nash, D, Brinkhof, MWG, Dabis, F, Laurent, C, Schechter, M, Tuboi, SH, Sprinz, E, Miotti, P, Hosseinipour, M, May, M, Egger, M, Bangsberg, DR, Low, N, Balestre, E, Brinkhof, M, Graber, C, Keiser, O, Seyler, C, Anastos, K, Ba-Gomis, FO, Bangsberg, D, Chisanga, J, Delaporte, E, Dickinson, D, Ekong, E, El Filali, KM, Kabugo, C, Kimaiyo, S, Khongphatthanayothin, M, Kumarasamy, N, Luthy, R, McIntyre, J, Meade, T, Messou, E, Mokaya, WN, Ndir, A, Pascoe, M, Pepper, L, Sow, PS, Phiri, S, Sidle, J, Tonwe-Gold, B, Toure, S, Van Der Borght, S, Weigel, R, Wood, R, Achmat, Z, Bailey, C, De Cock, K, El-Sadr, W, Freedberg, K, Gayle, H, Gilks, C, Hankins, C, Harries, T, Katabira, E, Sterne, J, Wainberg, M, Whitescarver, J & Bazin, B 2008, 'Gender and the use of antiretroviral treatment in resource-constrained settings: Findings from a multicenter collaboration', Journal of Women's Health, vol. 17, no. 1, pp. 47-55. https://doi.org/10.1089/jwh.2007.0353
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 ; Balestre, Eric ; Brinkhof, Martin ; Graber, Claire ; Keiser, Olivia ; Seyler, Catherine ; Anastos, Kathryn ; Ba-Gomis, Franck Olivier ; Bangsberg, David ; Chisanga, Jennipher ; Delaporte, Eric ; Dickinson, Diana ; Ekong, Ernest ; El Filali, Kamal Marhoum ; Kabugo, Charles ; Kimaiyo, Silvester ; Khongphatthanayothin, Mana ; Kumarasamy, N. ; Luthy, Ruedi ; McIntyre, James ; Meade, Timothy ; Messou, Eugene ; Mokaya, Winstone Nyandiko ; Ndir, Adama ; Pascoe, Margaret ; Pepper, Larry ; Sow, Papa Salif ; Phiri, Sam ; Sidle, John ; Tonwe-Gold, Besigin ; Toure, Siaka ; Van Der Borght, Stefaan ; Weigel, Ralf ; Wood, Robin ; Achmat, Zackie ; Bailey, Chris ; De Cock, Kevin ; El-Sadr, Wafaa ; Freedberg, Ken ; Gayle, Helene ; Gilks, Charlie ; Hankins, Catherine ; Harries, Tony ; Katabira, Elly ; Sterne, Jonathan ; Wainberg, Mark ; Whitescarver, Jack ; Bazin, Brigitte. / Gender and the use of antiretroviral treatment in resource-constrained settings : Findings from a multicenter collaboration. In: Journal of Women's Health. 2008 ; Vol. 17, No. 1. pp. 47-55.
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abstract = "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.",
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T2 - Findings from a multicenter collaboration

AU - Braitstein, Paula

AU - Boulle, Andrew

AU - Nash, Denis

AU - Brinkhof, Martin W G

AU - Dabis, François

AU - Laurent, Christian

AU - Schechter, Mauro

AU - Tuboi, Suely H.

AU - Sprinz, Eduardo

AU - Miotti, Paolo

AU - Hosseinipour, Mina

AU - May, Margaret

AU - Egger, Matthias

AU - Bangsberg, David R.

AU - Low, Nicola

AU - Balestre, Eric

AU - Brinkhof, Martin

AU - Graber, Claire

AU - Keiser, Olivia

AU - Seyler, Catherine

AU - Anastos, Kathryn

AU - Ba-Gomis, Franck Olivier

AU - Bangsberg, David

AU - Chisanga, Jennipher

AU - Delaporte, Eric

AU - Dickinson, Diana

AU - Ekong, Ernest

AU - El Filali, Kamal Marhoum

AU - Kabugo, Charles

AU - Kimaiyo, Silvester

AU - Khongphatthanayothin, Mana

AU - Kumarasamy, N.

AU - Luthy, Ruedi

AU - McIntyre, James

AU - Meade, Timothy

AU - Messou, Eugene

AU - Mokaya, Winstone Nyandiko

AU - Ndir, Adama

AU - Pascoe, Margaret

AU - Pepper, Larry

AU - Sow, Papa Salif

AU - Phiri, Sam

AU - Sidle, John

AU - Tonwe-Gold, Besigin

AU - Toure, Siaka

AU - Van Der Borght, Stefaan

AU - Weigel, Ralf

AU - Wood, Robin

AU - Achmat, Zackie

AU - Bailey, Chris

AU - De Cock, Kevin

AU - El-Sadr, Wafaa

AU - Freedberg, Ken

AU - Gayle, Helene

AU - Gilks, Charlie

AU - Hankins, Catherine

AU - Harries, Tony

AU - Katabira, Elly

AU - Sterne, Jonathan

AU - Wainberg, Mark

AU - Whitescarver, Jack

AU - Bazin, Brigitte

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AB - 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.

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