Lower levels of antiretroviral therapy enrollment among men with HIV compared with women - 12 countries, 2002-2013

A.F. Auld; R.W. Shiraishi; F. Mbofana; A. Couto; E.B. Fetogang; S. El-Halabi; R. Lebelonyane; P.T. Pilatwe; N. Hamunime; V. Okello; T. Mutasa-Apollo; O. Mugurungi; J. Murungu; J. Dzangare; G. Kwesigabo; F. Wabwire-Mangen; M. Mulenga; S. Hachizovu; V. Ettiegne-Traore; F. Mohamed; A. Bashorun; D.T. Nhan; N.H. Hai; T.H. Quang; J.D. Van Onacker; K. Francois; E.G. Robin; G. Desforges; M. Farahani; H. Kamiru; H. Nuwagaba-Biribonwoha; P. Ehrenkranz; J.A. Denison; Olivier Koole; S. Tsui; K. Torpey; Y.D. Mukadi; E. Van Praag; Joris Menten; T.D. Mastro; C.D. Hamilton; O.O. Abiri; M. Griswold; E. Pierre; C. Xavier; C. Alfredo; K. Jobarteh; M. Letebele; S. Agolory; A.L. Baughman; G. Mutandi; P. Preko; C. Ryan; T. Ao; E. Gonese; A. Herman-Roloff; K.A. Ekra; J.S. Kouakou; S. Odafe; D. Onotu; I. Dalhatu; H.H. Debem; D.B. Nguyen; L.N. Yen; A.S. Abdul-Quader; V. Pelletier; S.G. Williams; S. Behel; G. Bicego; M. Swaminathan; E.K. Dokubo; G. Adjorlolo-Johnson; R. Marlink; D. Lowrance; T. Spira; Robert Colebunders; D. Bangsberg; A. Zee; J. Kaplan; T.V. Ellerbrock

Lower levels of antiretroviral therapy enrollment among men with HIV compared with women - 12 countries, 2002-2013

A.F. Auld, R.W. Shiraishi, F. Mbofana, A. Couto, E.B. Fetogang, S. El-Halabi, R. Lebelonyane, P.T. Pilatwe, N. Hamunime, V. Okello, T. Mutasa-Apollo, O. Mugurungi, J. Murungu, J. Dzangare, G. Kwesigabo, F. Wabwire-Mangen, M. Mulenga, S. Hachizovu, V. Ettiegne-Traore, F. MohamedA. Bashorun, D.T. Nhan, N.H. Hai, T.H. Quang, J.D. Van Onacker, K. Francois, E.G. Robin, G. Desforges, M. Farahani, H. Kamiru, H. Nuwagaba-Biribonwoha, P. Ehrenkranz, J.A. Denison, Olivier Koole, S. Tsui, K. Torpey, Y.D. Mukadi, E. Van Praag, Joris Menten, T.D. Mastro, C.D. Hamilton, O.O. Abiri, M. Griswold, E. Pierre, C. Xavier, C. Alfredo, K. Jobarteh, M. Letebele, S. Agolory, A.L. Baughman, G. Mutandi, P. Preko, C. Ryan, T. Ao, E. Gonese, A. Herman-Roloff, K.A. Ekra, J.S. Kouakou, S. Odafe, D. Onotu, I. Dalhatu, H.H. Debem, D.B. Nguyen, L.N. Yen, A.S. Abdul-Quader, V. Pelletier, S.G. Williams, S. Behel, G. Bicego, M. Swaminathan, E.K. Dokubo, G. Adjorlolo-Johnson, R. Marlink, D. Lowrance, T. Spira, Robert Colebunders, D. Bangsberg, A. Zee, J. Kaplan, T.V. Ellerbrock

Clinical Trial Centre

Research output: Contribution to journal › A1: Web of Science-article › peer-review

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)dagger 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
Journal	MMWR Morbidity and Mortality Weekly Report
Volume	64
Issue number	46
Pages (from-to)	1281-1286
Number of pages	6
ISSN	0149-2195
Publication status	Published - 2015

Keywords

Viral diseases
HIV
AIDS
HAART
Antiretrovirals
Enrolment
Men
Women
Accessibility
Eligibility
Gender
Equity
Africa-East
Africa-West
Africa-Southern
Caribbean
America-Latin
Asia-Southeast

Cite this

Auld, A. F., Shiraishi, R. W., Mbofana, F., Couto, A., Fetogang, E. B., El-Halabi, S., Lebelonyane, R., Pilatwe, P. T., 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., ... Ellerbrock, T. V. (2015). Lower levels of antiretroviral therapy enrollment among men with HIV compared with women - 12 countries, 2002-2013. MMWR Morbidity and Mortality Weekly Report, 64(46), 1281-1286.

@article{b4eedb5cd2ae42699cb6dc3892c30148,

title = "Lower levels of antiretroviral therapy enrollment among men with HIV compared with women - 12 countries, 2002-2013",

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)dagger 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.",

keywords = "Viral diseases, HIV, AIDS, HAART, Antiretrovirals, Enrolment, Men, Women, Accessibility, Eligibility, Gender, Equity, Africa-East, Africa-West, Africa-Southern, Caribbean, America-Latin, Asia-Southeast",

author = "A.F. Auld and R.W. Shiraishi and F. Mbofana and A. Couto and E.B. Fetogang and S. El-Halabi and R. Lebelonyane and P.T. Pilatwe and N. Hamunime and V. Okello and T. Mutasa-Apollo and O. Mugurungi and J. Murungu and J. Dzangare and G. Kwesigabo and F. Wabwire-Mangen and M. Mulenga and S. Hachizovu and V. Ettiegne-Traore and F. Mohamed and A. Bashorun and D.T. Nhan and N.H. Hai and T.H. Quang and {Van Onacker}, J.D. and K. Francois and E.G. Robin and G. Desforges and M. Farahani and H. Kamiru and H. Nuwagaba-Biribonwoha and P. Ehrenkranz and J.A. Denison and Olivier Koole and S. Tsui and K. Torpey and Y.D. Mukadi and {Van Praag}, E. and Joris Menten and T.D. Mastro and C.D. Hamilton and O.O. Abiri and M. Griswold and E. Pierre and C. Xavier and C. Alfredo and K. Jobarteh and M. Letebele and S. Agolory and A.L. Baughman and G. Mutandi and P. Preko and C. Ryan and T. Ao and E. Gonese and A. Herman-Roloff and K.A. Ekra and J.S. Kouakou and S. Odafe and D. Onotu and I. Dalhatu and H.H. Debem and D.B. Nguyen and L.N. Yen and A.S. Abdul-Quader and V. Pelletier and S.G. Williams and S. Behel and G. Bicego and M. Swaminathan and E.K. Dokubo and G. Adjorlolo-Johnson and R. Marlink and D. Lowrance and T. Spira and Robert Colebunders and D. Bangsberg and A. Zee and J. Kaplan and T.V. Ellerbrock",

year = "2015",

language = "English",

volume = "64",

pages = "1281--1286",

journal = "MMWR Morbidity and Mortality Weekly Report",

issn = "0149-2195",

publisher = "Centers for Disease Control and Prevention (CDC)",

number = "46",

}

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, 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 2015, 'Lower levels of antiretroviral therapy enrollment among men with HIV compared with women - 12 countries, 2002-2013', MMWR Morbidity and Mortality Weekly Report, vol. 64, no. 46, pp. 1281-1286.

TY - JOUR

T1 - Lower levels of antiretroviral therapy enrollment among men with HIV compared with women - 12 countries, 2002-2013

AU - Auld, A.F.

AU - Shiraishi, R.W.

AU - Mbofana, F.

AU - Couto, A.

AU - Fetogang, E.B.

AU - El-Halabi, S.

AU - Lebelonyane, R.

AU - Pilatwe, P.T.

AU - Hamunime, N.

AU - Okello, V.

AU - Mutasa-Apollo, T.

AU - Mugurungi, O.

AU - Murungu, J.

AU - Dzangare, J.

AU - Kwesigabo, G.

AU - Wabwire-Mangen, F.

AU - Mulenga, M.

AU - Hachizovu, S.

AU - Ettiegne-Traore, V.

AU - Mohamed, F.

AU - Bashorun, A.

AU - Nhan, D.T.

AU - Hai, N.H.

AU - Quang, T.H.

AU - Van Onacker, J.D.

AU - Francois, K.

AU - Robin, E.G.

AU - Desforges, G.

AU - Farahani, M.

AU - Kamiru, H.

AU - Nuwagaba-Biribonwoha, H.

AU - Ehrenkranz, P.

AU - Denison, J.A.

AU - Koole, Olivier

AU - Tsui, S.

AU - Torpey, K.

AU - Mukadi, Y.D.

AU - Van Praag, E.

AU - Menten, Joris

AU - Mastro, T.D.

AU - Hamilton, C.D.

AU - Abiri, O.O.

AU - Griswold, M.

AU - Pierre, E.

AU - Xavier, C.

AU - Alfredo, C.

AU - Jobarteh, K.

AU - Letebele, M.

AU - Agolory, S.

AU - Baughman, A.L.

AU - Mutandi, G.

AU - Preko, P.

AU - Ryan, C.

AU - Ao, T.

AU - Gonese, E.

AU - Herman-Roloff, A.

AU - Ekra, K.A.

AU - Kouakou, J.S.

AU - Odafe, S.

AU - Onotu, D.

AU - Dalhatu, I.

AU - Debem, H.H.

AU - Nguyen, D.B.

AU - Yen, L.N.

AU - Abdul-Quader, A.S.

AU - Pelletier, V.

AU - Williams, S.G.

AU - Behel, S.

AU - Bicego, G.

AU - Swaminathan, M.

AU - Dokubo, E.K.

AU - Adjorlolo-Johnson, G.

AU - Marlink, R.

AU - Lowrance, D.

AU - Spira, T.

AU - Colebunders, Robert

AU - Bangsberg, D.

AU - Zee, A.

AU - Kaplan, J.

AU - Ellerbrock, T.V.

PY - 2015

Y1 - 2015

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)dagger 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)dagger 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.

KW - Viral diseases

KW - HIV

KW - AIDS

KW - HAART

KW - Antiretrovirals

KW - Enrolment

KW - Men

KW - Women

KW - Accessibility

KW - Eligibility

KW - Gender

KW - Equity

KW - Africa-East

KW - Africa-West

KW - Africa-Southern

KW - Caribbean

KW - America-Latin

KW - Asia-Southeast

M3 - A1: Web of Science-article

C2 - 26605861

SN - 0149-2195

VL - 64

SP - 1281

EP - 1286

JO - MMWR Morbidity and Mortality Weekly Report

JF - MMWR Morbidity and Mortality Weekly Report

IS - 46

ER -

Lower levels of antiretroviral therapy enrollment among men with HIV compared with women - 12 countries, 2002-2013

Abstract

Keywords

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