Gender distribution of adult patients on highly active antiretroviral therapy (HAART) in Southern Africa: a systematic review
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Muula, Adamson S, et al. Gender Distribution of Adult Patients On Highly Active Antiretroviral Therapy (haart) In Southern Africa: a Systematic Review. BioMed Central Ltd, 2007. https://doi.org/10.17615/95mz-xf81APA
Muula, A., Ngulube, T., Siziya, S., Makupe, C., Umar, E., Prozesky, H., Wiysonge, C., & Mataya, R. (2007). Gender distribution of adult patients on highly active antiretroviral therapy (HAART) in Southern Africa: a systematic review. BioMed Central Ltd. https://doi.org/10.17615/95mz-xf81Chicago
Muula, Adamson S, Thabale J Ngulube, Seter Siziya, Cecilia M Makupe, Eric Umar, Hans Prozesky, Charles S Wiysonge et al. 2007. Gender Distribution of Adult Patients On Highly Active Antiretroviral Therapy (haart) In Southern Africa: a Systematic Review. BioMed Central Ltd. https://doi.org/10.17615/95mz-xf81- Creator
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Muula, Adamson S
- Affiliation: Gillings School of Global Public Health, Department of Epidemiology
- Other Affiliation: Department of Community Health, University of Malawi, College of Medicine, Chichiri, Blantyre, Malawi
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Ngulube, Thabale J
- Other Affiliation: Center for Health and Social Research, Woodlands, Lusaka, Zambia
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Siziya, Seter
- Other Affiliation: Department of Community Medicine, University of Zambia Medical School, Lusaka, Zambia
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Makupe, Cecilia M
- Other Affiliation: Department of Population Studies, Chancellor College, University of Malawi, Zomba, Malawi
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Umar, Eric
- Other Affiliation: Department of Community Health, University of Malawi,- College of Medicine, Chichiri, Blantyre, Malawi
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Prozesky, Hans
- Other Affiliation: Division of Infectious Diseases, Department of Medicine, University of Stellenbosch, Tygerberg, South Africa
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Wiysonge, Charles S
- Other Affiliation: UNAIDS, Geneva, Switzerland
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Mataya, Ronald H
- Other Affiliation: Department of Global Health, Loma Linda University School of Public Health, Loma Linda, California
- Abstract
- Abstract Background HIV and AIDS are significant and growing public health concerns in southern Africa. The majority of countries in the region have national adult HIV prevalence estimates exceeding 10 percent. The increasing availability of highly active antiretroviral therapy (HAART) has potential to mitigate the situation. There is however concern that women may experience more barriers in accessing treatment programs than men. Methods A systematic review of the literature was carried out to describe the gender distribution of patients accessing highly active antiretroviral therapy (HAART) in Southern Africa. Data on number of patients on treatment, their mean or median age and gender were obtained and compared across studies and reports. Results The median or mean age of patients in the studies ranged from 33 to 39 years. While female to male HIV infection prevalence ratios in the southern African countries ranged from 1.2:1 to 1.6:1, female to male ratios on HAART ranged from 0.8: 1 to 2.3: 1. The majority of the reports had female: male ratio in treatment exceeding 1.6. Overall, there were more females on HAART than there were males and this was not solely explained by the higher HIV prevalence among females compared to males. Conclusion In most Southern African countries, proportionally more females are on HIV antiretroviral treatment than men, even when the higher HIV infection prevalence in females is accounted for. There is need to identify the factors that are facilitating women's accessibility to HIV treatment. As more patients access HAART in the region, it will be important to continue assessing the gender distribution of patients on HAART.
- Date of publication
- April 25, 2007
- DOI
- Identifier
- Resource type
- Article
- Rights statement
- In Copyright
- Rights holder
- Adamson S Muula et al.; licensee BioMed Central Ltd.
- License
- Journal title
- BMC Public Health
- Journal volume
- 7
- Journal issue
- 1
- Page start
- 63
- Language
- English
- Is the article or chapter peer-reviewed?
- Yes
- ISSN
- 1471-2458
- Bibliographic citation
- BMC Public Health. 2007 Apr 25;7(1):63
- Publisher
- BioMed Central Ltd
- Access right
- Open Access
- Date uploaded
- August 24, 2012
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