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 SeylerKathy Anastos, Franck Olivier Ba-Gomis, 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 journalArticlepeer-review

168 Scopus citations


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
Issue number1
StatePublished - Jan 1 2008
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)


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