Who is utilizing anti-retroviral therapy in Ghana: an analysis of ART service utilization.
Who is utilizing anti-retroviral therapy in Ghana: an analysis of ART service utilization.
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谁在加纳利用抗逆转录病毒疗法：对艺术服务利用的分析。
DOI：
10.1186/1475-9276-11-62
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发表时间：
2012-10-16
影响因子：
4.8
通讯作者：
Yawson AE
中科院分区：
文献类型：
--
作者：
Dako-Gyeke P;Snow R;Yawson AE
全球扩大艾滋病毒患者抗逆转录病毒疗法的规模，导致人们对在资源有限的情况下利用抗逆转录病毒疗法服务的不公平现象表示关切。在本文中，我们描述了加纳成年艾滋病毒患者中ART分布的地区和性别差异。我们强调需要采取干预措施，解决加纳在利用抗逆转录病毒治疗服务方面存在的性别和地域不平等问题。我们回顾了2003年1月至2010年12月国家艾滋病/性传播感染控制计划的抗逆转录病毒治疗服务提供记录，提取了加纳15岁以上开始抗逆转录病毒治疗8年的成年人数据。获得并比较了接受治疗的患者数量、入组年份、性别和地区的数据。加纳接受抗逆转录病毒疗法的艾滋病毒患者人数从2003年的197人增加到2010年的45 000多人，增加了200多倍。然而，在连续六年（2005-2010年）中，每年男性约占新登记接受抗逆转录病毒疗法的成年人的三分之一。此外，全国各地的抗逆转录病毒疗法使用率不成比例。一些地区报告说，接受抗逆转录病毒疗法的人数低于其在全国艾滋病毒感染者人数中所占的百分比。迫切需要注意开始抗逆转录病毒疗法的男性相对较少，以及区域抗逆转录病毒疗法利用率不成比例的问题。必须解决与艾滋病毒护理有关的一切形式的基于性别的不平等，以便加纳在人口一级取得成功。加纳和其他地方的政策制定者需要了解与艾滋病毒护理相关的基于性别的健康不平等如何影响男性和女性，并开始设计适当的干预措施。
The global scale-up of antiretroviral therapy (ART) for HIV patients has led to concerns regarding inequities in utilization of ART services in resource-limited contexts. In this paper, we describe regional and sex differentials in the distribution of ART among adult HIV patients in Ghana. We highlight the need for interventions to address the gender-based and geographic inequities related to the utilization of ART services in Ghana. We reviewed National AIDS/STIs Control Program’s ART service provision records from January 2003 through December 2010, extracting data on adults aged 15+ who initiated ART in Ghana over a period of eight years. Data on the number of patients on treatment, year of enrollment, sex, and region were obtained and compared. The number of HIV patients receiving ART in Ghana increased more than 200-fold from 197 in 2003, to over 45,000 in 2010. However, for each of six continuous years (2005-2010) males comprised approximately one-third of adults newly enrolled on ART. As ART coverage has expanded in Ghana, the proportion of males receiving ART declined from 41.7% in 2004 to 30.1% in 2008 and to 27.6% in 2010. Also, there is disproportionate regional ART utilization across the country. Some regions report ART enrollment lower than their percent share of number of HIV infected persons in the country. Attention to the comparatively fewer males initiating ART, as well as disproportionate regional ART utilization is urgently needed. All forms of gender-based inequities in relation to HIV care must be addressed in order for Ghana to realize successful outcomes at the population level. Policy makers in Ghana and elsewhere need to understand how gender-based health inequities in relation to HIV care affect both men and women and begin to design appropriate interventions.
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DOI：
10.1016/j.trstmh.2005.11.007
发表时间：
2006-10-01
影响因子：
2.2
作者：
Makombe, Simon;Libamba, Edwin;Harries, Anthony D.
通讯作者：
Harries, Anthony D.
影响因子：
2.2
作者：
Jefferson, T
通讯作者：
Jefferson, T
影响因子：
168.9
作者：
Gilks, Charles F.;Crowley, Siobhan;De Cock, Kevin
通讯作者：
De Cock, Kevin
影响因子：
168.9
作者：
May, Margaret;Boulle, Andrew;Phiri, Sam;Messou, Eugene;Myer, Landon;Wood, Robin;Keiser, Olivia;Sterne, Jonathan A. C.;Dabis, Francois;Egger, Matthias
通讯作者：
Egger, Matthias
影响因子：
4.9
作者：
Mshana, Gerry Hillary;Wamoyi, Joyce;Urassa, Mark
通讯作者：
Urassa, Mark