Men’s heightened risk of AIDS-related death: the legacy of gendered HIV testing and treatment strategies
Women are frequently depicted as the face of AIDS in sub-Saharan Africa (SAA) where they comprise nearly 58% of all reported HIV infections. Donor dollars, policies, and HIV programs have followed suit, resulting in a near-exclusive focus on women. Although African women are represented as particularly vulnerable to HIV infection, it is men, not women, […]
The men’s health gap: men must be included in the global health equity agenda
In most parts of the world, health outcomes among boys and men continue to be substantially worse than among girls and women, yet this gender-based disparity in health has received little national, regional or global acknowledgement or attention from health policy-makers or health-care providers. Including both women and men in efforts to reduce gender inequalities […]
Men with Money and the ‘‘Vulnerable Women” Client Category in an AIDS Epidemic
Why have African men been largely overlooked in HIV policy and programs, while poor women are almost always targeted? Men are more likely to die of AIDS than women, and multiple studies in Africa find that wealthier men are more likely to be infected with HIV than are poor men. We draw on survey and […]
Men and antiretroviral therapy in Africa: our blindspot
Most antiretroviral therapy (ART)-related policies remain blind to men’s treatment needs. Global and national programmes need to address this blindness urgently, to ensure equitable access to ART in Africa.
Mass HIV Treatment and Sex Disparities in Life Expectancy: Demographic Surveillance in Rural South Africa
Background Women have better patient outcomes in HIV care and treatment than men in sub-Saharan Africa. We assessed—at the population level—whether and to what extent mass HIV treatment is associated with changes in sex disparities in adult life expectancy, a summary metric of survival capturing mortality across the full cascade of HIV care. We also […]
Male sex and the risk of mortality among individuals enrolled in antiretroviral therapy programs in Africa: a systematic review and meta-analysis
Background: HIV/AIDS has historically had a sex and gender-focused approach to prevention and care. Some evidence suggests that HIV-positive men have worse treatment outcomes than their women counterparts in Africa. Methods: We conducted a systematic review and meta-analysis of the effect of sex on the risk of death among participants enrolled in antiretroviral therapy (ART) […]
Expanding HIV care in Africa: making men matter in Johannesburg
In their Viewpoint (July 25, p 275), Edward Mills and colleagues highlight the need to provide HIV testing and treatment services that are more accessible to men. As they note, men make less use of routine health services than women, partly because such services are often not easily accessible to those who are employed. In […]
Estimates of global, regional, and national incidence, prevalence, and mortality of HIV, 1980–2015: the Global Burden of Disease Study 2015
Seek, Test and Disclose: knowledge of HIV testing and serostatus among high-risk couples in a South African township
Objectives HIV testing and disclosure of results to partners is an important strategy in HIV prevention but is under-researched within heterosexual partnerships. To address this gap, we describe patterns of HIV testing, discrepancies between beliefs and biologically confirmed HIV status of each partner, and characteristics of mutually correct knowledge of HIV status among heterosexual couples in […]
Towards a male-centered model of care: understanding male preferences and barriers to HIV care in Khayelitsha, South Africa.
Disproportionately more women than men have accessed antiretroviral therapy (ART) in sub-Saharan Africa. In Khayelitsha, patients on ART are 68% female. Men are admitted to programmes with more advanced HIV disease and experience greater on-treatment mortality. Since 2007, a male-only clinic in Khayelitsha has successfully recruited large numbers of men for HIV/STI screening; the clinic […]
