作者
Eric Druyts, Mark Dybul, Steve Kanters, Jean Nachega, Josephine Birungi, Nathan Ford, Kristian Thorlund, Joel Negin, Richard Lester, Sanni Yaya, Edward J Mills
发表日期
2013/1/28
来源
Aids
卷号
27
期号
3
页码范围
417-425
出版商
LWW
简介
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) programs in Africa since the rapid scale-up of ART. We included all cohort studies evaluating the effect of sex (male, female) on the risk of death among participants enrolled in regional and national ART programs in Africa. We identified these studies by searching MedLine, EMBASE, and Cochrane CENTRAL. We used a DerSimonian-Laird random-effects method to pool the proportions of men receiving ART and the hazard ratios for death by sex.
Results:
Twenty-three cohort studies, including 216 008 participants (79 892 men …
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E Druyts, M Dybul, S Kanters, J Nachega, J Birungi… - Aids, 2013