The Role of Gender in HIV Progression

Ross G. Hewitt, MD; Nader Parsa, PhD; Lawrence Gugino, MD

Disclosures

AIDS Read. 2001;11(1) 

In This Article

Access to Care

Socially, gender differences prevail in regard to medical access and health care.[13] The unique social barriers to care and the psychologic, epidemiologic, and biologic aspects of HIV disease in women pose a number of challenges for individual providers as well as for the health care system. Care for women with HIV disease is often complicated by poverty as well as by the competing needs of children; therefore, innovative efforts must be made to provide both HIV care and women's health care to women in impoverished areas, in particular. Studies from the pre-HAART era found that women with AIDS received fewer services than men with AIDS.[14,15] In addition, men under medical care were up to 3 times more likely to be offered zidovudine monotherapy than were women, despite similar disease severity, insurance status, race, and injection drug use.[16] Among those who were not drug users, men were twice as likely as women to receive either zidovudine or Pneumocystis carinii pneumonia prophylaxis.

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