Sex differences in HIV testing in Ghana, and policy implications
Identifieur interne : 000012 ( PascalFrancis/Checkpoint ); précédent : 000011; suivant : 000013Sex differences in HIV testing in Ghana, and policy implications
Auteurs : Alfred E. Yawson [Ghana] ; Phyllis Dako-Gyeke [Ghana] ; Rachel Snow [États-Unis]Source :
- AIDS Care : (Print) [ 0954-0121 ] ; 2012.
Descripteurs français
- Pascal (Inist)
- Wicri :
- geographic : Ghana.
- topic : Maladie sexuellement transmissible, Santé mentale, Homme.
English descriptors
- KwdEn :
Abstract
HIV testing and counseling (HTC) is the primary gateway to all systems of AIDS-related care. This study describes sex differences in the use of HTC from data of the National AIDS/STI Control Program (NACP) over four years (2007-2010), across the 10 regions of Ghana. HTC data from NACP were from diagnostic centers (DCs), know your status campaigns (KYS) and prevention of mother-to-child transmission (PMTCT) sites across the country. Data highlight significantly greater use of HTC by females than males. From 2007 to 2010, females comprised 58.2% of all those using HIV testing at DCs and KYS, and this proportion rose to 75.9% when PMTCT data were included. The female: male testing ratio ranged from 6.2 in 2007 to 2.8 in 2010, suggesting a recent increase in male testing. The NACP data also indicate that females are more likely than males to test positive for HIV, suggesting either better catchment of HIV positive females, or potentially, a higher HIV epidemic among females than males. While the magnitude of the sex differences in testing varies by year and location, the data provide consistent evidence of lower male use of testing. Rigorous examination of HTC utilization rates, with closer attention to male use of testing, deserves closer policy attention.
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PascalFrancis, to step Corpus: 000014
- to stream PascalFrancis, to step Corpus: 000026
- to stream PascalFrancis, to step Curation: 000115
Links to Exploration step
Pascal:12-0413578Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Sex differences in HIV testing in Ghana, and policy implications</title><author><name sortKey="Yawson, Alfred E" sort="Yawson, Alfred E" uniqKey="Yawson A" first="Alfred E." last="Yawson">Alfred E. Yawson</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Community Health, University of Ghana Medical School</s1><s2>Accra</s2><s3>GHA</s3><sZ>1 aut.</sZ></inist:fA14><country>Ghana</country><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>National AIDS/STI Control Programme, Ghana Health Service</s1><s2>Accra</s2><s3>GHA</s3><sZ>1 aut.</sZ></inist:fA14><country>Ghana</country><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Dako Gyeke, Phyllis" sort="Dako Gyeke, Phyllis" uniqKey="Dako Gyeke P" first="Phyllis" last="Dako-Gyeke">Phyllis Dako-Gyeke</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Social and Behavioral Sciences, University of Ghana Accra</s1><s3>GHA</s3><sZ>2 aut.</sZ></inist:fA14><country>Ghana</country><wicri:noRegion>Department of Social and Behavioral Sciences, University of Ghana Accra</wicri:noRegion></affiliation></author><author><name sortKey="Snow, Rachel" sort="Snow, Rachel" uniqKey="Snow R" first="Rachel" last="Snow">Rachel Snow</name><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Department of Health Behavior and Health Education, University of Michigan</s1><s2>Ann Arbor, MI</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">INIST</idno><idno type="inist">12-0413578</idno><date when="2012">2012</date><idno type="stanalyst">PASCAL 12-0413578 INIST</idno><idno type="RBID">Pascal:12-0413578</idno><idno type="wicri:Area/PascalFrancis/Corpus">000014</idno><idno type="stanalyst">FRANCIS 12-0413578 INIST</idno><idno type="wicri:Area/PascalFrancis/Corpus">000026</idno><idno type="wicri:Area/PascalFrancis/Curation">000115</idno><idno type="wicri:Area/PascalFrancis/Checkpoint">000012</idno><idno type="wicri:explorRef" wicri:stream="PascalFrancis" wicri:step="Checkpoint">000012</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Sex differences in HIV testing in Ghana, and policy implications</title><author><name sortKey="Yawson, Alfred E" sort="Yawson, Alfred E" uniqKey="Yawson A" first="Alfred E." last="Yawson">Alfred E. Yawson</name><affiliation wicri:level="3"><inist:fA14 i1="01"><s1>Department of Community Health, University of Ghana Medical School</s1><s2>Accra</s2><s3>GHA</s3><sZ>1 aut.</sZ></inist:fA14><country>Ghana</country><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation><affiliation wicri:level="3"><inist:fA14 i1="02"><s1>National AIDS/STI Control Programme, Ghana Health Service</s1><s2>Accra</s2><s3>GHA</s3><sZ>1 aut.</sZ></inist:fA14><country>Ghana</country><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Dako Gyeke, Phyllis" sort="Dako Gyeke, Phyllis" uniqKey="Dako Gyeke P" first="Phyllis" last="Dako-Gyeke">Phyllis Dako-Gyeke</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Social and Behavioral Sciences, University of Ghana Accra</s1><s3>GHA</s3><sZ>2 aut.</sZ></inist:fA14><country>Ghana</country><wicri:noRegion>Department of Social and Behavioral Sciences, University of Ghana Accra</wicri:noRegion></affiliation></author><author><name sortKey="Snow, Rachel" sort="Snow, Rachel" uniqKey="Snow R" first="Rachel" last="Snow">Rachel Snow</name><affiliation wicri:level="2"><inist:fA14 i1="04"><s1>Department of Health Behavior and Health Education, University of Michigan</s1><s2>Ann Arbor, MI</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Michigan</region></placeName></affiliation></author></analytic><series><title level="j" type="main">AIDS Care : (Print)</title><title level="j" type="abbreviated">AIDS Care : (Print)</title><idno type="ISSN">0954-0121</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">AIDS Care : (Print)</title><title level="j" type="abbreviated">AIDS Care : (Print)</title><idno type="ISSN">0954-0121</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term><term>Ghana</term><term>Health policy</term><term>Human</term><term>Human immunodeficiency virus</term><term>Medical screening</term><term>Mental health</term><term>Prevention</term><term>Serology</term><term>Sex</term><term>Sexually transmitted disease</term><term>Social environment</term><term>Sociodemographic factor</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Sexe</term><term>Dépistage</term><term>Sérologie</term><term>SIDA</term><term>Ghana</term><term>Politique sanitaire</term><term>Virus immunodéficience humaine</term><term>Maladie sexuellement transmissible</term><term>Santé mentale</term><term>Environnement social</term><term>Facteur sociodémographique</term><term>Prévention</term><term>Homme</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Ghana</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Maladie sexuellement transmissible</term><term>Santé mentale</term><term>Homme</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">HIV testing and counseling (HTC) is the primary gateway to all systems of AIDS-related care. This study describes sex differences in the use of HTC from data of the National AIDS/STI Control Program (NACP) over four years (2007-2010), across the 10 regions of Ghana. HTC data from NACP were from diagnostic centers (DCs), know your status campaigns (KYS) and prevention of mother-to-child transmission (PMTCT) sites across the country. Data highlight significantly greater use of HTC by females than males. From 2007 to 2010, females comprised 58.2% of all those using HIV testing at DCs and KYS, and this proportion rose to 75.9% when PMTCT data were included. The female: male testing ratio ranged from 6.2 in 2007 to 2.8 in 2010, suggesting a recent increase in male testing. The NACP data also indicate that females are more likely than males to test positive for HIV, suggesting either better catchment of HIV positive females, or potentially, a higher HIV epidemic among females than males. While the magnitude of the sex differences in testing varies by year and location, the data provide consistent evidence of lower male use of testing. Rigorous examination of HTC utilization rates, with closer attention to male use of testing, deserves closer policy attention.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0954-0121</s0></fA01><fA03 i2="1"><s0>AIDS Care : (Print)</s0></fA03><fA05><s2>24</s2></fA05><fA06><s2>9-10</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Sex differences in HIV testing in Ghana, and policy implications</s1></fA08><fA11 i1="01" i2="1"><s1>YAWSON (Alfred E.)</s1></fA11><fA11 i1="02" i2="1"><s1>DAKO-GYEKE (Phyllis)</s1></fA11><fA11 i1="03" i2="1"><s1>SNOW (Rachel)</s1></fA11><fA14 i1="01"><s1>Department of Community Health, University of Ghana Medical School</s1><s2>Accra</s2><s3>GHA</s3><sZ>1 aut.</sZ></fA14><fA14 i1="02"><s1>National AIDS/STI Control Programme, Ghana Health Service</s1><s2>Accra</s2><s3>GHA</s3><sZ>1 aut.</sZ></fA14><fA14 i1="03"><s1>Department of Social and Behavioral Sciences, University of Ghana Accra</s1><s3>GHA</s3><sZ>2 aut.</sZ></fA14><fA14 i1="04"><s1>Department of Health Behavior and Health Education, University of Michigan</s1><s2>Ann Arbor, MI</s2><s3>USA</s3><sZ>3 aut.</sZ></fA14><fA20><s1>1181-1185</s1></fA20><fA21><s1>2012</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>22096</s2><s5>354000504405780170</s5></fA43><fA44><s0>0000</s0><s1>© 2012 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>3/4 p.</s0></fA45><fA47 i1="01" i2="1"><s0>12-0413578</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>AIDS Care : (Print)</s0></fA64><fA66 i1="01"><s0>GBR</s0></fA66><fC01 i1="01" l="ENG"><s0>HIV testing and counseling (HTC) is the primary gateway to all systems of AIDS-related care. This study describes sex differences in the use of HTC from data of the National AIDS/STI Control Program (NACP) over four years (2007-2010), across the 10 regions of Ghana. HTC data from NACP were from diagnostic centers (DCs), know your status campaigns (KYS) and prevention of mother-to-child transmission (PMTCT) sites across the country. Data highlight significantly greater use of HTC by females than males. From 2007 to 2010, females comprised 58.2% of all those using HIV testing at DCs and KYS, and this proportion rose to 75.9% when PMTCT data were included. The female: male testing ratio ranged from 6.2 in 2007 to 2.8 in 2010, suggesting a recent increase in male testing. The NACP data also indicate that females are more likely than males to test positive for HIV, suggesting either better catchment of HIV positive females, or potentially, a higher HIV epidemic among females than males. While the magnitude of the sex differences in testing varies by year and location, the data provide consistent evidence of lower male use of testing. Rigorous examination of HTC utilization rates, with closer attention to male use of testing, deserves closer policy attention.</s0></fC01><fC02 i1="01" i2="X"><s0>002B05C02D</s0></fC02><fC02 i1="02" i2="X"><s0>002B06D01</s0></fC02><fC02 i1="03" i2="X"><s0>002B18H05A</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Sexe</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Sex</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Sexo</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Dépistage</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Medical screening</s0><s5>02</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Descubrimiento</s0><s5>02</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Sérologie</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Serology</s0><s5>03</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Serología</s0><s5>03</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>SIDA</s0><s5>04</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>AIDS</s0><s5>04</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>SIDA</s0><s5>04</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Ghana</s0><s2>NG</s2><s5>05</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Ghana</s0><s2>NG</s2><s5>05</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Ghana</s0><s2>NG</s2><s5>05</s5></fC03><fC03 i1="06" i2="X" l="FRE"><s0>Politique sanitaire</s0><s5>06</s5></fC03><fC03 i1="06" i2="X" l="ENG"><s0>Health policy</s0><s5>06</s5></fC03><fC03 i1="06" i2="X" l="SPA"><s0>Política sanitaria</s0><s5>06</s5></fC03><fC03 i1="07" i2="X" l="FRE"><s0>Virus immunodéficience humaine</s0><s2>NW</s2><s5>07</s5></fC03><fC03 i1="07" i2="X" l="ENG"><s0>Human immunodeficiency virus</s0><s2>NW</s2><s5>07</s5></fC03><fC03 i1="07" i2="X" l="SPA"><s0>Human immunodeficiency virus</s0><s2>NW</s2><s5>07</s5></fC03><fC03 i1="08" i2="X" l="FRE"><s0>Maladie sexuellement transmissible</s0><s5>08</s5></fC03><fC03 i1="08" i2="X" l="ENG"><s0>Sexually transmitted disease</s0><s5>08</s5></fC03><fC03 i1="08" i2="X" l="SPA"><s0>Enfermedad de transmisión sexual</s0><s5>08</s5></fC03><fC03 i1="09" i2="X" l="FRE"><s0>Santé mentale</s0><s5>09</s5></fC03><fC03 i1="09" i2="X" l="ENG"><s0>Mental health</s0><s5>09</s5></fC03><fC03 i1="09" i2="X" l="SPA"><s0>Salud mental</s0><s5>09</s5></fC03><fC03 i1="10" i2="X" l="FRE"><s0>Environnement social</s0><s5>10</s5></fC03><fC03 i1="10" i2="X" l="ENG"><s0>Social environment</s0><s5>10</s5></fC03><fC03 i1="10" i2="X" l="SPA"><s0>Contexto social</s0><s5>10</s5></fC03><fC03 i1="11" i2="X" l="FRE"><s0>Facteur sociodémographique</s0><s5>11</s5></fC03><fC03 i1="11" i2="X" l="ENG"><s0>Sociodemographic factor</s0><s5>11</s5></fC03><fC03 i1="11" i2="X" l="SPA"><s0>Factor sociodemográfico</s0><s5>11</s5></fC03><fC03 i1="12" i2="X" l="FRE"><s0>Prévention</s0><s5>12</s5></fC03><fC03 i1="12" i2="X" l="ENG"><s0>Prevention</s0><s5>12</s5></fC03><fC03 i1="12" i2="X" l="SPA"><s0>Prevención</s0><s5>12</s5></fC03><fC03 i1="13" i2="X" l="FRE"><s0>Homme</s0><s5>18</s5></fC03><fC03 i1="13" i2="X" l="ENG"><s0>Human</s0><s5>18</s5></fC03><fC03 i1="13" i2="X" l="SPA"><s0>Hombre</s0><s5>18</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Virose</s0></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Viral disease</s0></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Virosis</s0></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Infection</s0></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Infection</s0></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Infección</s0></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Afrique</s0><s2>NG</s2></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Africa</s0><s2>NG</s2></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Africa</s0><s2>NG</s2></fC07><fC07 i1="04" i2="X" l="FRE"><s0>Lentivirus</s0><s2>NW</s2></fC07><fC07 i1="04" i2="X" l="ENG"><s0>Lentivirus</s0><s2>NW</s2></fC07><fC07 i1="04" i2="X" l="SPA"><s0>Lentivirus</s0><s2>NW</s2></fC07><fC07 i1="05" i2="X" l="FRE"><s0>Retroviridae</s0><s2>NW</s2></fC07><fC07 i1="05" i2="X" l="ENG"><s0>Retroviridae</s0><s2>NW</s2></fC07><fC07 i1="05" i2="X" l="SPA"><s0>Retroviridae</s0><s2>NW</s2></fC07><fC07 i1="06" i2="X" l="FRE"><s0>Virus</s0><s2>NW</s2></fC07><fC07 i1="06" i2="X" l="ENG"><s0>Virus</s0><s2>NW</s2></fC07><fC07 i1="06" i2="X" l="SPA"><s0>Virus</s0><s2>NW</s2></fC07><fC07 i1="07" i2="X" l="FRE"><s0>Immunodéficit</s0><s5>37</s5></fC07><fC07 i1="07" i2="X" l="ENG"><s0>Immune deficiency</s0><s5>37</s5></fC07><fC07 i1="07" i2="X" l="SPA"><s0>Inmunodeficiencia</s0><s5>37</s5></fC07><fC07 i1="08" i2="X" l="FRE"><s0>Immunopathologie</s0><s5>39</s5></fC07><fC07 i1="08" i2="X" l="ENG"><s0>Immunopathology</s0><s5>39</s5></fC07><fC07 i1="08" i2="X" l="SPA"><s0>Inmunopatología</s0><s5>39</s5></fC07><fC07 i1="09" i2="X" l="FRE"><s0>Santé publique</s0><s5>40</s5></fC07><fC07 i1="09" i2="X" l="ENG"><s0>Public health</s0><s5>40</s5></fC07><fC07 i1="09" i2="X" l="SPA"><s0>Salud pública</s0><s5>40</s5></fC07><fN21><s1>324</s1></fN21></pA></standard></inist><affiliations><list><country><li>Ghana</li><li>États-Unis</li></country><region><li>Michigan</li><li>Région du Grand Accra</li></region><settlement><li>Accra</li></settlement></list><tree><country name="Ghana"><region name="Région du Grand Accra"><name sortKey="Yawson, Alfred E" sort="Yawson, Alfred E" uniqKey="Yawson A" first="Alfred E." last="Yawson">Alfred E. Yawson</name></region><name sortKey="Dako Gyeke, Phyllis" sort="Dako Gyeke, Phyllis" uniqKey="Dako Gyeke P" first="Phyllis" last="Dako-Gyeke">Phyllis Dako-Gyeke</name><name sortKey="Yawson, Alfred E" sort="Yawson, Alfred E" uniqKey="Yawson A" first="Alfred E." last="Yawson">Alfred E. Yawson</name></country><country name="États-Unis"><region name="Michigan"><name sortKey="Snow, Rachel" sort="Snow, Rachel" uniqKey="Snow R" first="Rachel" last="Snow">Rachel Snow</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Sante/explor/SidaGhanaV1/Data/PascalFrancis/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000012 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/PascalFrancis/Checkpoint/biblio.hfd -nk 000012 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Wicri/Sante
|area= SidaGhanaV1
|flux= PascalFrancis
|étape= Checkpoint
|type= RBID
|clé= Pascal:12-0413578
|texte= Sex differences in HIV testing in Ghana, and policy implications
}}
| This area was generated with Dilib version V0.6.31. |  |