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Sex differences in HIV testing in Ghana, and policy implications

Identifieur interne : 000014 ( PascalFrancis/Corpus ); précédent : 000013; suivant : 000015

Sex differences in HIV testing in Ghana, and policy implications

Auteurs : Alfred E. Yawson ; Phyllis Dako-Gyeke ; Rachel Snow

Source :

RBID : Pascal:12-0413578

Descripteurs français

English descriptors

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.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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Format Inist (serveur)

NO : PASCAL 12-0413578 INIST
ET : Sex differences in HIV testing in Ghana, and policy implications
AU : YAWSON (Alfred E.); DAKO-GYEKE (Phyllis); SNOW (Rachel)
AF : Department of Community Health, University of Ghana Medical School/Accra/Ghana (1 aut.); National AIDS/STI Control Programme, Ghana Health Service/Accra/Ghana (1 aut.); Department of Social and Behavioral Sciences, University of Ghana Accra/Ghana (2 aut.); Department of Health Behavior and Health Education, University of Michigan/Ann Arbor, MI/Etats-Unis (3 aut.)
DT : Publication en série; Niveau analytique
SO : AIDS Care : (Print); ISSN 0954-0121; Royaume-Uni; Da. 2012; Vol. 24; No. 9-10; Pp. 1181-1185; Bibl. 3/4 p.
LA : Anglais
EA : 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.
CC : 002B05C02D; 002B06D01; 002B18H05A
FD : Sexe; Dépistage; Sérologie; SIDA; Ghana; Politique sanitaire; Virus immunodéficience humaine; Maladie sexuellement transmissible; Santé mentale; Environnement social; Facteur sociodémographique; Prévention; Homme
FG : Virose; Infection; Afrique; Lentivirus; Retroviridae; Virus; Immunodéficit; Immunopathologie; Santé publique
ED : Sex; Medical screening; Serology; AIDS; Ghana; Health policy; Human immunodeficiency virus; Sexually transmitted disease; Mental health; Social environment; Sociodemographic factor; Prevention; Human
EG : Viral disease; Infection; Africa; Lentivirus; Retroviridae; Virus; Immune deficiency; Immunopathology; Public health
SD : Sexo; Descubrimiento; Serología; SIDA; Ghana; Política sanitaria; Human immunodeficiency virus; Enfermedad de transmisión sexual; Salud mental; Contexto social; Factor sociodemográfico; Prevención; Hombre
LO : INIST-22096.354000504405780170
ID : 12-0413578

Links to Exploration step

Pascal:12-0413578

Le document en format XML

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<s0>Virus immunodéficience humaine</s0>
<s2>NW</s2>
<s5>07</s5>
</fC03>
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<s0>Human immunodeficiency virus</s0>
<s2>NW</s2>
<s5>07</s5>
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<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>
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<fC03 i1="08" i2="X" l="ENG">
<s0>Sexually transmitted disease</s0>
<s5>08</s5>
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<s0>Enfermedad de transmisión sexual</s0>
<s5>08</s5>
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<s0>Santé mentale</s0>
<s5>09</s5>
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<s5>09</s5>
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<s5>09</s5>
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<s5>10</s5>
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<s5>11</s5>
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<s5>11</s5>
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<s5>11</s5>
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<s5>12</s5>
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<s0>Prevention</s0>
<s5>12</s5>
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<s0>Prevención</s0>
<s5>12</s5>
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<s0>Homme</s0>
<s5>18</s5>
</fC03>
<fC03 i1="13" i2="X" l="ENG">
<s0>Human</s0>
<s5>18</s5>
</fC03>
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<s0>Hombre</s0>
<s5>18</s5>
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<s0>Virose</s0>
</fC07>
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<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>
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<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>
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<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>
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<server>
<NO>PASCAL 12-0413578 INIST</NO>
<ET>Sex differences in HIV testing in Ghana, and policy implications</ET>
<AU>YAWSON (Alfred E.); DAKO-GYEKE (Phyllis); SNOW (Rachel)</AU>
<AF>Department of Community Health, University of Ghana Medical School/Accra/Ghana (1 aut.); National AIDS/STI Control Programme, Ghana Health Service/Accra/Ghana (1 aut.); Department of Social and Behavioral Sciences, University of Ghana Accra/Ghana (2 aut.); Department of Health Behavior and Health Education, University of Michigan/Ann Arbor, MI/Etats-Unis (3 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>AIDS Care : (Print); ISSN 0954-0121; Royaume-Uni; Da. 2012; Vol. 24; No. 9-10; Pp. 1181-1185; Bibl. 3/4 p.</SO>
<LA>Anglais</LA>
<EA>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.</EA>
<CC>002B05C02D; 002B06D01; 002B18H05A</CC>
<FD>Sexe; Dépistage; Sérologie; SIDA; Ghana; Politique sanitaire; Virus immunodéficience humaine; Maladie sexuellement transmissible; Santé mentale; Environnement social; Facteur sociodémographique; Prévention; Homme</FD>
<FG>Virose; Infection; Afrique; Lentivirus; Retroviridae; Virus; Immunodéficit; Immunopathologie; Santé publique</FG>
<ED>Sex; Medical screening; Serology; AIDS; Ghana; Health policy; Human immunodeficiency virus; Sexually transmitted disease; Mental health; Social environment; Sociodemographic factor; Prevention; Human</ED>
<EG>Viral disease; Infection; Africa; Lentivirus; Retroviridae; Virus; Immune deficiency; Immunopathology; Public health</EG>
<SD>Sexo; Descubrimiento; Serología; SIDA; Ghana; Política sanitaria; Human immunodeficiency virus; Enfermedad de transmisión sexual; Salud mental; Contexto social; Factor sociodemográfico; Prevención; Hombre</SD>
<LO>INIST-22096.354000504405780170</LO>
<ID>12-0413578</ID>
</server>
</inist>
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