We sought to examine whether diffusion of new HIV technologies differed by gender in the United States, the source of any such disparities, and whether disparities narrow over time as technologies become more established. In particular, we assess how rates of use of highly active antiretroviral therapy (HAART) varied between males and females during the late 1990s, when HAART was rapidly diffusing. We examined data from a prospective cohort study of a national probability sample of 1421 HIV-infected adults in medical care who were enrolled in the HIV Cost and Services Utilization Study (HCSUS) from January 1996 to December 1998. We found that HAART use substantially increased between 1996 and early 1998 for all groups. Women were less likely to receive HAART at all time points, although the diffusion of HAART between 1996 and 1998 reduced gender disparities. Gender disparities in 1998 were only partially explained by women's lower income and educational levels. We conclude that HAART therapy diffused more slowly to HIV-positive females than other groups. Policies that reduce the impact of income and education inequalities on health care may help to narrow gender disparities for new HIV technologies, but other factors may also disadvantage women.
Differential diffusion of HIV technologies by gender: the case of highly active antiretroviral therapy. Publishing Authors By Initials
Differential diffusion of HIV technologies by gender: the case of highly active antiretroviral therapy. Journal Published:
PUBLICATION TYPE: Research Support, U.S. Gov't,
Journal: AIDS patient care and STDs
VOLUME: 21
Page Numbers: 390-9
Journal Abbreviation:
ISSN: 1087-2914
DAY: 3
MONTH: Jun
YEAR: 2007
Differential diffusion of HIV technologies by gender: the case of highly active antiretroviral therapy. Information
Number of References:
LANGUAGE: eng
NlmUniqueID: 9607225
Differential diffusion of HIV technologies by gender: the case of highly active antiretroviral therapy. Keywords Mesh Terms:
KEYWORDS: Time Factors
MESH TERMS: economics
Chemical & Substance for Abstract: Differential diffusion of HIV technologies by gender: the case of highly active antiretroviral therapy. Information
Substance Name: Anti-HIV Agents
Registry Number: 0
Grant and Affiliation Information for Differential diffusion of HIV technologies by gender: the case of highly active antiretroviral therapy.
AFFILIATION: Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at UCLA, Los Angeles, California, USA. David_Eisenman@rand.org
Country: United States
AGENCY: United States AHRQ
GRANT: U-01HS08578
ACRONYM: HS
MEDLINETA: AIDS Patient Care STDS
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