Gender differences in experiences of ART services in South Africa: a mixed methods study

Simple item page
dc.contributor.authorSchneider, Helen
dc.contributor.authorGovender, Veloshnee
dc.contributor.authorHarris, Bronwyn
dc.contributor.authorCleary, Susan
dc.contributor.authorMoshabela, Mosa
dc.contributor.authorBirch, Stephen
dc.date.accessioned2012-11-26T12:28:23Z
dc.date.available2012-11-26T12:28:23Z
dc.date.issued2012
dc.description.abstractObjectives: A mixed methods study exploring gender differences in patient profiles and experiences of ART services, along the access dimensions of availability, affordability and acceptability, in two rural and two urban areas of South Africa. methods Structured exit interviews (n = 1266) combined with in-depth interviews (n = 20) of women and men enrolled in ART care. results Men attending ART services were more likely to be employed (29% vs. 20%, P = 0.001) and were twice as likely to be married ⁄ co-habiting as women (42% vs. 22% P = 0.001). Men had known their HIV status for a shorter time (mean 32 vs. 36 months, P = 0.021) and were also less likely to disclose their status to non-family members (17% vs. 26%, P = 0.001). From both forms of data collection, a key finding was the role of female partners in providing social support and facilitating use of services by men. The converse was true for women who relied more on extended families and friends than on partners for support. Young, unmarried and unemployed men faced the greatest social isolation and difficulty. There were no major gender differences in the health system (supply side) dimensions of access. conclusions Gender differences in experiences of HIV services relate more to social than health system factors. However, the health system could be more responsive by designing services in ways that enable earlier and easier use by men.en_US
dc.description.accreditationWeb of Scienceen_US
dc.identifier.citationSchneider, H., et al. (2012). Gender differences in experiences of ART services in South Africa: a mixed methods study.Tropical Medicine & International Health,17(7):820-6en_US
dc.identifier.issn1365-3156
dc.identifier.urihttp://hdl.handle.net/10566/474
dc.language.isoenen_US
dc.privacy.showsubmitterfalse
dc.publisherBlackwell Publishing Ltden_US
dc.rightsThis is the authors postprint version of an article published by Blackwell Publishing Ltd. The file may be freely used, provided that acknowledgement of the source is given.
dc.source.urihttp://dx.doi.org/10.1111/j.1365-3156.2012.03009.x
dc.status.ispeerreviewedtrue
dc.subjectGenderen_US
dc.subjectSouth Africaen_US
dc.subjectAntiretroviral therapyen_US
dc.titleGender differences in experiences of ART services in South Africa: a mixed methods studyen_US
dc.typeArticleen_US

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
SchneiderART-Services2012.pdf
Size:
65 KB
Format:
Adobe Portable Document Format
Description:
Author final version
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
license.txt
Size:
1.55 KB
Format:
Item-specific license agreed upon to submission
Description:
Download

Collections

Research Articles (School of Public Health)
Prof. Helen Schneider