According to this report, “males on HIV treatment are almost a third more likely to die than females”.
The reason given is simply that men do not access HIV health care until later in the illness cycle, for a variety of reasons, but mainly because women tend to have more ease of access to medical care than men. Read the report. If you think you are at risk (and don’t go into denial about this), seek care early. It could significantly lengthen and improve your life.
The buck stops at the ballot box.