Is poverty or wealth driving HIV transmission?

While early studies tended to find positive correlations between economic resources, education and HIV infection, as the epidemic has progressed, it has increasingly been assumed that this relationship is changing. But what is really known about the degree, type and dynamics of the influence of soci...

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Main Authors: Gillespie, Stuart, Kadiyala, Suneetha, Greener, Robert
Format: Brief
Language:Inglés
Published: International Food Policy Research Institute 2008
Subjects:
Online Access:https://hdl.handle.net/10568/161662
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author Gillespie, Stuart
Kadiyala, Suneetha
Greener, Robert
author_browse Gillespie, Stuart
Greener, Robert
Kadiyala, Suneetha
author_facet Gillespie, Stuart
Kadiyala, Suneetha
Greener, Robert
author_sort Gillespie, Stuart
collection Repository of Agricultural Research Outputs (CGSpace)
description While early studies tended to find positive correlations between economic resources, education and HIV infection, as the epidemic has progressed, it has increasingly been assumed that this relationship is changing. But what is really known about the degree, type and dynamics of the influence of socioeconomic factors on rates of HIV transmission in different settings and at various stages of the AIDS epidemic? This brief highlights the key findings of a review of studies that sought to address this question. In most countries, relatively rich and better educated men and women have higher rates of partner change because they have greater personal autonomy and spatial mobility. Although the richer and better educated are likely to have better access to reproductive health care, condom use is generally low in Africa and other parts of the developing world. Pre-existing sexual behaviour patterns therefore make the richer and the better educated more vulnerable to HIV infection, especially in the early stages of the epidemic, when information about the virus and how to protect oneself is usually low. At a later stage, however, it has been argued that individuals with higher socioeconomic status tend to adopt safer sexual practices, once the effects of AIDS-related morbidity and mortality become more apparent, adding greater credibility to HIV prevention messages.
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spelling CGSpace1616622025-11-06T04:24:36Z Is poverty or wealth driving HIV transmission? Gillespie, Stuart Kadiyala, Suneetha Greener, Robert HIV infections poverty impact economic resources reproductive health care morbidity socioecological systems While early studies tended to find positive correlations between economic resources, education and HIV infection, as the epidemic has progressed, it has increasingly been assumed that this relationship is changing. But what is really known about the degree, type and dynamics of the influence of socioeconomic factors on rates of HIV transmission in different settings and at various stages of the AIDS epidemic? This brief highlights the key findings of a review of studies that sought to address this question. In most countries, relatively rich and better educated men and women have higher rates of partner change because they have greater personal autonomy and spatial mobility. Although the richer and better educated are likely to have better access to reproductive health care, condom use is generally low in Africa and other parts of the developing world. Pre-existing sexual behaviour patterns therefore make the richer and the better educated more vulnerable to HIV infection, especially in the early stages of the epidemic, when information about the virus and how to protect oneself is usually low. At a later stage, however, it has been argued that individuals with higher socioeconomic status tend to adopt safer sexual practices, once the effects of AIDS-related morbidity and mortality become more apparent, adding greater credibility to HIV prevention messages. 2008 2024-11-21T09:57:08Z 2024-11-21T09:57:08Z Brief https://hdl.handle.net/10568/161662 en Open Access application/pdf International Food Policy Research Institute Gillespie, Stuart; Kadiyala, Suneetha; Greener, Robert. 2008. Is poverty or wealth driving HIV transmission? RENEWAL Policy Brief 4. https://hdl.handle.net/10568/161662
spellingShingle HIV infections
poverty
impact
economic resources
reproductive health care
morbidity
socioecological systems
Gillespie, Stuart
Kadiyala, Suneetha
Greener, Robert
Is poverty or wealth driving HIV transmission?
title Is poverty or wealth driving HIV transmission?
title_full Is poverty or wealth driving HIV transmission?
title_fullStr Is poverty or wealth driving HIV transmission?
title_full_unstemmed Is poverty or wealth driving HIV transmission?
title_short Is poverty or wealth driving HIV transmission?
title_sort is poverty or wealth driving hiv transmission
topic HIV infections
poverty
impact
economic resources
reproductive health care
morbidity
socioecological systems
url https://hdl.handle.net/10568/161662
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