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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Impact of the HIV epidemic on population and household structure: the dynamics and evidence to date</title><author><name sortKey="Heuveline, Patrick" sort="Heuveline, Patrick" uniqKey="Heuveline P" first="Patrick" last="Heuveline">Patrick Heuveline</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">15319743</idno><idno type="pmc">3929185</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3929185</idno><idno type="RBID">PMC:3929185</idno><date when="2004">2004</date><idno type="wicri:Area/Pmc/Corpus">001D29</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001D29</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Impact of the HIV epidemic on population and household structure: the dynamics and evidence to date</title><author><name sortKey="Heuveline, Patrick" sort="Heuveline, Patrick" uniqKey="Heuveline P" first="Patrick" last="Heuveline">Patrick Heuveline</name></author></analytic><series><title level="j">AIDS (London, England)</title><idno type="ISSN">0269-9370</idno><idno type="eISSN">1473-5571</idno><imprint><date when="2004">2004</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">HIV is contracted most frequently at birth and during early adulthood. The epidemic may thus impact the demographic structure and the household structure of affected populations.</p></sec><sec id="S2"><title>Methods</title><p id="P2">This paper reviews earlier evidence of such an impact, uses demographic theory to anticipate its changes over time, and reviews the most recent evidence for indications of these changes.</p></sec><sec id="S3"><title>Results</title><p id="P3">Modest increases in the male : female ratio are beginning to show within certain age groups only (approximately 15% among 25–34 year olds). Similarly sized increases in the proportion of 15–29 year olds relative to 30–54 year olds are observed in some age pyramids. These ‘youth bulges’ are expected to fade out, whereas an aging effect phases in with the fertility impact of the epidemic. In the longer run, the size of all age groups will be reduced, but relatively less so for middle-aged adults. Proportions of orphans and widows have increased in the most affected countries. Fewer remarriage probabilities for widows were observed. Resulting increases in the proportion of female-headed households should only be temporary, as female mortality is catching up with male mortality. The number of double orphans is beginning to increase, but overall, orphans continue to live predominantly with a family member, most often the grandparents if not with the surviving parent.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">To date, the epidemic’s impact on the population and household structure has been limited by demographic (aging) and social (adaptive movements of kin across households) processes that contribute to diffuse the epidemic throughout the entire population and all households.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">8710219</journal-id><journal-id journal-id-type="pubmed-jr-id">1493</journal-id><journal-id journal-id-type="nlm-ta">AIDS</journal-id><journal-id journal-id-type="iso-abbrev">AIDS</journal-id><journal-title-group><journal-title>AIDS (London, England)</journal-title></journal-title-group><issn pub-type="ppub">0269-9370</issn><issn pub-type="epub">1473-5571</issn></journal-meta><article-meta><article-id pub-id-type="pmid">15319743</article-id><article-id pub-id-type="pmc">3929185</article-id><article-id pub-id-type="manuscript">NIHMS552416</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Impact of the HIV epidemic on population and household structure: the dynamics and evidence to date</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Heuveline</surname><given-names>Patrick</given-names></name><aff id="A1">Population Research Center, NORC and the University of Chicago, Chicago, IL, USA</aff></contrib></contrib-group><author-notes><corresp id="FN1">Correspondence to Patrick Heuveline, Population Research Center, 1155 E. 60<sup>th</sup> Street, Chicago, IL 60637, USA <email>p-heuveline@uchicago.edu</email></corresp></author-notes><pub-date pub-type="nihms-submitted"><day>11</day><month>2</month><year>2014</year></pub-date><pub-date pub-type="ppub"><month>6</month><year>2004</year></pub-date><pub-date pub-type="pmc-release"><day>19</day><month>2</month><year>2014</year></pub-date><volume>18</volume><issue>0 2</issue><fpage>S45</fpage><lpage>S53</lpage><permissions><copyright-statement>© 2004 Lippincott Williams & Wilkins</copyright-statement><copyright-year>2004</copyright-year></permissions><abstract><sec id="S1"><title>Background</title><p id="P1">HIV is contracted most frequently at birth and during early adulthood. The epidemic may thus impact the demographic structure and the household structure of affected populations.</p></sec><sec id="S2"><title>Methods</title><p id="P2">This paper reviews earlier evidence of such an impact, uses demographic theory to anticipate its changes over time, and reviews the most recent evidence for indications of these changes.</p></sec><sec id="S3"><title>Results</title><p id="P3">Modest increases in the male : female ratio are beginning to show within certain age groups only (approximately 15% among 25–34 year olds). Similarly sized increases in the proportion of 15–29 year olds relative to 30–54 year olds are observed in some age pyramids. These ‘youth bulges’ are expected to fade out, whereas an aging effect phases in with the fertility impact of the epidemic. In the longer run, the size of all age groups will be reduced, but relatively less so for middle-aged adults. Proportions of orphans and widows have increased in the most affected countries. Fewer remarriage probabilities for widows were observed. Resulting increases in the proportion of female-headed households should only be temporary, as female mortality is catching up with male mortality. The number of double orphans is beginning to increase, but overall, orphans continue to live predominantly with a family member, most often the grandparents if not with the surviving parent.</p></sec><sec id="S4"><title>Conclusion</title><p id="P4">To date, the epidemic’s impact on the population and household structure has been limited by demographic (aging) and social (adaptive movements of kin across households) processes that contribute to diffuse the epidemic throughout the entire population and all households.</p></sec></abstract><kwd-group><kwd>sex ratio</kwd><kwd>age structure</kwd><kwd>household structure</kwd><kwd>widows</kwd><kwd>orphans</kwd></kwd-group><funding-group><award-group><funding-source country="United States">National Institute of Child Health & Human Development : NICHD</funding-source><award-id>P30 HD018288 || HD</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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