SidaGhanaV1, Main, Exploration, bibRecord, 000D39

HIV infection does not disproportionately affect the poorer in sub-Saharan Africa

Identifieur interne : 000D39 ( Main/Exploration ); précédent : 000D38; suivant : 000D40

HIV infection does not disproportionately affect the poorer in sub-Saharan Africa

Auteurs : Vinod Mishra [États-Unis] ; Simona Bignami-Van Assche [Canada] ; Robert Greener [Suisse] ; Martin Vaessen [États-Unis] ; Rathavuth Hong [États-Unis] ; Peter D. Ghys [Suisse] ; J. Ties Boerma [Suisse] ; Ari Van Assche [Canada] ; Shane Khan [États-Unis] ; Shea Rutstein [États-Unis]

Source :

AIDS : (London) [ 0269-9370 ] ; 2007.

RBID : Pascal:08-0112184

Descripteurs français

Pascal (Inist)
- SIDA, Afrique subsaharienne, Pauvreté, Comportement sexuel, Virus immunodéficience humaine, Richesse, Statut socioéconomique, Homme, Facteur risque.
Wicri :
- topic : Pauvreté, Richesse, Homme.

English descriptors

KwdEn :
- AIDS, Human, Human immunodeficiency virus, Poverty, Richness, Risk factor, Sexual behavior, Socioeconomic status, Sub-Saharan Africa.

Abstract

Background: Wealthier populations do better than poorer ones on most measures of health status, including nutrition, morbidity and mortality, and healthcare utilization. Objectives: This study examines the association between household wealth status and HIV serostatus to identify what characteristics and behaviours are associated with HIV infection, and the role of confounding factors such as place of residence and other risk factors. Methods: Data are from eight national surveys in sub-Saharan Africa (Kenya, Ghana, Burkina Faso, Cameroon, Tanzania, Lesotho, Malawi, and Uganda) conducted during 2003-2005. Dried blood spot samples were collected and tested for HIV, following internationally accepted ethical standards and laboratory procedures. The association between household wealth (measured by an index based on household ownership of durable assets and other amenities) and HIV serostatus is examined using both descriptive and multivariate statistical methods. Results: In all eight countries, adults in the wealthiest quintiles have a higher prevalence of HIV than those in the poorer quintiles. Prevalence increases monotonically with wealth in most cases. Similarly for cohabiting couples, the likelihood that one or both partners is HIV infected increases with wealth. The positive association between wealth and HIV prevalence is only partly explained by an association of wealth with other underlying factors, such as place of residence and education, and by differences in sexual behaviour, such as multiple sex partners, condom use, and male circumcision. Conclusion: In sub-Saharan Africa, HIV prevalence does not exhibit the same pattern of association with poverty as most other diseases. HIV programmes should also focus on the wealthier segments of the population.

Affiliations:

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to stream PascalFrancis, to step Checkpoint: 000072
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Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>AIDS</term>
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<term>Human immunodeficiency virus</term>
<term>Poverty</term>
<term>Richness</term>
<term>Risk factor</term>
<term>Sexual behavior</term>
<term>Socioeconomic status</term>
<term>Sub-Saharan Africa</term>
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<term>Afrique subsaharienne</term>
<term>Pauvreté</term>
<term>Comportement sexuel</term>
<term>Virus immunodéficience humaine</term>
<term>Richesse</term>
<term>Statut socioéconomique</term>
<term>Homme</term>
<term>Facteur risque</term>
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<front><div type="abstract" xml:lang="en">Background: Wealthier populations do better than poorer ones on most measures of health status, including nutrition, morbidity and mortality, and healthcare utilization. Objectives: This study examines the association between household wealth status and HIV serostatus to identify what characteristics and behaviours are associated with HIV infection, and the role of confounding factors such as place of residence and other risk factors. Methods: Data are from eight national surveys in sub-Saharan Africa (Kenya, Ghana, Burkina Faso, Cameroon, Tanzania, Lesotho, Malawi, and Uganda) conducted during 2003-2005. Dried blood spot samples were collected and tested for HIV, following internationally accepted ethical standards and laboratory procedures. The association between household wealth (measured by an index based on household ownership of durable assets and other amenities) and HIV serostatus is examined using both descriptive and multivariate statistical methods. Results: In all eight countries, adults in the wealthiest quintiles have a higher prevalence of HIV than those in the poorer quintiles. Prevalence increases monotonically with wealth in most cases. Similarly for cohabiting couples, the likelihood that one or both partners is HIV infected increases with wealth. The positive association between wealth and HIV prevalence is only partly explained by an association of wealth with other underlying factors, such as place of residence and education, and by differences in sexual behaviour, such as multiple sex partners, condom use, and male circumcision. Conclusion: In sub-Saharan Africa, HIV prevalence does not exhibit the same pattern of association with poverty as most other diseases. HIV programmes should also focus on the wealthier segments of the population.</div>
</front>
</TEI>
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<name sortKey="Vaessen, Martin" sort="Vaessen, Martin" uniqKey="Vaessen M" first="Martin" last="Vaessen">Martin Vaessen</name>
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<country name="Canada"><region name="Québec"><name sortKey="Bignami Van Assche, Simona" sort="Bignami Van Assche, Simona" uniqKey="Bignami Van Assche S" first="Simona" last="Bignami-Van Assche">Simona Bignami-Van Assche</name>
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<name sortKey="Van Assche, Ari" sort="Van Assche, Ari" uniqKey="Van Assche A" first="Ari" last="Van Assche">Ari Van Assche</name>
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<country name="Suisse"><noRegion><name sortKey="Greener, Robert" sort="Greener, Robert" uniqKey="Greener R" first="Robert" last="Greener">Robert Greener</name>
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<name sortKey="Ghys, Peter D" sort="Ghys, Peter D" uniqKey="Ghys P" first="Peter D." last="Ghys">Peter D. Ghys</name>
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	Le SIDA au Ghana (serveur d'exploration)
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HIV infection does not disproportionately affect the poorer in sub-Saharan Africa

HIV infection does not disproportionately affect the poorer in sub-Saharan Africa

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri