Le SIDA en Afrique subsaharienne (serveur d'exploration)

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Understanding the correlations between wealth, poverty and human immunodeficiency virus infection in African countries.

Identifieur interne : 001874 ( PubMed/Corpus ); précédent : 001873; suivant : 001875

Understanding the correlations between wealth, poverty and human immunodeficiency virus infection in African countries.

Auteurs : Justin O. Parkhurst

Source :

RBID : pubmed:20616971

English descriptors

Abstract

To investigate the relationships between the prevalence of human immunodeficiency virus (HIV) infection and underlying structural factors of poverty and wealth in several African countries.

DOI: 10.2471/BLT.09.070185
PubMed: 20616971

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pubmed:20616971

Le document en format XML

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<title xml:lang="en">Understanding the correlations between wealth, poverty and human immunodeficiency virus infection in African countries.</title>
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<name sortKey="Parkhurst, Justin O" sort="Parkhurst, Justin O" uniqKey="Parkhurst J" first="Justin O" last="Parkhurst">Justin O. Parkhurst</name>
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<nlm:affiliation>London School of Hygiene and Tropical Medicine, Keppel Street, London, WC1E 7HT, England. justin.parkhurst@lshtm.ac.uk</nlm:affiliation>
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<title xml:lang="en">Understanding the correlations between wealth, poverty and human immunodeficiency virus infection in African countries.</title>
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<term>Acquired Immunodeficiency Syndrome (epidemiology)</term>
<term>Adolescent</term>
<term>Adult</term>
<term>Africa South of the Sahara (epidemiology)</term>
<term>Female</term>
<term>HIV Infections (epidemiology)</term>
<term>Health Surveys</term>
<term>Humans</term>
<term>Income (statistics & numerical data)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prevalence</term>
<term>Retrospective Studies</term>
<term>Sex Distribution</term>
<term>Socioeconomic Factors</term>
<term>Young Adult</term>
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<term>Africa South of the Sahara</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Acquired Immunodeficiency Syndrome</term>
<term>HIV Infections</term>
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<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Income</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Female</term>
<term>Health Surveys</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Prevalence</term>
<term>Retrospective Studies</term>
<term>Sex Distribution</term>
<term>Socioeconomic Factors</term>
<term>Young Adult</term>
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<div type="abstract" xml:lang="en">To investigate the relationships between the prevalence of human immunodeficiency virus (HIV) infection and underlying structural factors of poverty and wealth in several African countries.</div>
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<Title>Bulletin of the World Health Organization</Title>
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<ArticleTitle>Understanding the correlations between wealth, poverty and human immunodeficiency virus infection in African countries.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To investigate the relationships between the prevalence of human immunodeficiency virus (HIV) infection and underlying structural factors of poverty and wealth in several African countries.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">A retrospective ecological comparison and trend analysis was conducted by reviewing data from demographic and health surveys, acquired immunodeficiency syndrome (AIDS) indicator surveys and national sero-behavioural surveys in 12 sub-Saharan African countries with different estimated national incomes. Published survey reports were included in the analysis if they contained HIV testing data and wealth quintile rankings. Trends in the relation between gender-specific HIV prevalence and household wealth quintile were determined with the chi(2) test and compared across the 12 countries, and also within one country (the United Republic of Tanzania) at two points in time.</AbstractText>
<AbstractText Label="FINDINGS" NlmCategory="RESULTS">The relationship between the prevalence of HIV infection and household wealth quintile did not show consistent trends in all countries. In particular, rates of HIV infection in higher-income countries did not increase with wealth. Tanzanian data further illustrate that the relationship between wealth and HIV infection can change over time in a given setting, with declining prevalence in wealthy groups occurring simultaneously with increasing prevalence in poorer women.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Both wealth and poverty can lead to potentially risky or protective behaviours. To develop better-targeted HIV prevention interventions, the HIV community must recognize the multiple ways in which underlying structural factors can manifest themselves as risk in different settings and at different times. Context-specific risks should be the targets of HIV prevention initiatives tailored to local factors.</AbstractText>
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<CommentsCorrectionsList>
<CommentsCorrections RefType="Cites">
<RefSource>Dev World Bioeth. 2001 Nov;1(2):116-20</RefSource>
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<CommentsCorrections RefType="Cites">
<RefSource>AIDS. 2008 Jan 30;22(3):403-14</RefSource>
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