Sexual Behaviour, Aids and Poverty in Sub-Saharan Africa
- 1 January 1991
- journal article
- Published by SAGE Publications in International Journal of STD & AIDS
- Vol. 2 (1) , 1-9
- https://doi.org/10.1177/095646249100200101
Abstract
Within the rapidly progressing pandemic of the acquired immunodeficiency syndrome (AIDS) Sub-Saharan Africa plays a disproportionally large role. The reported data indicate that heterosexual transmission is the predominant cause for the rapid spread in this, one of the world's poorest regions. Prostitution, though poorly understood in the African context, unstable family structure, lack of male circumcision, aversion to, and high cost of, condom use, and risky sexual behaviour, including multiple sexual contacts and partners, are causal and facilitating factors in the rapid spread of HIV infection. Virtually all of these factors are related to poverty. Education and information, which in the absence of an effective curative drug and/or vaccine, would be essential, is also a costly undertaking. Deeper understanding of and increased attention to the economic, as well as social and cultural, parameters of the Sub-Saharan AIDS endemic is needed for the implementation of preventive measures.Keywords
This publication has 55 references indexed in Scilit:
- Human Immunodeficiency Virus Infection among Men with Sexually Transmitted DiseasesNew England Journal of Medicine, 1988
- The Prevalence of Infection with Human Immunodeficiency Virus over a 10-Year Period in Rural ZaireNew England Journal of Medicine, 1988
- AIDS and HIV infection: Estimates of the magnitude of the problem worldwide in 1985/1986Clinical Immunology and Immunopathology, 1987
- Transmission of the Human Immunodeficiency VirusNew England Journal of Medicine, 1987
- Condom Use and HIV Infection among Prostitutes in ZaireNew England Journal of Medicine, 1987
- Heterosexual transmission of AIDS: No time for complacencyEuropean Journal of Clinical Microbiology & Infectious Diseases, 1986
- AIDS Virus Infection in Nairobi ProstitutesNew England Journal of Medicine, 1986
- Heterosexual Promiscuity among African Patients with AIDSNew England Journal of Medicine, 1985
- Anal Intercourse as a Possible Factor in Heterosexual Transmission of HTLV-III to Spouses of HemophiliacsNew England Journal of Medicine, 1985
- Prostitution in Lagos: a sociomedical study.Journal of Epidemiology and Community Health, 1980