非洲艾滋病毒/艾滋病流行的人口和社会经济模式

Kathleen G. Beegle, D. de Walque
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引用次数: 22

摘要

了解撒哈拉以南非洲地区艾滋病毒/艾滋病流行和发病率的人口和社会经济模式对于制定抗击艾滋病毒/艾滋病的计划和政策至关重要。本文批判性地审视了研究社会经济和人口状况与艾滋病毒/艾滋病之间联系的方法和分析挑战。讨论了关于艾滋病毒/艾滋病流行病的一些误解,并提出了来自现有工作机构的不同寻常的经验证据。这些结果揭示了几个重要的信息。首先,社会经济地位与艾滋病毒之间联系的研究面临着一系列与定义、样本和实证方法相关的挑战。第二,鉴于证据方面存在巨大差距,而且这一流行病的性质在不断变化,有必要继续改进关于人口和社会经济地位与艾滋病毒/艾滋病流行和发病率之间联系的证据基础。最后,很难对各国的结果进行概括。正如本文和其他基于人口与健康调查数据集的研究结果所显示的那样,按社会经济和人口地位划分的流行率几乎没有明显的一致和显著的模式。
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Demographic and Socioeconomic Patterns of HIV/AIDS Prevalence in Africa
Understanding the demographic and socioeconomic patterns of the prevalence and incidence of HIV/AIDS in Sub-Saharan Africa is crucial for developing programs and policies to combat HIV/AIDS. This paper looks critically at the methods and analytical challenges to study the links between socioeconomic and demographic status and HIV/AIDS. Some of the misconceptions about the HIV/AIDS epidemic are discussed and unusual empirical evidence from the existing body of work is presented. Several important messages emerge from the results. First, the study of the link between socioeconomic status and HIV faces a range of challenges related to definitions, samples, and empirical methods. Second, given the large gaps in evidence and the changing nature of the epidemic, there is a need to continue to improve the evidence base on the link between demographic and socioeconomic status and the prevalence and incidence of HIV/AIDS. Finally, it is difficult to generalize results across countries. As the results presented here and in other studies based on Demographic and Health Survey datasets show, few consistent and significant patterns of prevalence by socioeconomic and demographic status are evident.
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