Long, D. and Deane, K. D. (2015) Wealthy and healthy? New evidence on the relationship between wealth and HIV vulnerability in Tanzania. Review of African Political Economy. 42(145), pp. 376-393. 0305-6244.
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Item Type: | Article |
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Abstract: | Using AIS/DHS data for Tanzania in 2003-4, 2007-8 and 2011-12 and borrowing from the methodology used in Parkhurst (2010) we analyse the changing relationship between wealth and HIV prevalence in Tanzania. Findings are tabulated, graphed and discussed. We find the relationship is multifaceted and dynamic: women are disproportionately affected in all wealth quintiles and experience a stronger ‘wealth effect’; some groups experience an increase in prevalence even as population prevalence declines. Relative wealth and poverty are associated with increased prevalence, suggesting that structural drivers create a variety of risk situations – as well as protective factors – affecting different groups. We also consider data on testing refusals: wealthier men were consistently more likely to decline testing. Continuing to unpack this complex and shifting relationship is necessary in order to fully understand the structural drivers of HIV transmission and access of testing services, enabling the formulation of appropriate policy responses. |
Uncontrolled Keywords: | Wealth, poverty, HIV/AIDS, structural drivers, demographic health survey |
Subjects: |
R Medicine > RA Public aspects of medicine > RA643 Disease (Communicable and non-infectious) and public health > RA643.86 AIDS. Prevention and control H Social Sciences > HC Economic History and Conditions > HC94 By region or country > HC885 Tanzania |
Creators: | Long, Danya and Deane, Kevin D |
Publisher: | Taylor & Francis |
Faculties, Divisions and Institutes: | University Faculties, Divisions and Research Centres - OLD > Faculty of Business & Law |
Date: | 21 August 2015 |
Date Type: | Publication |
Page Range: | pp. 376-393 |
Journal or Publication Title: | Review of African Political Economy |
Volume: | 42 |
Number: | 145 |
Language: | English |
DOI: | https://doi.org/10.1080/03056244.2015.1064817 |
ISSN: | 0305-6244 |
Status: | Published / Disseminated |
Refereed: | Yes |
URI: | http://nectar.northampton.ac.uk/id/eprint/7563 |
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