Wealthy and healthy? New evidence on the relationship between wealth and HIV vulnerability in Tanzania

Long, D. and Deane, K. (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. 1740-1720.

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Abstract:

Using data from the Demographics and Health Surveys for Tanzania in 2003–2004, 2007–2008 and 2011–2012 and borrowing from the methodology used in Parkhurst, the authors analyse the changing relationship between wealth and HIV prevalence in Tanzania. Findings are tabulated, graphed and discussed. The authors 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. The authors 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:

/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being

Creators:

Long, D. and Deane, K.

Faculties, Divisions and Institutes:

Faculties > 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:

Number:

145

Number of Pages:

Language:

English

DOI:

10.1080/03056244.2015.1064817

ISSN:

1740-1720

Status:

Published / Disseminated

Refereed:

Yes

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