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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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:
Creators:
Long, D. and Deane, K. D.
Publisher:
Taylor & Francis
Faculties, Divisions and Institutes:
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
ISSN:
0305-6244
Status:
Published / Disseminated
Refereed:
Yes
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