Sociodemographic context of the AIDS epidemic in a rural area in Tanzania with a focus on people's mobility and marriage
- PMID: 12083453
- PMCID: PMC1765836
- DOI: 10.1136/sti.78.suppl_1.i97
Sociodemographic context of the AIDS epidemic in a rural area in Tanzania with a focus on people's mobility and marriage
Abstract
This analysis focuses on how sociocultural and economic characteristics of a poor semi-urban and rural population (Kisesa ward) in north west Tanzania may directly and indirectly affect the epidemiology of HIV and other sexually transmitted infections (STI). Poverty and sociocultural changes may contribute to the observed high levels of marital instability and high levels of short and long term migration in Kisesa, especially among younger adults. Marriage and migration patterns are important underlying factors affecting the spread of HIV. The most cost-effective intervention strategy may be to focus on the trading centre in which mobility is higher, bars were more common, and HIV prevalence and incidence were considerably higher than in the nearby rural villages. If resources suffice, additional work can be undertaken in the rural villages, although it is not clear to what extent the rural epidemic would be self sustaining if the interventions in the trading centre were effective.
Similar articles
-
The social impact of AIDS in Sub-Saharan Africa.Milbank Q. 1990;68 Suppl 1:10-32. Milbank Q. 1990. PMID: 2381376
-
AIDS in Nicaragua: epidemiological, political, and sociocultural perspectives.Int J Health Serv. 1993;23(4):685-702. doi: 10.2190/1P6N-BPDW-M7BM-P2DR. Int J Health Serv. 1993. PMID: 8276529
-
Understanding the uneven spread of HIV within Africa: comparative study of biologic, behavioral, and contextual factors in rural populations in Tanzania and Zimbabwe.Sex Transm Dis. 2003 Oct;30(10):779-87. doi: 10.1097/01.OLQ.0000078820.62897.A6. Sex Transm Dis. 2003. PMID: 14520178
-
AIDS in sub-Saharan Africa: the epidemiology of heterosexual transmission and the prospects for prevention.Epidemiology. 1993 Jan;4(1):63-72. Epidemiology. 1993. PMID: 8420583 Review.
-
AIDS in rural Africa: a paradigm for HIV-1 prevention.Int J STD AIDS. 1996 Jul;7(4):236-43. doi: 10.1258/0956462961917906. Int J STD AIDS. 1996. PMID: 8876353 Review.
Cited by
-
Estimation of Ebola's spillover infection exposure in Sierra Leone based on sociodemographic and economic factors.PLoS One. 2022 Sep 1;17(9):e0271886. doi: 10.1371/journal.pone.0271886. eCollection 2022. PLoS One. 2022. PMID: 36048780 Free PMC article.
-
Misperception of peer beliefs reinforces inequitable gender norms among Tanzanian men.Evol Hum Sci. 2024 Feb 21;6:e17. doi: 10.1017/ehs.2024.6. eCollection 2024. Evol Hum Sci. 2024. PMID: 38572225 Free PMC article.
-
High Mobility and HIV Prevalence Among Female Market Traders in East Africa in 2014.J Acquir Immune Defic Syndr. 2017 Apr 15;74(5):e121-e128. doi: 10.1097/QAI.0000000000001252. J Acquir Immune Defic Syndr. 2017. PMID: 27875361 Free PMC article.
-
Reported number of sexual partners: comparison of data from four African longitudinal studies.Sex Transm Infect. 2009 Apr;85 Suppl 1(Suppl_1):i72-80. doi: 10.1136/sti.2008.033985. Sex Transm Infect. 2009. PMID: 19307344 Free PMC article.
-
Extra-marital sexual partnerships and male friendships in rural Malawi.Demogr Res. 2010;22:1-28. doi: 10.4054/DemRes.2010.22.1. Demogr Res. 2010. PMID: 20531977 Free PMC article.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical