Determinants of the HIV pandemic in developing countries
It is no coincidence that the highest prevalence of HIV and the highest rates of increase in HIV infection are in countries with a myriad of other problems. The majority of people living with HIV and AIDS and most of those newly infected with HIV live in countries beset by economic and social problems. This chapter demonstrates how the economic and social environment of low- and middle-income developing and transitional countries makes them more vulnerable to epidemic diseases, including HIV. After a discussion of the status of economic and health systems in developing and transitional countries, it shows some ways in which poverty not only influences risk-taking behaviour but also creates a riskier environment for poor people. A few solutions that illustrate how to address the causes of risky behaviours and the risky environment conclude this chapter.
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