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The HIV PandemicLocal and Global Implications$
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Eduard J. Beck, Nicholas Mays, Alan W. Whiteside, and José M. Zuniga

Print publication date: 2007

Print ISBN-13: 9780199237401

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780199237401.001.0001

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Determinants of the HIV pandemic in developing countries

Determinants of the HIV pandemic in developing countries

Chapter:
(p.50) Chapter 4 Determinants of the HIV pandemic in developing countries
Source:
The HIV Pandemic
Author(s):

Eileen Stillwaggon (Contributor Webpage)

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199237401.003.0004

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.

Keywords:   determinants, HIV pandemic, developing countries, economic environment, social environment, transitional countries, health systems, risky environment

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