Socioeconomic status and HIV seroprevalence in Tanzania: a counterintuitive relationship
Open Access
- 27 September 2008
- journal article
- research article
- Published by Oxford University Press (OUP) in International Journal of Epidemiology
- Vol. 37 (6), 1297-1303
- https://doi.org/10.1093/ije/dyn186
Abstract
Objective To examine the relationship between multiple dimensions of socioeconomic status (SES) and HIV seroprevalence in Tanzania. Methods Using a large nationally representative sample of 7515 sexually active adults drawn from the 2003–04 Tanzania HIV/AIDS Indicator Survey, we analysed the relationship between multiple SES measures and HIV seroprevalence using weighted logistic regression models. Results In adjusted models, individuals in the highest quintile of standard of living had increased odds ratio (OR) of being HIV-positive (male: OR 2.38, 95% CI 1.17–4.82; female: OR 3.74, 95% CI 2.16–6.49). Occupational status was differentially associated with HIV in men and women; women in professional jobs had higher OR of being HIV-positive (OR 1.54, 95% CI 1.02–2.38), whereas unemployed men had higher risk of being HIV-positive (OR 3.49, 95% CI 1.43–8.58). No marked association was found between increasing education and HIV seroprevalence for men (P = 0.83) and women (P = 0.87). Conclusion Contrary to the prevailing perception that low SES individuals tend to be more vulnerable to HIV-infection, we found a positive association between standard of living and HIV-infection. Strategies aimed at reducing HIV-infection needs to be cognizant of the complex social heterogeneity in the patterns of HIV-infection.Keywords
This publication has 27 references indexed in Scilit:
- HIV prevalence and sexual behaviour changes measured in an antenatal clinic setting in northern TanzaniaSexually Transmitted Infections, 2006
- Risk Factors Influencing HIV Infection Incidence in a Rural African Population: A Nested Case‐Control StudyThe Journal of Infectious Diseases, 2006
- Concurrent sexual partnerships help to explain Africa's high HIV prevalence: implications for preventionThe Lancet, 2004
- Trends and measurement of HIV prevalence in northern MalawiAIDS, 2003
- Community effects on the risk of HIV infection in rural TanzaniaSexually Transmitted Infections, 2002
- Sexual behaviour patterns and condom use in Tanzania: results from the 1996 Demographic and Health SurveyAIDS Care, 2002
- The global impact of HIV/AIDSNature, 2001
- Is AIDS a disease of poverty?AIDS Care, 1996
- Socioeconomic Status, Gender, and Risk of HIV-1 Infection in a Rural Community in South West UgandaMedical Anthropology Quarterly, 1994
- Risk factors for HIV-1 infection in adults in a rural Ugandan communityAIDS, 1994