The gradient in sub-saharan Africa: Socioeconomic status and HIV/AIDS
Open Access
- 1 May 2008
- journal article
- Published by Duke University Press in Demography
- Vol. 45 (2), 303-322
- https://doi.org/10.1353/dem.0.0006
Abstract
Using data from the Demographic and Health Surveys (DHS) for Burkina Faso (2003), Cameroon (2004), Ghana (2003), Kenya (2003), and Tanzania (2003), I investigate the cross- sectional relationship between HIV status and socioeconomic status. I find evidence of a robust positive education gradient in HIV infection, showing that, up to very high levels of education, better-educated respondents are more likely to be HIV-positive. Adults with six years of schooling are as much as three percentage points more likely to be infected with HIV than adults with no schooling. This gradient is not an artifact of age, sector of residence, or region of residence. With controls for sex, age, sector of residence, and region of residence, adults with six years of schooling are as much as 50% more likely to be infected with HIV than those with no schooling. Education is positively related to certain risk factors for HIV, including the likelihood of having premarital sex. Estimates of the wealth gradient in HIV, by contrast, vary substantially across countries and are sensitive to the choice of measure of wealth.Keywords
This publication has 14 references indexed in Scilit:
- Are Africans Practicing Safer Sex? Evidence from Demographic and Health Surveys for Eight CountriesEconomic Development and Cultural Change, 2008
- HIV testing in national population-based surveys: experience from the Demographic and Health SurveysBulletin of the World Health Organization, 2006
- Randomized, Controlled Intervention Trial of Male Circumcision for Reduction of HIV Infection Risk: The ANRS 1265 TrialPLoS Medicine, 2005
- Is poverty or wealth at the root of HIV?The Lancet, 2005
- Orphans in Africa: parental death, poverty, and school enrollmentDemography, 2004
- Does increased general schooling protect against HIV infection? A study in four African citiesTropical Medicine & International Health, 2004
- Optimal Indicators of Socioeconomic Status for Health ResearchAmerican Journal of Public Health, 2002
- School education and HIV control in sub‐Saharan Africa: from discord to harmony?Journal of International Development, 2001
- Estimating wealth effects without expenditure data—or tears: An application to educational enrollments in states of IndiaDemography, 2001
- Design-adaptive Nonparametric RegressionJournal of the American Statistical Association, 1992