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撒哈拉以南非洲地区的艾滋病毒/艾滋病与年轻寡妇现象

HIV/AIDS and young age widowhood in sub-Saharan Africa.

作者信息

Adetunji J A

机构信息

Bowling Green University, Ohio, USA.

出版信息

J Health Hum Serv Adm. 2001 Winter;24(3):259-78.

Abstract

This article investigates a probable hidden consequence of high rates of HIV infection and AIDS deaths-an apparently rising proportion of women aged below 50 years who are widowed. It is assumed that young widows who remain unmarried and are sexually active may widely disseminate HIV infection if they are seropositive and do not use condoms. Data from eight nationally representative social surveys in sub-Saharan Africa are analyzed. Four of the surveys are from countries with high HIV prevalence rates (about 10% of adults are HIV positive) and the other four surveys are from countries with relatively low prevalence rates (about 2% of adults are HIV positive). The proportion of young widows in six countries with relevant data are calculated and compared over time. The results show that the proportion of young widows is higher in countries with high HIV prevalence rates than in countries with low prevalence rates. Moreover, while the proportion of young widows decreased in countries with low HIV prevalence rates, the proportion increased in high-prevalence countries. The implications of these results for research policy in Sub-Saharan Africa are discussed.

摘要

本文调查了艾滋病毒高感染率和艾滋病高死亡率可能带来的一个潜在隐性后果——50岁以下丧偶女性的比例明显上升。据推测,如果年轻寡妇未婚且有性行为,并且血清呈阳性且不使用避孕套,她们可能会广泛传播艾滋病毒感染。对撒哈拉以南非洲地区八项具有全国代表性的社会调查数据进行了分析。其中四项调查来自艾滋病毒高流行率国家(约10%的成年人艾滋病毒呈阳性),另外四项调查来自流行率相对较低的国家(约2%的成年人艾滋病毒呈阳性)。对六个有相关数据的国家中年轻寡妇的比例进行了计算,并随时间进行了比较。结果表明,艾滋病毒高流行率国家中年轻寡妇的比例高于低流行率国家。此外,在艾滋病毒低流行率国家,年轻寡妇的比例下降了,而在高流行率国家,这一比例上升了。文中还讨论了这些结果对撒哈拉以南非洲地区研究政策的影响。

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