SAHARA J. 2011;8(2):65-73. doi: 10.1080/17290376.2011.9724987.
Many sub-Saharan African countries are confronted by the HIV/AIDS epidemic. This article reviews academic literature in the social sciences and health to discover why HIV/AIDS has become an epidemic in sub-Saharan Africa and not in other parts of the world. This was studied by examining the social determinants of diminishment of tradition and social cohesion in terms of political, social and economic problems. Four countries in this region were selected for this case study, namely South Africa, Botswana, Uganda and Zimbabwe. The findings showed that instability in socio-economic and political aspects in these nations was responsible for creating a suitable environment for the spread of HIV/AIDS infection. This paper concludes by using the theories of collective action/responsibility and social cohesion to hypothesise that the breakdown of social ties due to various kinds of conflicts and unrest is one of the main contributors to the HIV/AIDS epidemic.
许多撒哈拉以南非洲国家面临着 HIV/AIDS 疫情的挑战。本文回顾了社会科学和健康领域的学术文献,以探究为什么 HIV/AIDS 在撒哈拉以南非洲成为了一种流行病,而在世界其他地区却没有。这是通过研究政治、社会和经济问题方面传统和社会凝聚力减弱的社会决定因素来研究的。该案例研究选择了该地区的四个国家,即南非、博茨瓦纳、乌干达和津巴布韦。研究结果表明,这些国家社会经济和政治方面的不稳定是造成 HIV/AIDS 感染传播的适宜环境的原因。本文最后利用集体行动/责任和社会凝聚力理论假设,由于各种冲突和动荡导致的社会关系破裂是 HIV/AIDS 流行的主要原因之一。