University Medical Unit, National Hospital of Sri Lanka, Colombo, Sri Lanka.
Int Health. 2010 Mar;2(1):9-16. doi: 10.1016/j.inhe.2009.12.003.
This review examines the interactions of financial status and HIV and its implications for women. MEDLINE and Google scholar were searched using the keywords 'women', 'poverty' and 'HIV' in any field of the article. The search was limited to articles published in English over the last 10 years. The first section of the article tries to establish whether poverty or wealth is a risk factor for HIV. There is credible evidence for both arguments. While wealth shows an increased risk for both sexes, poverty places women at a special disadvantage. The second section explains how the financial status interacts with other 'non biological' factors to put women at increased risk. While discrimination based on these factors disadvantage women, there are some paradoxical observations that do not fit with the traditional line of explanation (e.g. paradoxical impact of wealth and education on HIV). The final section assesses the impact of HIV in driving poverty and the role of women in interventional programmes. The specific impact of poverty on females in families living with HIV is less explored. Though microfinance initiatives to empower women are a good idea in theory, the actual outcome of such a programme is less convincing.
这篇综述探讨了财务状况与 HIV 之间的相互作用及其对女性的影响。使用“妇女”、“贫困”和“HIV”作为文章中任何字段的关键词,在 MEDLINE 和 Google Scholar 上进行了搜索。搜索仅限于过去 10 年发表的英文文章。文章的第一部分试图确定贫困或富裕是否是 HIV 的一个风险因素。这两种观点都有可信的证据。虽然财富对男女双方都显示出增加的风险,但贫困使妇女处于特殊的劣势地位。第二部分解释了财务状况如何与其他“非生物”因素相互作用,使妇女面临更高的风险。虽然基于这些因素的歧视使妇女处于不利地位,但也有一些与传统解释不符的悖论观察(例如财富和教育对 HIV 的悖论影响)。最后一部分评估了 HIV 在导致贫困方面的作用,以及妇女在干预方案中的作用。在感染 HIV 的家庭中,贫困对女性的具体影响还没有得到充分探讨。虽然理论上赋予妇女权力的小额供资举措是个好主意,但这样一个方案的实际结果却不太令人信服。