Navigation Links
HIV shifting from most to least educated in sub-Saharan Africa

HIV infections appear to be concentrating among the least educated people in Africa, reversing previous patterns which saw higher levels of infection among the most educated, according to a study published today in the journal AIDS.

A team led by Dr. James Hargreaves of the London School of Hygiene & Tropical Medicine (LSHTM) sought to assess whether the profile of people infected with HIV is changing over time in sub-Saharan Africa.

HIV has spread rapidly in Africa, the worlds poorest region, and is widely characterised as a disease of poverty. However, the situation is more complex than this. In 2001, an LSHTM team, also led by Dr. Hargreaves, found that before 1996, individuals with the highest levels of education were often more likely to be infected with HIV than less educated people, perhaps because they were wealthier, more mobile and had broader networks of sexual partners.

The new article updates this work and draws a different conclusion. The LSHTM team screened over 4000 research papers to identify relevant data collected all around the world, eventually identifying 36 studies conducted in 11 countries between 1987 and 2003 representing data on over 200,000 individuals.

They found that in data from after 1996 more studies found a lower risk of HIV infection among the most educated. Where data over time were available from the same place, HIV prevalence fell more consistently among highly educated groups than among less educated groups. HIV prevalence sometimes rose among the less educated even while it fell among the overall population.

Dr. Hargreaves comments: At the time of our initial review, we speculated that, as HIV education campaigns developed in sub-Saharan Africa, the most educated, empowered members of society would be the first to adopt protective behaviours such as reducing numbers of partners and using condoms. And since HIV campaigns are often delivered within schools, we also speculated that those who stayed in school longer might be exposed to more health education messages and as a result adopt protective behaviours. We predicted that, in the absence of effective interventions that engaged the least educated, HIV would, over time, increasingly become concentrated in this group.

These results are partly good news. They confirm that HIV prevalence is falling, sometimes quite steeply, in some groups of people. This is probably at least partly because of the global response to the epidemic so far. But our new study also indicates that our fears were justified: HIV is increasingly becoming concentrated among the most vulnerable members of society. We conclude that more needs to be done to encourage educational achievement across the whole of society if we are to stem the tide of HIV infection in sub-Saharan Africa.


Contact: Lindsay Wright
London School of Hygiene & Tropical Medicine

Related medicine news :

1. AUDIO from Medialink and GlaxoSmithKline: Shifting Your Focus for a Lighter, Healthier New Year
2. Shape Shifting on Veterans Day
3. Psychiatrists: Least religious but most interested in patients religion
4. Caffeine Survey Reveals Most, Least Caffeinated Cities
5. Psychiatrists are the least religious of all physicians
6. Dementia in More Educated Hits Later But Harder
7. Sub-Saharan Africa: the population emergency
8. The Reality of Pregnancy in Sub-Saharan Africa: Author Shares Truth About Pregnancy in a Region Where 1 in 16 Women Die from Complications
9. Susan G. Komen for the Cures Circle of Promise and The Links, Incorporated Unite to Rewrite the Story on African Americans and Breast Cancer
10. Africa focuses on GMES
11. Cookie Johnson and Abbott Bring I Stand With Magic: Campaign to End Black AIDS to Los Angeles to Educate African-American Women on HIV/AIDS
Post Your Comments:
(Date:10/13/2017)... ... October 13, 2017 , ... As health professionals work to ... “patient engagement.” The patient is doing more than filling out a survey; in many ... is an increasing emphasis in health care and research on the importance of active ...
(Date:10/13/2017)... ... October 13, 2017 , ... PurhealthRX , a leading Health and Nutrition ... the Purzorb™process to full spectrum CBD oil will revolutionize the rapidly growing CBD market ... can be easily incorporated into liquid products, while reducing costs to end users. , ...
(Date:10/13/2017)... ... October 13, 2017 , ... Many families have long-term insurance that ... insurance companies have a waiver for care if the client has a cognitive impairment ... family pays for care, is often waived, so the benefits from their insurance start ...
(Date:10/13/2017)... Abilene, Texas (PRWEB) , ... October 13, 2017 , ... ... publication this week that explains one of the most popular and least understood books ... seems like cryptic and puzzling descriptions that have baffled scholars for centuries. Many have ...
(Date:10/13/2017)... , ... October 13, 2017 , ... “America On The ... identity. “America On The Brink” is the creation of published author, William Nowers. ... great-grandchildren. As a WWII veteran, he spent thirty years in the Navy. ...
Breaking Medicine News(10 mins):
(Date:10/2/2017)... 2017 Diplomat Pharmacy, Inc. (NYSE: ... Consulting, LLC , and named its founder as Diplomat,s ... Tennessee , will operate under Diplomat ... service offerings for health care partners to include IT ... "In an interoperable world, technology delivers comprehensive ...
(Date:10/2/2017)... ORLANDO, Fla. , Oct. 2, 2017  AllianceRx ... services company formed by Walgreens and pharmacy benefit manager ... of its new brand, which included the unveiling of ... Fla. , as well as at a few ... introduces the new brand to patients, some of whom ...
(Date:10/2/2017)... The Rebound mobile app is poised to become ... tide of prescription drug addiction. The app empowers users to ... stepping down their dosage in a safe, controlled manner while ... the first 100,000 people to sign up will enjoy 3 ... ...
Breaking Medicine Technology: