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Inequalities as co-factors for HIV transmission and for poor AIDS outcomes.

Farmer P; International Conference on AIDS.

Int Conf AIDS. 1996 Jul 7-12; 11: 38 (abstract no. Tu.D.581).

Harvard Medical School, Boston, MA. Fax: (617) 661-2669.

AIDS has always been a strikingly patterned pandemic; public health slogans aside, some groups are at high risk of HIV infection while others, clearly, are shielded from risk. Furthermore, although late events have been grimly similar, the course of HIV infection has been highly variable. These disparities have sparked the search for hundreds of co-factors, from Mycoplasma and ulcerating genital lesions to voodoo rites and psychological predispositions. To date, not a single one of these associations has been compellingly shown to explain disparities in distribution or outcome of HIV disease. The only well-demonstrated co-factors are social inequalities, which have structured not only the contours of the AIDS pandemic, but also the nature of outcomes once an individual is sick with complications of HIV infection. Although some of these inequalities are readily addressed, they have not, to date, sparked significant research interest, nor have they led to the revamping of service delivery. Drawing on data from Haiti and the United States, and on a review of the literature on women and AIDS, barriers to improving research and service implementation are identified.

Publication Types:
  • Meeting Abstracts
Keywords:
  • Acquired Immunodeficiency Syndrome
  • Demography
  • Female
  • HIV Infections
  • HIV Seropositivity
  • Haiti
  • Health Services
  • Humans
  • Poverty
  • Public Health
  • Research
  • Single Person
  • Socioeconomic Factors
  • United States
  • transmission
Other ID:
  • 97926950
UI: 102225523

From Meeting Abstracts




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