Socioeconomic Status and HIV Seroprevalence in Tanzania : A Counterintuitive Relationship

Socioeconomic Status and HIV Seroprevalence in Tanzania : A Counterintuitive Relationship

OBJECTIVE: To examine the relationship between multiple dimensions of socioeconomic status (SES) and HIV seroprevalence in Tanzania. METHODS: Using a large nationally representative sample of 7515 sexually active adults drawn from the 2003-04 Tanzania HIV/AIDS Indicator Survey, we analysed the relat...

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Main Authors: Msisha, W. M., Kapiga, S. H., Earls, F., Subramanian, S. V.
Format: Journal Article
Language:EN
Published: 2012
Subjects:
Adolescent
Adult
Alcohol Drinking
Educational Status
Female
HIV Infections
HIV Seroprevalence
Hiv-1
Humans
Logistic Models
Male
Middle Aged
Occupations
Odds Ratio
Prevalence
Risk
Risk-Taking
Sex Factors
Social Class
Tanzania
Young Adult
Online Access:http://hdl.handle.net/10986/5112
id okr-10986-5112
recordtype oai_dc
spelling okr-10986-51122021-04-23T14:02:21Z Socioeconomic Status and HIV Seroprevalence in Tanzania : A Counterintuitive Relationship Msisha, W. M. Kapiga, S. H. Earls, F. Subramanian, S. V. Adolescent Adult Alcohol Drinking Educational Status Female HIV Infections HIV Seroprevalence Hiv-1 Humans Logistic Models Male Middle Aged Occupations Odds Ratio Prevalence Risk Risk-Taking Sex Factors Social Class Tanzania Young Adult OBJECTIVE: To examine the relationship between multiple dimensions of socioeconomic status (SES) and HIV seroprevalence in Tanzania. METHODS: Using a large nationally representative sample of 7515 sexually active adults drawn from the 2003-04 Tanzania HIV/AIDS Indicator Survey, we analysed the relationship between multiple SES measures and HIV seroprevalence using weighted logistic regression models. RESULTS: In adjusted models, individuals in the highest quintile of standard of living had increased odds ratio (OR) of being HIV-positive (male: OR 2.38, 95% CI 1.17-4.82; female: OR 3.74, 95% CI 2.16-6.49). Occupational status was differentially associated with HIV in men and women; women in professional jobs had higher OR of being HIV-positive (OR 1.54, 95% CI 1.02-2.38), whereas unemployed men had higher risk of being HIV-positive (OR 3.49, 95% CI 1.43-8.58). No marked association was found between increasing education and HIV seroprevalence for men (P = 0.83) and women (P = 0.87). CONCLUSION: Contrary to the prevailing perception that low SES individuals tend to be more vulnerable to HIV-infection, we found a positive association between standard of living and HIV-infection. Strategies aimed at reducing HIV-infection needs to be cognizant of the complex social heterogeneity in the patterns of HIV-infection. 2012-03-30T07:31:20Z 2012-03-30T07:31:20Z 2008 Journal Article Int J Epidemiol 1464-3685 (Electronic) 0300-5771 (Linking) http://hdl.handle.net/10986/5112 EN http://creativecommons.org/licenses/by-nc-nd/3.0/igo World Bank Journal Article Tanzania
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language EN
topic Adolescent
Adult
Alcohol Drinking
Educational Status
Female
HIV Infections
HIV Seroprevalence
Hiv-1
Humans
Logistic Models
Male
Middle Aged
Occupations
Odds Ratio
Prevalence
Risk
Risk-Taking
Sex Factors
Social Class
Tanzania
Young Adult
spellingShingle Adolescent
Adult
Alcohol Drinking
Educational Status
Female
HIV Infections
HIV Seroprevalence
Hiv-1
Humans
Logistic Models
Male
Middle Aged
Occupations
Odds Ratio
Prevalence
Risk
Risk-Taking
Sex Factors
Social Class
Tanzania
Young Adult
Msisha, W. M.
Kapiga, S. H.
Earls, F.
Subramanian, S. V.
Socioeconomic Status and HIV Seroprevalence in Tanzania : A Counterintuitive Relationship
geographic_facet Tanzania
relation http://creativecommons.org/licenses/by-nc-nd/3.0/igo
description OBJECTIVE: To examine the relationship between multiple dimensions of socioeconomic status (SES) and HIV seroprevalence in Tanzania. METHODS: Using a large nationally representative sample of 7515 sexually active adults drawn from the 2003-04 Tanzania HIV/AIDS Indicator Survey, we analysed the relationship between multiple SES measures and HIV seroprevalence using weighted logistic regression models. RESULTS: In adjusted models, individuals in the highest quintile of standard of living had increased odds ratio (OR) of being HIV-positive (male: OR 2.38, 95% CI 1.17-4.82; female: OR 3.74, 95% CI 2.16-6.49). Occupational status was differentially associated with HIV in men and women; women in professional jobs had higher OR of being HIV-positive (OR 1.54, 95% CI 1.02-2.38), whereas unemployed men had higher risk of being HIV-positive (OR 3.49, 95% CI 1.43-8.58). No marked association was found between increasing education and HIV seroprevalence for men (P = 0.83) and women (P = 0.87). CONCLUSION: Contrary to the prevailing perception that low SES individuals tend to be more vulnerable to HIV-infection, we found a positive association between standard of living and HIV-infection. Strategies aimed at reducing HIV-infection needs to be cognizant of the complex social heterogeneity in the patterns of HIV-infection.
format Journal Article
author Msisha, W. M.
Kapiga, S. H.
Earls, F.
Subramanian, S. V.
author_facet Msisha, W. M.
Kapiga, S. H.
Earls, F.
Subramanian, S. V.
author_sort Msisha, W. M.
title Socioeconomic Status and HIV Seroprevalence in Tanzania : A Counterintuitive Relationship
title_short Socioeconomic Status and HIV Seroprevalence in Tanzania : A Counterintuitive Relationship
title_full Socioeconomic Status and HIV Seroprevalence in Tanzania : A Counterintuitive Relationship
title_fullStr Socioeconomic Status and HIV Seroprevalence in Tanzania : A Counterintuitive Relationship
title_full_unstemmed Socioeconomic Status and HIV Seroprevalence in Tanzania : A Counterintuitive Relationship
title_sort socioeconomic status and hiv seroprevalence in tanzania : a counterintuitive relationship
publishDate 2012
url http://hdl.handle.net/10986/5112
_version_ 1764393995388059648

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