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18 Evidence from Demographic and Health Surveys for Eight Countries,” Glick and Sahn (2008) scrutinize Demographic and Health Surveys (DHSs) conducted over the last 2 decades in eight Sub Saharan African countries. The purpose of their study is to define the components of a successful HIV/AIDS prevention policy for the African countries. Their project examines risky sexual behavior among men and women at two different points in time and analyzes which groups take on risky behavior more often according to wealth and education. Intuitively, an increase in wealth and education should lead to less risky sexual behavior. However, previous evidence has shown that multiple sexual partners is a given regardless of these variables in many African countries. In fact, there is evidence in this study that the number of sexual partners will increase with wealth amongst the male population. Similarly, when more condoms are used (a sign of wealth), many times the number of partners increases as well. Taking into account this ambiguous relationship between health, education, and risky sexual behavior in Africa, Glick and Sahn (2008) strive to find an appropriate HIV/AIDS reduction policy. Results from the study are somewhat mixed, although positive on balance: “Among men but not women, one tendency we have observed is for education and to a lesser extent, wealth, to lead to higher risk by increasing the demand for additional sex partners” (Glick and Sahn 2008:435). A more benign result is that education is associated with greater condom use by both men and women. Finally, women with higher wealth and education levels are more likely to delay their first sexual activity. In sum, this study indicates that higher wealth and education in Africa leads to a
Object Description
Title | Political determinants and economic effects of HIV/AIDS: a push for the multisectoral approach |
Author | Davis, Dollie |
Author email | dollieda@usc.edu; dolliesdavis@gmail.com |
Degree | Doctor of Philosophy |
Document type | Dissertation |
Degree program | Political Economy & Public Policy |
School | College of Letters, Arts and Sciences |
Date defended/completed | 2008-07-15 |
Date submitted | 2008 |
Restricted until | Unrestricted |
Date published | 2008-10-30 |
Advisor (committee chair) | Wise, Carol |
Advisor (committee member) |
Nugent, Jeffrey B. Chi, Iris |
Abstract | The proposed dissertation offers an explanation for the large differences in HIV/AIDS rates among 89 low and middle-income countries throughout the Sub Saharan African, Asian, and Latin American regions over a ten-year period (1995-2005). The HIV/AIDS rates in these countries vary widely and seemingly independently of economic wealth. One possible determinant of these differences is the presence and degree of development of strong multisectoral programs aimed at both prevention and cure of HIV/AIDS. The main hypothesis for this dissertation is: "A country's success in combating HIV/AIDS lies in the government's ability to implement an effective multisectoral program." This hypothesis is explored through quantitative models using data from the ten-year period (1995-2005). Results show that the presence of a multisectoral program over the ten-year period is associated with a significantly lower HIV/AIDS incidence rate by 2005. This effect is produced by controlling for various political, economic, societal, and institutional factors. Although there is some anecdotal evidence which suggests that multisectoral programs help to improve the HIV/AIDS problem in developing countries, there has been little if any empirical work done on this subject to date. |
Keyword | multisectoral; HIV/AIDS; economic development |
Geographic subject (region) | Carribbean |
Geographic subject (continent) | Africa; Asia; South America |
Coverage date | 1995/2005 |
Language | English |
Part of collection | University of Southern California dissertations and theses |
Publisher (of the original version) | University of Southern California |
Place of publication (of the original version) | Los Angeles, California |
Publisher (of the digital version) | University of Southern California. Libraries |
Provenance | Electronically uploaded by the author |
Type | texts |
Legacy record ID | usctheses-m1724 |
Contributing entity | University of Southern California |
Rights | Davis, Dollie |
Repository name | Libraries, University of Southern California |
Repository address | Los Angeles, California |
Repository email | cisadmin@lib.usc.edu |
Filename | etd-Davis-2422 |
Archival file | uscthesesreloadpub_Volume44/etd-Davis-2422.pdf |
Description
Title | Page 26 |
Contributing entity | University of Southern California |
Repository email | cisadmin@lib.usc.edu |
Full text | 18 Evidence from Demographic and Health Surveys for Eight Countries,” Glick and Sahn (2008) scrutinize Demographic and Health Surveys (DHSs) conducted over the last 2 decades in eight Sub Saharan African countries. The purpose of their study is to define the components of a successful HIV/AIDS prevention policy for the African countries. Their project examines risky sexual behavior among men and women at two different points in time and analyzes which groups take on risky behavior more often according to wealth and education. Intuitively, an increase in wealth and education should lead to less risky sexual behavior. However, previous evidence has shown that multiple sexual partners is a given regardless of these variables in many African countries. In fact, there is evidence in this study that the number of sexual partners will increase with wealth amongst the male population. Similarly, when more condoms are used (a sign of wealth), many times the number of partners increases as well. Taking into account this ambiguous relationship between health, education, and risky sexual behavior in Africa, Glick and Sahn (2008) strive to find an appropriate HIV/AIDS reduction policy. Results from the study are somewhat mixed, although positive on balance: “Among men but not women, one tendency we have observed is for education and to a lesser extent, wealth, to lead to higher risk by increasing the demand for additional sex partners” (Glick and Sahn 2008:435). A more benign result is that education is associated with greater condom use by both men and women. Finally, women with higher wealth and education levels are more likely to delay their first sexual activity. In sum, this study indicates that higher wealth and education in Africa leads to a |