An inquiry into the uneven distribution of womenâ€™s HIV infection in rural Malawi
AbstractEcological comparisons in sub-Saharan Africa show that HIV prevalence is lower where men are generally circumcised than where they are not. Randomized controlled trials have found a 50-60% reduction in HIV acquisition for newly circumcised men. Yet in Malawi, HIV prevalence is highest in several districts in the Southern Region, where men are commonly circumcised. We draw upon a population-based sample of ever-married women to explore this unexpected finding. Our data show that in the southern district of Balaka, women with circumcised spouses have a lower probability of HIV infection compared to those with uncircumcised spouses. However, the strength of this effect is conditioned by specific marital histories: among women with circumcised spouses, those with multiple marriages and an absence of spousal co-residence have a higher probability of HIV infection than do those married once and those who have never lived apart from their spouses. The history of marital turnover and female-headed households among the ethnic groups of Balaka offer insight into the districtâ€™s elevated HIV levels.
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Bibliographic InfoArticle provided by Max Planck Institute for Demographic Research, Rostock, Germany in its journal Demographic Research.
Volume (Year): 25 (2011)
Issue (Month): 28 (December)
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Web page: http://www.demogr.mpg.de/
AIDS/HIV; inequality; Malawi; male circumcision; marriage; migration; mortality; population; Sub-Saharan Africa;
Find related papers by JEL classification:
- J1 - Labor and Demographic Economics - - Demographic Economics
- Z0 - Other Special Topics - - General
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
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- FFF1Georges NNN1Reniers, 2003. "Divorce and Remarriage in Rural Malawi," Demographic Research Special Collections, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 1(6), pages 175-206, September.
- Hunter, Mark, 2007. "The changing political economy of sex in South Africa: The significance of unemployment and inequalities to the scale of the AIDS pandemic," Social Science & Medicine, Elsevier, vol. 64(3), pages 689-700, February.
- Smith, Kirsten P. & Watkins, Susan Cotts, 2005. "Perceptions of risk and strategies for prevention: responses to HIV/AIDS in rural Malawi," Social Science & Medicine, Elsevier, vol. 60(3), pages 649-660, February.
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