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Cofactor Infections and HIV Epidemics in Developing Countries: Implications for Treatment


  • Larry Sawers
  • Eileen Stillwaggon
  • Tom Hertz


This article shows that the burden of certain tropical disease infections, after controlling for other factors, is positively correlated with HIV prevalence. Using cross-national data and multivariate linear regression analysis, we investigate the determinants of HIV prevalence in low- and middle-income countries. We begin with social and economic variables used in other crossnational studies and then incorporate data on parasitic and infectious diseases endemic in poor populations, which are found to be strongly and significantly correlated with—and are potent predictors of—HIV prevalence. The paper concludes by arguing that treating tropical diseases may be a cost-effective addon to HIV prevention and treatment programs, thus slowing the spread of HIV in disease-burdened populations.

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  • Larry Sawers & Eileen Stillwaggon & Tom Hertz, 2008. "Cofactor Infections and HIV Epidemics in Developing Countries: Implications for Treatment," Working Papers 2008-03, American University, Department of Economics.
  • Handle: RePEc:amu:wpaper:0308

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    Cited by:

    1. Durevall, Dick & Lindskog, Annika, 2015. "Intimate Partner Violence and HIV Infection in sub-Saharan Africa," World Development, Elsevier, vol. 72(C), pages 27-42.
    2. Durevall, Dick & Lindskog, Annika, 2013. "Intimate Partner Violence and HIV in Sub-Saharan Africa," Working Papers in Economics 563, University of Gothenburg, Department of Economics, revised 14 Jan 2014.
    3. Hunsmann, Moritz, 2012. "Limits to evidence-based health policymaking: Policy hurdles to structural HIV prevention in Tanzania," Social Science & Medicine, Elsevier, vol. 74(10), pages 1477-1485.

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