Why are the benefits of increased resources not impacting the risk of HIV infection for high SES women in Cameroon?

<h4>Background</h4>Despite evidence of a positive SES-HIV gradient in some SSA countries, researchers and policy-makers frequently assume that a range of protective interventions--increasing awareness of mechanisms of HIV transmission, techniques for prevention, greater access to health...

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Autores principales:	Joyce N Mumah, Douglas Jackson-Smith
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/bfbdbd186a1a4edfbf29becc156befb0
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spelling	oai:doaj.org-article:bfbdbd186a1a4edfbf29becc156befb02021-11-11T08:21:15ZWhy are the benefits of increased resources not impacting the risk of HIV infection for high SES women in Cameroon?1932-620310.1371/journal.pone.0100507https://doaj.org/article/bfbdbd186a1a4edfbf29becc156befb02014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24968350/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>Despite evidence of a positive SES-HIV gradient in some SSA countries, researchers and policy-makers frequently assume that a range of protective interventions--increasing awareness of mechanisms of HIV transmission, techniques for prevention, greater access to health care facilities, and greater availability of condoms--will reduce the likelihood of contracting HIV, even among higher SES populations. We therefore explore the relationships between SES and these intervening behaviors to illuminate the complex factors that link SES and HIV among women in Cameroon.<h4>Methods</h4>We use bivariate and multivariate statistical analysis to examine patterns among the 5, 155 women aged 15-49 who participated in the 2004 CDHS.<h4>Results</h4>The results show a strong pattern where higher SES women have greater access to and use of health care facilities, higher levels of condom use, more HIV knowledge, and command higher power within their relationships, yet also have higher rates of HIV. These traditionally protective factors appear to be offset by riskier sexual behaviors on the part of women with increased resources, most notably longer years of premarital sexual experience, multiple partners in last 12 months, and sexual encounters outside of relationship. Multivariate analyses suggests net of the effect of other factors, women who command higher decision-making power, have greater access to health care, more negative attitudes toward wife beating, longer years of premarital sexual exposure, and partners with professional/white collar jobs (characteristics associated with rising SES) had higher odds of testing positive for HIV.<h4>Conclusion</h4>Results show that higher riskier sexual practices on part of high SES women offset benefits that may have accrued from their increased access to resources. The results suggest that traditional approaches to HIV prevention which rely on poverty reduction, improving access to health care, improving HIV knowledge, and boosting women's social and economic power may be insufficient to address other drivers of HIV infection among women in SSA.Joyce N MumahDouglas Jackson-SmithPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 6, p e100507 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Joyce N Mumah Douglas Jackson-Smith Why are the benefits of increased resources not impacting the risk of HIV infection for high SES women in Cameroon?
description	<h4>Background</h4>Despite evidence of a positive SES-HIV gradient in some SSA countries, researchers and policy-makers frequently assume that a range of protective interventions--increasing awareness of mechanisms of HIV transmission, techniques for prevention, greater access to health care facilities, and greater availability of condoms--will reduce the likelihood of contracting HIV, even among higher SES populations. We therefore explore the relationships between SES and these intervening behaviors to illuminate the complex factors that link SES and HIV among women in Cameroon.<h4>Methods</h4>We use bivariate and multivariate statistical analysis to examine patterns among the 5, 155 women aged 15-49 who participated in the 2004 CDHS.<h4>Results</h4>The results show a strong pattern where higher SES women have greater access to and use of health care facilities, higher levels of condom use, more HIV knowledge, and command higher power within their relationships, yet also have higher rates of HIV. These traditionally protective factors appear to be offset by riskier sexual behaviors on the part of women with increased resources, most notably longer years of premarital sexual experience, multiple partners in last 12 months, and sexual encounters outside of relationship. Multivariate analyses suggests net of the effect of other factors, women who command higher decision-making power, have greater access to health care, more negative attitudes toward wife beating, longer years of premarital sexual exposure, and partners with professional/white collar jobs (characteristics associated with rising SES) had higher odds of testing positive for HIV.<h4>Conclusion</h4>Results show that higher riskier sexual practices on part of high SES women offset benefits that may have accrued from their increased access to resources. The results suggest that traditional approaches to HIV prevention which rely on poverty reduction, improving access to health care, improving HIV knowledge, and boosting women's social and economic power may be insufficient to address other drivers of HIV infection among women in SSA.
format	article
author	Joyce N Mumah Douglas Jackson-Smith
author_facet	Joyce N Mumah Douglas Jackson-Smith
author_sort	Joyce N Mumah
title	Why are the benefits of increased resources not impacting the risk of HIV infection for high SES women in Cameroon?
title_short	Why are the benefits of increased resources not impacting the risk of HIV infection for high SES women in Cameroon?
title_full	Why are the benefits of increased resources not impacting the risk of HIV infection for high SES women in Cameroon?
title_fullStr	Why are the benefits of increased resources not impacting the risk of HIV infection for high SES women in Cameroon?
title_full_unstemmed	Why are the benefits of increased resources not impacting the risk of HIV infection for high SES women in Cameroon?
title_sort	why are the benefits of increased resources not impacting the risk of hiv infection for high ses women in cameroon?
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/bfbdbd186a1a4edfbf29becc156befb0
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Why are the benefits of increased resources not impacting the risk of HIV infection for high SES women in Cameroon?

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