Vulnerability to malaria, tuberculosis, and HIV/AIDS infection and disease. Part II: determinants operating at environmental and institutional level

Bates, Imelda; Fenton, Caroline; Gruber, Janet; Lalloo, David G.; Lara, Antonieta Medina; Squire, S. Bertel; Theobald, Sally; Thomson, Rachael; Tolhurst, Rachel

doi:10.1016/s1473-3099(04)01047-3

Cited by 102 publications

(137 citation statements)

References 32 publications

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“…Social epidemiologists argue that whether or not we suffer from and survive an infectious or chronic disease is heavily dependent on our place in society [33]. Therefore, Farmer and other social epidemiologists have strongly encouraged the social determinants approach to be used in order to study and prevent STDs and HIV/aIDS [30,34,35].…”

mentioning

confidence: 99%

Social determinants of awareness and behavior regarding STDs and HIV/AIDS among ever married women in Bangladesh

Rana¹

2016

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Background. about 8,900 people are living with HIV/aIDS, and 1,000 aIDS-related deaths had been reported in Bangladesh by the end of 2014. Objectives. The study investigates the social determinants of awareness and behavior regarding STDs and HIV/aIDS among ever married women in Bangladesh. Material and methods. This cross-sectional research extracted data concerning 17,828 ever married women from the Bangladesh Demographic and Health Survey (BDHS) in 2014. The chi-square (χ 2 ) and multinomial logistic regression model were used to identify the factors associated with knowledge, awareness and behavior concerning STDs and HIV/aIDS. Results. Overall, 28.6% of examined ever married women have never heard of STDs or HIV/aIDS nor any of their prevention methods. also, only 15.6% of reported women were the decision makers regarding the use of contraception during sexual intercourse, and 91.3% of women had the capacity to refuse sexual contact with their STD-infected husband/partner. Women who belong to households classified as lower class (OR = 0.525, 95% CI = 0.461-0.598) or middle class (OR = 0.643, 95% CI = 0.564-0.733) had less comprehensive knowledge and awareness of STDs and HIV/AIDS than those categorized as upper class. Women at a level of education below secondary (OR = 0.200, 95% CI = 0.179-0.223) also had less comprehensive knowledge and awareness than highly educated women. Moreover, women living in an urban residence (OR = 1.141, 95% CI = 1.003-1.297) were more likely to make the decision of using contraception and (OR = 1.546, 95% CI = 1.351-1.770) more likely to refuse sexual contact with an STD-infected husband/partner than their rural counterparts. Formally unemployed women (OR = 0.894, 95% CI = 0.793-1.010) were less likely to refuse sexual intercourse with an STD-infected husband than employed women. Conclusions. Social determinants such as education, wealth and media exposure determine the level of knowledge and awareness and affect the behavior of women concerning STDs and HIV/aIDS.

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confidence: 99%

Social determinants of awareness and behavior regarding STDs and HIV/AIDS among ever married women in Bangladesh

Rana¹

2016

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“…According to one World Health Organization (WHO) estimate, underweight and other nutritional risk factors, including "suboptimal" breastfeeding, "were together responsible for an estimate 3.9 million deaths" in children under five, and "[i]n lowincome countries, easy-to-remedy nutritional deficiencies prevent 1 in 38 newborns from reaching age 5" (World Health Organization, 2009a, p. 13). This is a substantial underestimate of the overall contribution of inadequate nutrition to illness, since (for example) maternal undernutrition during pregnancy affects the health status of mothers as well as their children, and undernutrition almost certainly increases adult vulnerability to HIV infection and to a range of other communicable diseases, as well as exacerbating their effects (Bates et al, 2004;Stillwaggon, 2006). Economic deprivation creates situations in which the daily routines of living are themselves hazardous.…”

Section: Ronald Labonté and Ted Schreckermentioning

confidence: 99%

The state of global health in a radically unequal world: patterns and prospects

Labonté¹,

Schrecker²

2011

Global Health and Global Health Ethics

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Citation for published item:vont¡ eD onld nd hrekerD ed @PHIIA 9he stte of glol helth in rdilly unequl world X ptterns nd prospetsF9D in qlol helth nd glol helth ethisF gmridgeX gmridge niversity ressD ppF PREQTF Further information on publisher's website:c Cambridge University Press 2011. Additional information:Use policyThe full-text may be used and/or reproduced, and given to third parties in any format or medium, without prior permission or charge, for personal research or study, educational, or not-for-prot purposes provided that:• a full bibliographic reference is made to the original source • a link is made to the metadata record in DRO • the full-text is not changed in any way The full-text must not be sold in any format or medium without the formal permission of the copyright holders.Please consult the full DRO policy for further details.

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“…More evident than ever, the fields of biomedicine and public health must join forces with each other, and with key disciplinary allies -anthropology, environmental science, management science to name but a few -to encompass socio-cultural, political, economic, and ecological risk factors [9,10,11,12 among many]. Arguably, HIV/AIDS research has learned the most about the need to work with people at risk, and has also advanced the science of vulnerability assessment considerably [13,14,15,16,17,18 among many].…”

Section: Communication For Social Changementioning

confidence: 99%

“…lead poisoning in infants and small children), while differential adaptability is a function of socio-economic variables. Vulnerability assessment owes much to epidemiology, especially in the case of HIV/AIDS [13,14,15,16,17,18].…”

Section: Prioritizing Health Problemsmentioning

confidence: 99%

Achieving Millennium Development Goals for health: Building understanding, trust and capacity to respond

Downs

Larson²

2007

Health Policy

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Biomedical interventions promise achievement of health-related Millennium Development Goals provided social-, capacity-and knowledge-based constraints to scaling up and reaching marginalized people at risk, are addressed, and balance between prevention and treatment is struck. We argue for a new approach: multi-stakeholder capacity building and learning for empowerment: MuSCLE. MuSCLE is used as a way to frame three systemic weaknesses in traditional health science and policy approaches: 1) a lack of engagement with people at risk to build a collective understanding of the contexts of health problems; 2) a lack of multi-criteria evaluation of alternative interventions; and 3) a lack of attention paid to integrated capacity building. The MuSCLE framework responds in three ways: 1) Participatory assessment of the ecological, socio-cultural, economic and political contexts of health, identifying priorities using risk and vulnerability science, and modeling drivers; 2) Selection among intervention alternatives that makes ecological, socio-cultural, economic and political tradeoffs transparent; and 3) Integrated capacity building for sustainable and adaptive interventions. Literature and field lessons support the argument, and guidelines are set down. A MuSCLE approach argues for a transformation in health science and policy in order to achieve Millennium Development Goals for health.

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Vulnerability to malaria, tuberculosis, and HIV/AIDS infection and disease. Part II: determinants operating at environmental and institutional level

Cited by 102 publications

References 32 publications

Social determinants of awareness and behavior regarding STDs and HIV/AIDS among ever married women in Bangladesh

Social determinants of awareness and behavior regarding STDs and HIV/AIDS among ever married women in Bangladesh

The state of global health in a radically unequal world: patterns and prospects

Achieving Millennium Development Goals for health: Building understanding, trust and capacity to respond

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