Cardiff University | Prifysgol Caerdydd ORCA
Online Research @ Cardiff 
WelshClear Cookie - decide language by browser settings

Systematic review exploring time trends in the association between educational attainment and risk of HIV infection in sub-Saharan Africa

Hargreaves, James R, Bonell, Christopher P, Boler, Tania, Boccia, Delia, Birdthistle, Isolde, Fletcher, Adam, Pronyk, Paul M and Glynn, Judith R 2008. Systematic review exploring time trends in the association between educational attainment and risk of HIV infection in sub-Saharan Africa. AIDS 22 (3) , pp. 403-414. 10.1097/QAD.0b013e3282f2aac3

Full text not available from this repository.

Abstract

Objective: To assess the evidence that the association between educational attainment and risk of HIV infection is changing over time in sub-Saharan Africa. Design and methods: Systematic review of published peer-reviewed articles. Articles were identified that reported original data comparing individually measured educational attainment and HIV status among at least 300 individuals representative of the general population of countries or regions of sub-Saharan Africa. Statistical analyses were required to adjust for potential confounders but not over-adjust for variables on the causal pathway. Results: Approximately 4000 abstracts and 1200 full papers were reviewed. Thirty-six articles were included in the study, containing data on 72 discrete populations from 11 countries between 1987 and 2003, representing over 200 000 individuals. Studies on data collected prior to 1996 generally found either no association or the highest risk of HIV infection among the most educated. Studies conducted from 1996 onwards were more likely to find a lower risk of HIV infection among the most educated. Where data over time were available, HIV prevalence fell more consistently among highly educated groups than among less educated groups, in whom HIV prevalence sometimes rose while overall population prevalence was falling. In several populations, associations suggesting greater HIV risk in the more educated at earlier time points were replaced by weaker associations later. Discussion: HIV infections appear to be shifting towards higher prevalence among the least educated in sub-Saharan Africa, reversing previous patterns. Policy responses that ensure HIV-prevention measures reach all strata of society and increase education levels are urgently needed.

Item Type: Article
Date Type: Publication
Status: Published
Schools: Development and Evaluation of Complex Interventions for Public Health Improvement (DECIPHer)
Social Sciences (Includes Criminology and Education)
Subjects: L Education > LB Theory and practice of education
Q Science > QR Microbiology > QR180 Immunology
Publisher: Lippincott Williams & Wilkins
ISSN: 0269-9370
Last Modified: 04 Jun 2017 05:44
URI: http://orca.cf.ac.uk/id/eprint/53155

Citation Data

Cited 175 times in Google Scholar. View in Google Scholar

Cited 157 times in Scopus. View in Scopus. Powered By Scopus® Data

Actions (repository staff only)

Edit Item Edit Item