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By Eileen Stillwaggon

AIDS and the Ecology of Poverty combines the insights of economics and biology to provide an explanation for the unfold of HIV/AIDS and bring a telling critique of AIDS coverage. Drawing on a wealth of medical facts, Stillwaggon demonstrates that HIV/AIDS can't be stopped with out knowing the ecology of poverty. Her message is positive, with pragmatic strategies to the illnesses that advertise the unfold of HIV/AIDS.

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Extra resources for AIDS and the Ecology of Poverty

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In contrast to Americans, who usually view sex morally and think that people who have multiple partners (even if unmarried) are immoral and unfaithful, most Africans do not judge sexual behavior in such terms at all. They experience little guilt about sex, and they enter into sex more casually and have more sexual partners than Westerners do. ] “Promiscuity, and the Primacy of Cultural Factors: A Lethal Mixture in Africa” was the title of the largest of several text boxes in the AIDS Update 1999 published by United Nations Population Fund (UNFPA, 1999, 6).

The method also has corollaries in HIV prevention. Since the late 1990s, several policy agencies have favored targeting prevention resources to risk groups, rather than to the population as a whole, arguing that it is more cost effective. But, just as Pelletier and colleagues found that most of the child deaths occur in the mild to moderately malnourished group, most AIDS deaths in poor populations with generalized epidemics do not occur in risk groups. The effectiveness of targeted interventions in countries with concentrated HIV epidemics cannot be generalized across heterogeneous populations.

G. Billy, Koray Tanfer, William R. Grady, and Daniel H. Klepinger. 1993. “The Sexual Behavior of Men in the United States,” Family Planning Perspectives 25(2):52–60. S. men aged 20–39, of whom 95 percent had had vaginal intercourse. Of those, 23 percent reported 20 or more female partners. , 1993, 52). 23 24 AIDS AND THE ECOLOGY OF POVERTY June M. Reinisch, Stephanie A. Sanders, Craig A. Hill, and Mary ZiembaDavis. 1992. “High-Risk Sexual Behavior among Heterosexual Undergraduates at a Midwestern University,” Family Planning Perspectives 24(3):116– 121, 145.

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