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Document Type:Latin Dissertation
Language of Document:English
Record Number:53578
Doc. No:TL23532
Call number:‭3357119‬
Main Entry:Marjorie Opuni-Akuamoa
Title & Author:Issues in assessing the relationship between economic status and HIV infection in sub-Saharan AfricaMarjorie Opuni-Akuamoa
College:The Johns Hopkins University
Date:2009
Degree:Ph.D.
student score:2009
Page No:198
Abstract:This dissertation is comprised of three studies that investigate potential issues in the assessment of the relationship between economic status and HIV infection in sub-Saharan Africa. The first study explores in what ways selection bias affects the association between economic status (as measured by the DHS/AIS asset index) and HIV infection and assesses whether this effect differs by country and by sex using DHS data from Burkina Faso (2003), Cameroon (2004), Ethiopia (2005), Ghana (2003), Kenya (2003), Lesotho (2004), Malawi (2004), Rwanda (2005), and Zimbabwe (2005-2006) and AIS data from Côte d'Ivoire (2005) and Tanzania (2003-2004). Manski worst-case bounds are constructed around the proportion of HIV infected. These bounds are then used to study the potential effects of selection into HIV testing on the association between economic status and HIV infection using logistic regression. The second study investigates the association between economic status and HIV infection in rural and urban areas using asset indices constructed for rural and urban households separately using DHS data from Cameroon (2004), Kenya (2003), Lesotho (2004), Malawi (2004) and Zimbabwe (2005-2006) and AIS data from Tanzania (2003-2004). Three separate asset indices are derived for each country--a national index, an urban-specific index and a rural-specific index--and logistic regression models for the odds of HIV infection are run for urban areas, rural areas and for urban and rural areas combined. In the third study, we measure economic inequality among prime aged men and women at baseline and deaths during a thirteen-year period using data from the 1991-2004 Kagera Health and Development Survey (KHDS). We analyze economic inequality in relation to two outcomes: (1) AIDS deaths and (2) non-AIDS deaths. We compare the performance of four measures of economic status: (1) per capita income, (2) per capita expenditure, (3) a modern asset index replicating the asset index included in the 2004 Tanzanian AIS data file, and (4) a traditional asset index which includes all components of the modern index as well as measures of traditional wealth. We derive concentration curves and concentration indices for AIDS deaths and non-AIDS deaths for men and women separately for each measure of economic status.
Subject:Health and environmental sciences; HIV/AIDS; Economic status; Asset index; Sub-Saharan Africa; Public health; 0573:Public health
Added Entry:D. Bishai
Added Entry:The Johns Hopkins University