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Environmental Change, Risky Sexual Behavior, and the HIV/AIDS Pandemic: Linkages Through Livelihoods in Rural Haiti

机译:环境变化,危险的性行为和艾滋病毒/艾滋病的流行:海地农村地区通过生计建立联系

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摘要

Local natural resources are central to rural livelihoods across much of the developing world. Such “natural capital” represents one of several types of assets available to households as they craft livelihood strategies. In order to explore the potential for environmental scarcity and change to contribute to perpetuation of the HIV/AIDS pandemic, we examine the association between declining natural capital and engaging in risky sexual behaviors, as potentially another livelihood strategy. Such an association has been demonstrated in Kenya and Tanzania, through the fish-for-sex trade. To explore the possibility of this connection within rural Haitian livelihoods we use Demographic and Health Survey data, with a focus on rural women, combined with vegetation measures generated from satellite imagery. We find that lack of condom use in recent sexual encounters is associated with local environmental scarcity—controlling for respondent age, education, religion and knowledge of AIDS preventive measures. The results suggest that explicit consideration of the environmental dimensions of HIV/AIDS may be of relevance in scholarship examining factors shaping the pandemic.
机译:在大多数发展中国家,当地自然资源对于农村生计至关重要。这种“自然资本”代表家庭制定生计策略时可使用的几种资产之一。为了探索环境稀缺和变化以助长艾滋病毒/艾滋病流行的可能性,我们研究了自然资本下降与从事危险性行为之间的联系,这是潜在的另一种谋生策略。通过鱼类换性交易在肯尼亚和坦桑尼亚证明了这​​种联系。为了探索在海地农村生计中建立这种联系的可能性,我们使用人口和健康调查数据(重点关注农村妇女),结合卫星图像生成的植被测量数据。我们发现,在最近的性接触中缺乏使用安全套与当地环境的匮乏有关-控制受访者的年龄,教育程度,宗教信仰和对艾滋病预防措施的了解。结果表明,明确考虑艾滋病毒/艾滋病的环境影响可能与影响大流行的学术研究因素有关。

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