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Examining HIV diffusion through cultural explanations : a cross-sectional comparison of sub-Saharan Africa

Includes bibliographical references (leaves 75-84).

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Bibliographic Details
Main Author: Stalnaker, Rachel Elizabeth
Other Authors: Mattes, Robert
Format: Thesis
Language:English
Published: Department of Political Studies 2014
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access_status_str Open Access
author Stalnaker, Rachel Elizabeth
author2 Mattes, Robert
author_browse Mattes, Robert
Stalnaker, Rachel Elizabeth
author_facet Mattes, Robert
Stalnaker, Rachel Elizabeth
author_sort Stalnaker, Rachel Elizabeth
collection Thesis
description Includes bibliographical references (leaves 75-84).
format Thesis
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institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:33:23.204Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2014
publishDateRange 2014
publishDateSort 2014
publisher Department of Political Studies
publisherStr Department of Political Studies
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source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/8999 Examining HIV diffusion through cultural explanations : a cross-sectional comparison of sub-Saharan Africa Stalnaker, Rachel Elizabeth Mattes, Robert Democratic Governance Includes bibliographical references (leaves 75-84). Across the globe more than 33 million people are believed to be infected with HIV/AIDS. The majority of these cases are in sub-Saharan Africa. Now that biomedical causes and behavioural risks are firmly established in the literature, social scientists must attempt to understand the underlying cultural foundations that may account for behavioural change, or a lack of change. This work is an empirical study into cultural explanations for HIV diffusion since the year 2000. Its main goal is to inform attempts to create more effective prevention programs and policy. This study utilizes a database constructed from interviews with ordinary citizens in five sub-Saharan African countries surveyed during the 2000 wave of the World Values Survey (WVS), and various health and demographic information sources. Eight thousand interviews were aggregated into thirty-one regional units for the analysis. Cultural values obtained from the WVS were compared with changes in HIV prevalence rates from 2000 to 2005 (HIV diffusion). The study focuses on three aspects of culture: female disempowerment, levels of social capital, and religiosity. Each of these broad concepts was dissected into at least three sub-concepts using data reduction methods. The relationship between these sub-concepts and HIV diffusion were compared before and after controls for education, poverty and urbanization were utilized. Based on these correlations, culture appears to be important to understanding HIV diffusion. However, its effects are not consistent. Broadly, two conclusions can be drawn from the data. First, cultural impacts vary by country. Programs based on each country's cultural dynamics will likely have more success than continent wide programs. Culture has stronger correlations with HIV diffusion in countries with smaller epidemics. Secondly, the data shows no clear relationship between different religious denominations and HIV diffusion. In addition, the correlations that exist between HIV diffusion and religiosity all show that increased religiosity leads to more diffusion. Therefore, international aid programs should avoid using religious doctrine and religious organizations as ways to enact sexual behaviour modification and reduce the spread of HIV. By creating secular, country specific programs international aid agencies can help counteract the cultural norms that appear to increase HIV diffusion. 2014-10-31T17:59:05Z 2014-10-31T17:59:05Z 2009 Master Thesis Masters MSocSc http://hdl.handle.net/11427/8999 eng application/pdf Department of Political Studies Faculty of Humanities University of Cape Town
spellingShingle Democratic Governance
Stalnaker, Rachel Elizabeth
Examining HIV diffusion through cultural explanations : a cross-sectional comparison of sub-Saharan Africa
thesis_degree_str Master's
title Examining HIV diffusion through cultural explanations : a cross-sectional comparison of sub-Saharan Africa
title_full Examining HIV diffusion through cultural explanations : a cross-sectional comparison of sub-Saharan Africa
title_fullStr Examining HIV diffusion through cultural explanations : a cross-sectional comparison of sub-Saharan Africa
title_full_unstemmed Examining HIV diffusion through cultural explanations : a cross-sectional comparison of sub-Saharan Africa
title_short Examining HIV diffusion through cultural explanations : a cross-sectional comparison of sub-Saharan Africa
title_sort examining hiv diffusion through cultural explanations a cross sectional comparison of sub saharan africa
topic Democratic Governance
url http://hdl.handle.net/11427/8999
work_keys_str_mv AT stalnakerrachelelizabeth examininghivdiffusionthroughculturalexplanationsacrosssectionalcomparisonofsubsaharanafrica