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The demographic impact of HIV and AIDS across the family and household life-cycle: implications for efforts to strengthen famines in sub-Saharan Africa

机译：艾滋病毒和艾滋病对整个家庭和家庭生命周期的人口影响：对加强撒哈拉以南非洲饥荒的努力的影响

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摘要

HIV is no longer a new or emerging disease in southern Africa. In the era of HIV and AIDS, families and households have continued to form, build, migrate and dissolve. Children born in the 1980s with the risk of mother-to-child HIV transmission have already gone on to start the next generation of families and households. Isolating the impact of HIV and AIDS on families and households is complex given that the epidemic has become part of the direction and force of contemporary demographic, social and economic processes and trends. Cycles of family and household life have occurred in a changing HIV and AIDS public-health environment, one in which HIV treatment access has increased rapidly. As part of an on-going process to assess the relevance and effectiveness of policies and programmes designed to protect and support children affected by HIV and AIDS, it is necessary to update our knowledge about the family and household circumstances in which children live. This paper summarises findings from a review on the "Demographic Evidence of Family and Household Changes in Response to the Effects of HIV/AIDS in Southern Africa: Implications for Efforts to Strengthen Families". The review examined published literature presenting data from empirical studies, primarily large, cross-sectional or longitudinal population-based or sample surveys. The family or household life-cycle is used as a conceptual and organisational framework. The implications of the demographic evidence are discussed in relation to policy and programme responses to strengthen families and households in the region.
机译：在南部非洲，艾滋病不再是一种新的或正在出现的疾病。在艾滋病毒和艾滋病时代，家庭和家庭继续形成，建立，迁移和解散。 1980年代出生的有母婴传播风险的儿童已经开始建立下一代家庭。鉴于艾滋病已成为当代人口，社会，经济进程和趋势的方向和力量，隔离艾滋病毒和艾滋病对家庭和家庭的影响十分复杂。家庭和家庭生活的周期是在不断变化的艾滋病毒和艾滋病公共卫生环境中发生的，在这种环境中，获得艾滋病毒治疗的机会迅速增加。在持续评估旨在保护和支持受艾滋病毒和艾滋病影响的儿童的政策和计划的相关性和有效性的过程中，有必要更新我们对儿童所处家庭和家庭状况的了解。本文总结了对“南部非洲应对艾滋病毒/艾滋病影响的家庭和家庭变化的人口统计学证据：对加强家庭的努力的影响”的审查结果。审查审查了发表的文献，这些文献提供了来自实证研究的数据，主要是大型，横断面或纵向人口调查或样本调查。家庭或家庭的生命周期被用作概念和组织框架。就加强该地区家庭和家庭的政策和方案对策，讨论了人口统计学证据的含义。

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