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首页> 外文期刊>AIDS care. >No association between gender inequality and peak HIV prevalence in developing countries - an ecological study
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No association between gender inequality and peak HIV prevalence in developing countries - an ecological study

机译：发展中国家的性别不平等与艾滋病高发之间没有关联-生态研究

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The prevalence of both gender inequality and HIV prevalence vary considerably both within all developing countries and within those in sub-Saharan Africa. We test the hypothesis that the extent of gender inequality is associated with national peak HIV prevalence. Linear regression was used to test the association between national peak HIV prevalence and three markers of gender equality - the gender-related development index (GDI), the gender empowerment measure (GEM), and the gender inequality index (GII). No evidence was found of a positive relationship between gender inequality and HIV prevalence, either in the analyses of all developing countries or those limited to Africa. In the bivariate analyses limited to Africa, there was a positive association between the two measures of gender "equality" and peak HIV prevalence (GDI: coefficient 28, 95% confidence interval (CI) 9.1-46.8; GEM: coefficient 54.8, 95% CI 20.5-89.1). There was also a negative association between the marker of gender "inequality" and peak HIV prevalence (GII: coefficient -66.9, 95% CI -112.8 to -21.0). These associations all disappeared on multivariate analyses. We could not find any evidence to support the hypothesis that variations in the extent of gender inequality explain variations in HIV prevalence in developing countries.
机译：在所有发展中国家和撒哈拉以南非洲国家中，性别不平等和艾滋病毒的流行率差异很大。我们检验了性别不平等程度与全国艾滋病毒最高流行率相关的假设。线性回归用于检验全国艾滋病毒高峰流行率与性别平等的三个指标之间的关联：性别相关发展指数（GDI），性别赋权度量（GEM）和性别不平等指数（GII）。在所有发展中国家的分析中或在非洲以外的国家中，均未发现性别不平等与艾滋病毒感染率之间存在正相关的证据。在仅限于非洲的双变量分析中，性别“平等”与艾滋病病毒感染率峰值的两种度量之间存在正相关（GDI：系数28，95％置信区间（CI）9.1-46.8; GEM：系数54.8，95％ CI 20.5-89.1）。性别“不平等”标志物与艾滋病毒最高流行率之间也呈负相关（GII：系数-66.9，95％CI -112.8至-21.0）。这些关联在多元分析中都消失了。我们找不到任何证据支持这一假设，即性别不平等程度的差异解释了发展中国家艾滋病毒感染率的差异。

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