Economy, migrant labour and sex work: interplay of HIV epidemic drivers in Zimbabwe over three decades.

ABSTRACT:

Background

HIV took off rapidly in Zimbabwe during the 1980s. Yet, between 1998 and 2003, as the economy faltered, HIV prevalence declined abruptly and without clear explanation.

Methods

We reviewed epidemiological, behavioural, and economic data over three decades to understand changes in economic conditions, migrant labour and sex work that may account for observed fluctuations in Zimbabwe's HIV epidemic. Potential biases related to changing epidemic paradigms and data sources were examined.

Results

Early studies describe rural poverty, male migrant labour and sex work as conditions facilitating HIV/sexually transmitted infection (STI) transmission. By the mid-1990s, as Zimbabwe's epidemic became more generalized, research focus shifted to general population househo

SUBMITTER: Steen R 

PROVIDER: S-EPMC6415983 | biostudies-literature | 2019 Jan

REPOSITORIES: biostudies-literature