A study of the global trends of male-to-female ratios of HIV/AIDS

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Background : The male-to-female ratio of infection for HIV/AIDS has rarely been reported since the 1990s. We previously calculated the country-specific male-to-female ratio of people living with HIV/AIDS, in 1999, 2001, and 2003. Methods : The data of people living with HIV/AIDS and the HIV adult rate were obtained from the table of country-specific HIV/AIDS estimates in the Report on the global HIV/AIDS epidemic, UNAIDS. Results : The male-to-female ratios of the countries in Africa region were reported to be below 1.00 in 1999, 2001, and 2003. The ratios of the countries in other regions were all over 1.00, except for the Bahamas in 2001, Haiti in 2001 and 2003, Jamaica in 2001, Guyana in 2001 and 2003, and Honduras in 2001 and 2003. The male-to-female ratios significantly decreased in Africa and Latin America region between 1999 and 2003 according to the Wilcoxon signed rank test (p< 0.0005). The countries with a high HIV adult rate tended to have lower male-to-female ratios and vice versa in 1999, 2001, and 2003 according to the Wilcoxon rank sum test (p< 0.005). In the 1980s homosexual or bisexual transmission and transmission through drug-injecting behavior were the major modes of spreading HIV in North America, Australia, and Europe where the male-to-female ratios were 10-15. In contrast, heterosexual transmission predominated in Africa, the Caribbean and Latin America where the male-to-female ratios were 1-5. Conclusions : These results indicate that the ratios have therefore been declining in most countries recently, and even within the four-year period between 1999 and 2003, a decreasing tendency was observed in Africa and Latin America.

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  • 民族衛生

    民族衛生 73 (5), 194-203, 2007

    日本民族衛生学会

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