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Introduction: The HIV pandemic disproportionately impacts young women. Worldwide, young women aged 15–24 are infected with HIV at rates twice that of young men, and young women alone account for nearly a quarter of all new HIV infections. The incommensurate HIV incidence in young – often poor – women underscores how social and economic inequalities shape the HIV epidemic. Confluent social forces, including political and gender violence, poverty, racism, and sexism impede equal access to therapies and effective care, but most of all constrain the agency of women. …
This study looked at linkages between neighborhood educational attainment and HIV prevalence among young women in urban and rural areas of Zambia. Using cross-sectional survey data from 2003, 1295 women were identified from 10 urban and 10 rural clusters. A neighbourhood-level educational attainment measure was constructed by aggregating individual-level years in school. Adjustment was made for certain variables (education, currently a student, marital status, ever given birth, sexual activity, lifetime sexual partners). …