Prostitution  (continued)
 
  • evolutionary underpinnings of males' mate preferences

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    Infectious Disease
     

  • a sociological perspective is essential - infectious disease hinges upon social interaction

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  • primary focus on HIV and STDs

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    discussion of "Born in Africa"
     

    modes of transmission
     

  • sex - hierarchy of riskiness - anal > vaginal > oral

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  • injection - shared needles, injection paraphernalia, administering/receiving injections

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  • needle sticks, shared/reused medical instruments

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  • blood transfusion and products

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    Schoofs discussion

    linked social problems: overpopulation/poverty ----> increased taking of rare primates ----> HIV epidemic
     

    apparent discrepancy in between men and women's reported number of sexual partners due to sampling problems - prostitute women tend to be missed in sex surveys
     

    Why Africa and why now?

    Factors facilitating epidemics:
     

  • HIV in humans since at least the 1930s (Korber et al.)

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  • why didn't it break out earlier?
  • nowhere to go until…
  • changes in African societies after World War II/independence

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    Sexual and other risk networks
     

  • changes in African societies ultimately = changes in sexual networks

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  • risky behavior alone does not put one at risk for infection

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  • having many partners does not in itself put one at risk

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  • risk of infection depends on who one mixes with, type of contact, and whether either person is infected

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  • sexual networks confirm sexual transmission of HIV (Darrow et al.)

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