The DOI matches its Crossref record; 41 of the 41 references it cites were found in a registry or an index.
Cultural Practices Contributing to the Transmission of Human Immunodeficiency Virus in Africa
Abstract
Differences between the epidemiology of AIDS cases in Africa and that in Western societies have prompted speculation regarding risk factors that may be unique to Africa. Because of the age and sex distribution of AIDS cases in Africa, emphasis has been placed on sexual transmission of human immunodeficiency virus (HIV). Factors thought to influence this sexual transmission include (1) promiscuity, with a high prevalence of sexually transmitted disease; (2) sexual practices that have been associated with increased risk of transmission of AIDS virus (homosexuality and anal intercourse); and (3) cultural practices that are possibly connected with increased virus transmission (female "circumcision" and infibulation). Other nonsexual cultural practices that do not fit the age distribution pattern of AIDS but may expose individuals to HIV include (1) practices resulting in exposure to blood (medicinal bloodletting, rituals establishing "blood brotherhood," and possibly ritual and medicinal enemas); (2) practices involving the use of shared instruments (injection of medicines, ritual scarification, group circumcision, genital tatooing, and shaving of body hair); and (3) contact with nonhuman primates. At the current time promiscuity seems to be the most important cultural factor contributing to the transmission of HIV in Africa.
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“The rapid spread of HIV in Africa is connected to cultural practices that increase the risk of transmission, such as circumcision, medicinal bloodletting, and blood rituals, as well as sharing instruments during ritual sacrificing, tattooing, and piercing (Hrdy 1987).”
From Parasite-stress promotes in-group assortative sociality: The cases of strong family ties and heightened religiosity (2012) · cites this paper as Hrdy 1987
Citations
Cites
Bramblett, C. A., & Hrdy, S. B. (1982) · Man · doi:10.2307/2801756 · Cited by 906
Africa-Its Peoples and Their Culture History
Robin, J. M., & Murdock, G. P. (1960) · The Geographical Journal · doi:10.2307/1793652 · Cited by 768
ACQUIRED IMMUNODEFICIENCY SYNDROME IN RWANDA
de Perre, P. V., Lepage, P., Kestelyn, P. G., Hekker, A. C., Rouvroy, D., Bogaerts, J., Kayihigi, J., Butzler, J., & Clumeck, N. (1984) · The Lancet · doi:10.1016/s0140-6736(84)90240-x · Cited by 581
SLIM DISEASE: A NEW DISEASE IN UGANDA AND ITS ASSOCIATION WITH HTLV-III INFECTION
Serwadda, D., Sewankambo, N. K., Carswell, J. W., Bayley, A. C., Tedder, R. S., Weiss, R. A., Mugerwa, R. D., Lwegaba, A., Kirya, G. B., Downing, R. G., et al. (1985) · The Lancet · doi:10.1016/s0140-6736(85)90122-9 · Cited by 578
ACQUIRED IMMUNODEFICIENCY SYNDROME IN A HETEROSEXUAL POPULATION IN ZAIRE
Piot, P., Taelman, H., Bila Minlangu, K., Mbendi, N., Ndangi, K., Kalambayi, K., Bridts, C., Quinn, T., Feinsod, F., Wobin, O., et al. (1984) · The Lancet · doi:10.1016/s0140-6736(84)90241-1 · Cited by 493
AIDS Virus Infection in Nairobi Prostitutes
Kreiss, J. K., Koech, D., Plummer, F. A., Holmes, K. K., Lightfoote, M. M., Piot, P., Ronald, A., Ndinya-Achola, J. O., D'Costa, L. J., Roberts, P. L., et al. (1986) · New England Journal of Medicine · doi:10.1056/nejm198602133140704 · Cited by 459
EFFECT OF ACUTE PELVIC INFLAMMATORY DISEASE ON FERTILITY
Weström, L. (1975) · Obstetrical & Gynecological Survey · doi:10.1097/00006254-197508000-00022 · Cited by 415
Stability and Inactivation of HTLV-III/LAV Under Clinical and Laboratory Environments
Resnick, L. (1986) · JAMA · doi:10.1001/jama.1986.03370140085029 · Cited by 383
Kenyatta, J. (1938) · Cited by 375
Barin, F., Denis, F., Allan, J. D., Mboup, S., Kanki, P. J., Lee, T. H., & Essex, M. (1985) · The Lancet · doi:10.1016/s0140-6736(85)92556-5 · Cited by 373
Cited by
Fincher, C. L., & Thornhill, R. (2012) · Behavioral and Brain Sciences · doi:10.1017/s0140525x11000021 · Cited by 530
Metadata
- Authors
- Hrdy, D. B.
- Affiliations
- University of California Davis Medical Center (US)
- Corresponding author
- Hrdy, D. B.
- Venue
- Clinical Infectious Diseases
- Publisher
- Oxford University Press (OUP)
- Published
- 1987-11-01
- Volume
- 9
- Issue
- 6
- Pages
- 1109-1119
- ISSN
- 1058-4838 (ISSN-L)
- 1537-6591
- OpenAlex
- W1979241578
- Cited by
- 157
- References
- 41
- Citations by year
- 2026: 1 · 2025: 3 · 2023: 4 · 2022: 2 · 2021: 7 · 2020: 4 · 2019: 2 · 2018: 3 · 2017: 3 · 2016: 2 · 2015: 3 · 2014: 1 · 2013: 9 · 2012: 7
- FWCI
- 4.78
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Infectious Diseases (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › HIV/AIDS Research and Interventions
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › HIV/AIDS Impact and Responses
- Keywords
- HIV transmission, AIDS, cultural practices, sexual transmission, promiscuity, female genital mutilation, infibulation, bloodletting, non-human primates, Africa
- MeSH terms
- Acquired Immunodeficiency Syndrome, Africa, Animals, Blood, Circumcision, Male, Culture, Female, Homosexuality, Humans, Male, Primates, Sexual Behavior
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- Hrdy, D. B. (1987). Cultural Practices Contributing to the Transmission of Human Immunodeficiency Virus in Africa. Clinical Infectious Diseases. https://doi.org/10.1093/clinids/9.6.1109
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
