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MEASURING THE MULTI-DIMENSIONAL KNOWLEDGE DEPRIVATION OF HIV/AIDS: A NEW APPROACH WITH INDIAN EVIDENCE ON ITS MAGNITUDE AND DETERMINANTS

Published online by Cambridge University Press:  15 July 2011

RANJAN RAY  and
KOMPAL SINHA
RANJAN RAY
Affiliation:
Department of Economics, Monash University, Clayton, Victoria, Australia
KOMPAL SINHA
Affiliation:
Department of Economics, Monash University, Clayton, Victoria, Australia Department of Econometrics and Business Statistics, Monash University, Clayton, Victoria, Australia
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Summary

Though HIV/AIDS poses serious risks to economic security, there is very little economics literature quantifying awareness and knowledge of this disease and their principal socioeconomic determinants. This is what the present study attempts to do in the context of India, which faces a significant threat from HIV/AIDS. The study is based on India's National Family Health Surveys covering the period of economic reforms and beyond. The contribution is both methodological and empirical. The study shows that the recent multi-dimensional deprivation approach to poverty can also be used to measure and analyse awareness and lack of knowledge of HIV/AIDS. The use of decomposable multi-dimensional measures helps in identifying regions, socioeconomic groups and aspects of HIV knowledge that should be targeted in policy interventions. The study identifies the importance of safe sex practices as an area that needs to be targeted in future information campaigns. The study also explores the impact of increased female autonomy in health and economic decision-making on their and their partners' knowledge of the disease, along with a host of other economic and demographic determinants.

Type
Research Article
Information
Journal of Biosocial Science , Volume 43 , Issue 6 , November 2011 , pp. 657 - 684
Copyright
Copyright © Cambridge University Press 2011

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References

Atkinson, A. B. (1970) On the measurement of inequality. Journal of Economic Theory 2, 244–263.CrossRefGoogle Scholar
Balk, D. & Lahiri, S. (1997) Awareness and knowledge of AIDS among Indian women: evidence from 13 states. Health Transition Review 7, 421–463.Google ScholarPubMed
Basu, K. (2006) Gender and say: a model of household behaviour with endogenously determined balance of power. Economic Journal 116, 558–580.CrossRefGoogle Scholar
Basu, K. & Foster, J. (1998) On measuring literacy. Economic Journal 108(451), 1733–1749.CrossRefGoogle Scholar
Basu, I., Jana, S., Rotheram-Borus, M. J., Swendenman, D., Lee, S. J., Newman, P. & Weiss, R. (2004) HIV prevention among sex workers in India. Journal of Acquired Immune Deficiency Syndrome 36(3), 845–852.CrossRefGoogle ScholarPubMed
Bloom, S. & Griffiths, P. (2007) Female autonomy as a contributing factor to women's HIV-related knowledge and behaviour in three culturally contrasting states in India. Journal of Biosocial Science 39, 557–573.CrossRefGoogle ScholarPubMed
Bourguignon, F. & Chakravarty, S. (2003) The measurement of multidimensional poverty. Journal of Economic Inequality 1, 25–49.CrossRefGoogle Scholar
Cappellari, L. & Jenkins, S. P. (2006) Summarizing Multiple Deprivation Indicators. Working Paper 2006-40, Institute of Economic and Social Research, University of Essex, UK.Google Scholar
Chakravarty, S. & D'Ambrosio, C. (2006) The measurement of social exclusion. Review of Income and Wealth 52(3), 377–398.CrossRefGoogle Scholar
Chakravarty, S. & Majumder, A. (2005) Measuring human poverty: a generalized index and an application using basic dimensions of life and some anthropometric indicators. Journal of Human Development 6(3), 275–299.CrossRefGoogle Scholar
Foster, J. E., Greer, J. & Thorbecke, E. (1984) A class of decomposable poverty measures. Econometrica 52, 761–766.CrossRefGoogle Scholar
Gangakhedkar, R. R., Bentley, M., Divekar, A., Gadkari, D., Mehendale, S., Shepherd, M. et al. (1997) Spread of HIV infection in married monogamous women in India. Journal of the American Medical Association 278(23), 2090–2092.CrossRefGoogle ScholarPubMed
Hawkes, S. & Santhiya, K. (2002) Diverse realities: sexually transmitted infections and HIV in India. Sexually Transmitted Infections 78, i31–39.CrossRefGoogle ScholarPubMed
Human Development Report (2003) Millennium Development Goals: A Comparison Among Nations to End Poverty. United Nations Development Programme, OUP, New York.Google Scholar
Izhar, N. (1990) AIDS awareness: Indian context. Geographia Medica 20, 33–37.Google ScholarPubMed
Jayaraj, D. & Subramanian, S. (2010) A Chakravarty–D'Ambrosio view of multidimensional deprivation: some estimates for India. Economic and Political Weekly XLV(6), 53–65.Google Scholar
Kattumuri, R. (2003) One-and-a-half decades of HIV/AIDS in Tamil Nadu: how much do patients know? International Journal of STD & AIDS 14(6), 552–559.CrossRefGoogle Scholar
Klasen, S. (2000) Measuring poverty and deprivation in South Africa. Review of Income and Wealth 46(1) 33–58.CrossRefGoogle Scholar
Lal, S. S, Vasan, R. S., Sarma, P. S. & Thankappan, K. R. (2000) Knowledge and attitude of college students in Kerala towards HIV/AIDS, sexually transmitted diseases and sexuality. National Medical Journal of India 13(5), 231–236.Google ScholarPubMed
Lancaster, G., Maitra, P. & Ray, R. (2006) Endogenous intra-household balance of power and its impact on expenditure patterns: evidence from India. Economica 73, 435–460.CrossRefGoogle Scholar
Mishra, A. & Ray, R. (2010) Multi Dimensional Deprivation in India During and After the Reforms: Do the Household Expenditure and the Family Health Surveys Present Consistent Evidence? Mimeographed, Monash University, Melbourne.Google Scholar
Pallikadavath, S., Sanneh, A., Mewhirter, J. & Stones, R. (2005) Rural women's knowledge of AIDS in the higher prevalence states of India: reproductive health and sociocultural correlates. Health Promotion International 20(3), 249–259.CrossRefGoogle ScholarPubMed
Ray, R. & Sinha, K. (2010) Measuring the Multi Dimensional Knowledge Deprivation of HIV/AIDS: A New Approach with Indian Evidence on its Magnitude and Determinants. Research Paper No. 58, Centre for Health Economics, Monash University, Melbourne, Australia.Google Scholar
Reise, S. P., Widaman, K. F. & Pugh, R. H. (1993) Confirmatory factor analysis and item response theory: two approaches for exploring measurement invariance. Psychological Bulletin 114.CrossRefGoogle ScholarPubMed
Sachdev, P. (1998) AIDS/HIV and university students in Delhi: knowledge, beliefs, attitudes and behaviours. Social Work and Health Care 28(4), 37–57.CrossRefGoogle Scholar
Schuler, S. R. & Hashemi, S. M. (1994) Credit programs, women's empowerment, and contraceptive use in rural Bangladesh. Studies in Family Planning 25(2), 65–76.CrossRefGoogle ScholarPubMed
Subramanian, S. (2004) Measuring literacy: some extensions of the Basu-Foster framework. Journal of Development Economics 73(1), 453–463.CrossRefGoogle Scholar
Tang, K. K., Petrie, D. & Prasada Rao, D. S. (2009) Measuring health inequality with realization of potential life years. Health Economics 18, S55–75.CrossRefGoogle ScholarPubMed
United Nations (2010) The Millennium Development Goals Report, 2010. URL: http://www.un.org/millenniumgoals/pdf/MDG%20Report%202010%20En%20r15%20-low%20res%2020100615%20-pdfGoogle Scholar
UNAIDS (2009) AIDS Epidemic Update. URL: http://www.unaids.org/en/KnowledgeCentre/HIVData/EpiUpdate/EpiUpdArchive/2009/default.aspGoogle Scholar