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Asian Development Bank InstituteThe Working Paper series is a continuation of the formerly named Discussion Paper series; the numbering of the papers continued without interruption or change. ADBI's working papers reflect initial ideas on a topic and are posted online for discussion. ADBI encourages readers to post their comments on the main page for each working paper (given in the citation below). Some working papers may develop into other forms of publication. The views expressed in this paper are the views of the author and do not necessarily reflect the views or policies of ADBI, ADB, its Board of Directors, or the governments they represent. ADBI does not guarantee the accuracy of the data included in this paper and accepts no responsibility for any consequences of their use. Terminology used may not necessarily be consistent with ADB official terms.Working papers are subject to formal revision and correction before they are finalized and considered published.Asian Development Bank Institute Kasumigaseki Building 8F 3-2-5 Kasumigaseki, Chiyoda-ku Tokyo 100-6008, Japan
AbstractIndia is the epicenter of the HIV/AIDS epidemic in Asia. Previous research indicates that the majority of HIV-positive women in India were infected by their husbands, their only sexual partner, which makes them difficult identify as a high-risk population. This paper seeks to assess social factors associated with the transmission of HIV based on demographic determinants, such as age; sexual behavior; and gendered discrimination, such as domestic violence.Research for this paper consists of secondary statistical analysis of the National Family Health Survey, which collected quantitative data on demographic and socioeconomic determinants for analysis of healthcare, domestic abuse, and emerging health issues. As most participants were tested for HIV as part of the survey, it provides regional estimates of HIV serostatus for the general population in India.Results from the bivariate analyses indicate that for the female participants, socioeconomic status has an association with serostatus, as HIV-positive women were significantly (p<0.001) more likely to have a low level of education than their HIV-negative counterparts. Unexpectedly, female HIV-positive respondents displayed low tendencies toward high-risk sexual behavior, as less than 10% had two or more sexual partners in their lifetime. Finally, they were significantly more likely to have previously...