“…Although several other Niger Delta studies have identified each of these factors as potentially sexual risk variables (Akani et al, 2006; Ejele et al, 2004; Nwauche & Akani, 2006a, 2006b; Omorodion, 2004; 2006), our study suggests that none of the factors by themselves are solely responsible for the epidemic in the region. Their interaction, however, can result in gender inequality, social challenges, and economic need, and sexual risk-taking behavior (Aaron, 2005; Akpan, 2006; Omeje, 2005a; 2005b; Udoh, 2006; Udonwa et al, 2004). This situation describes the context of a mature epidemic which continues to be propelled by an interaction of specific micro- and macro-level economic processes (Carlson, 1996; Gaffeo, 2003, p. 32).…”