The global HIV/AIDS pandemic, structural inequalities, and the politics of international health

Am J Public Health. 2002 Mar;92(3):343-6. doi: 10.2105/ajph.92.3.343.


In spite of recent advances in treatment and care available in most developed countries, the HIV/AIDS pandemic continues to spread throughout the developing world. Structural inequalities continue to fuel the epidemic in all societies, and HIV infection has increasingly been concentrated in the poorest, most marginalized sectors of society in all countries. The relationship between HIV/AIDS and social and economic development has therefore become a central point in policy discussions about the most effective responses to the epidemic. Important progress has been made in recent United Nations initiatives. Maintaining long-term commitment to initiatives such as the Global Fund to Fight AIDS, Tuberculosis and Malaria is especially important in the wake of September 11 and ensuing events, which threaten to redirect necessary resources to seemingly more urgent security concerns.

MeSH terms

  • Acquired Immunodeficiency Syndrome / epidemiology
  • Acquired Immunodeficiency Syndrome / prevention & control
  • Developing Countries / economics
  • Disease Outbreaks / prevention & control*
  • Financing, Organized
  • Global Health*
  • HIV Infections / epidemiology*
  • HIV Infections / prevention & control
  • Health Policy / economics
  • Health Policy / trends*
  • Humans
  • Politics*
  • Poverty
  • Public Health Practice / economics*
  • Socioeconomic Factors*
  • United Nations