Globalization and HIV

Recent ethnographic data from sub-Saharan Africa have begun to document young women actively using their sexuality toward the consumption of modern material items, conflicting with more conventional depictions of women as passive victims of gendered power dynamics. Liberalized economies shrink the formal sector, generate economic instability, increase inequality, and simultaneously flood markets with consumer goods and foreign media showcasing Western youth culture. We suggest that urban youth have come to herald “resourcefulness” as a means by which to achieve the pervasive depiction of “modern youth” within the context of economic instability. In this IDRC funded study, we examine the hypothesis that interests in consumption are influencing changes in the sexual behaviour of youth in urban Madagascar (the case) thereby increasing their vulnerability to HIV. Our examination includes both quantitative and qualitative primary data collection and secondary data analysis. In examining the association between consumption and sexual behaviour, we document the magnitude of this association and how it compares to more established associations with sexual behaviour (such as education, poverty, migration, religion).

Ronald Labonté, globalization and health/governance Canada Research Chair in Globalization and Health Equity School of Epidemiology and Public Health Faculty of Medicine University of Ottawa

Corinne Packer, AMR Network Co-ordinator and Assistant Director of Globalization and Health Equity, School of Epidemiology and Public Health Faculty of Medicine University of Ottawa

Suzanne Hindmarch, public health/political sciences Assistant Professor/Director of Graduate Studies Political Science Department, Faculty of Arts University of New Brunswick Fredericton Campus

Kelley Lee, health governance Canada Research Chair Faculty of Health Sciences Simon Fraser University

Stephen McBride, public policy/political sciences Canada Research Chair in Public Policy and Globalization Department of Political Science McMaster University

Andrew Morris, MD, AMR epidemiology Medical Director, Antimicrobial Stewardship Program Sinai Health System/University Health Network Faculty of Medicine, University of Toronto

David Patrick, MD, AMR epidemiology Professor School of Population and Public Health University of British Columbia

Arne Ruckert, global governance and health Senior Research Associate School of Epidemiology and Public Health Faculty of Medicine University of Ottawa

Scott Weese, AMR pathobiology Professor, pathobiology Ontario Veterinary College University of Guelph

Kumanan Wilson, MD, public health Professor of Medicine and Senior Scientist Ottawa Hospital Research Institute University of Ottawa

Alex Wong, AMR/biological sciences Associate Professor Department of Biology Carleton University

Patrick Fafard, health governance/health policy Professor Faculty of Social Sciences Associate Director, Global Strategy Lab University of Ottawa

Rianne Mahon, social policy/governance/gender CIGI Chair in Comparative Social Policy and Global Governance Balsillie School of International Affairs and Wilfrid Laurier University

Tracey O’Sullivan, public health Professor Faculty of Health Sciences University of Ottawa Knowledge Users

Lindsay Noad (Principal Knowledge User) Director, Antimicrobial Resistance Assistant Deputy Minister’s Office Infectious Disease Prevention and Control Branch Public Health Agency of Canada

Gary E. Garber, MD Chief, Infection Prevention and Control (IPAC) Dept. Public Health Ontario Sam Mohajer Antimicrobial Resistance Science Leader Canadian Food Inspection Agency

Stoebenau et al., Consuming sex: the association between modern goods, lifestyles and sexual behavior among youth in Madagascar. Globalization and Health 2013, 9:13 doi:10.1186/1744-8603-9-13.

Garrett W. Brown, Ronald Labonte, Globalization and its methodological discontents: Contextualizing globalization through the study of HIV/AIDS, Globalization and Health 2011, 7:29 doi:10.1186/1744-8603-7-29.