Demography and AIDS

© IRD - Elisabeth Deliry Antheaume

In 2015, 36.7 million people throughout the world were living with HIV. Antiretroviral drugs have now been made available to more than half of these people (18.2 million) (UNAIDS figures). East and Southern Africa are the most affected, with 19 million HIV-infected persons. INED has conducted several research studies on such questions as HIV over the lifecycle; impact on mortality, quality of life, sexuality; experienced discrimination and health policies.

The following selected works by INED researchers, organized by topic area, are fully accessible on line (texts in French or English)

(Updated in November 2016)

HIV over the life cycle

  • © IRD - Jourdain, Gonzague

    Thailand: How adolescents cope with HIV ?

    Amélie Piroux and Sophie Le Coeur
    Scientific fact sheet, n° 407, IRD (Institut de Recherche pour le Développement), 2012

    Mother-to-child HIV transmission seems under control in Thailand now, but there are still many children living with the virus. How does the disease affect their adolescent development? A survey entitled Teenagers Living with Antiretrovirals or TEEWA presents approaches for better meeting the needs of this population.

    Read the fact sheet [FR]

  • Intergenerational Relationships in the Context of Generalized Access to Antiretrovirals in Thailand: Adult Patients and Older Parents

    Eva Lelièvre and Sophie Le Cœur

    Autrepart, n° 53, 2010, p. 147-165

    Thailand is one of the countries of Southeast Asia most affected by the AIDS epidemic. The generalized availability of antiretrovirals there has had an impact on intergenerational relationships: adult patients are once again able to work and fulfil their filial duties toward parents and older relatives.

    Read the article [FR]

  • Intergenerational relationships within families of HIV-infected adults under antiretroviral treatment in Northern Thailand

    Eva Lelièvre and Sophie Le Coeur
    Ageing & Society, Vol. 32, n° 4, May 2012, p. 561-585

    The availability of antiretrovirals has transformed HIV infection from a lethal to a chronic disease. The authors, both INED researchers, examine how these treatments have changed intergenerational relationships in families that include adults living with HIV.

    Read the article

  • Caring for older persons with HIV/AIDS

    Aline Desesquelles, Anne Gotman, Julie Micheau and Éric Molière
    Report by the Direction Générale de la Santé de Paris, 2013

    How do older persons live with HIV? This survey of persons over 60 sheds new light on the question, namely in terms of respondents’ life trajectories and the impact of the disease on their economic and social situations.

    Read the article [FR] 

  • Cost-Effectiveness of Early Infant HIV Diagnosis of HIV-Exposed Infants and Immediate Antiretroviral Therapy in HIV-Infected Children under 24 Months in Thailand

    Intira J. Collins, John Cairns, Nicole Ngo-Giang-Huong, Wasna Sirirungsi, Pranee Leechanachai, Sophie Le Cœur, and al.
    PLoS one, March 2014, 10 p.

    HIV-infected infants under 24 months of age are at high risk of death if they go untreated. What are the effects of early diagnosis and immediate antiretroviral therapy?

    Read the article 

Prevalence measurement

  • © PHPT-IRD - Lallemant, Marc

    Understanding the dynamics of the epidemic and assessing needs

    An interview with Sophie Le Cœur and Eva Lelièvre
    Transversales 48, 2009

    The epidemiologist and demographer Sophie Le Cœur heads the "SIDA dans les pays en développement: impact socio démographique et économique" project [AIDS in the developing countries: socio-demographic and economic impact] set up by INED. With her fellow demographer Eva Lelièvre she takes up the question of what demography can contribute to research on HIV/AIDS.

    Read the interview [FR]

  • The situation of the HIV/AIDS epidemic

    Joseph Larmarange (IRD, Ceped) and Sophie Le Coeur
    INED fact sheet, 2007

    The discovery of the AIDS virus (Human Immunodeficiency Virus or HIV) in 1983 by two French researchers at the Institut Pasteur, Françoise Barré-Sinoussi and Luc Montagnier, won its discoverers the Nobel Prize in Medicine for the year 2008. Thirty years after that crucial discovery, where does the HIV/AIDS epidemic stand?

    Read the fact sheet [FR]

  • The current situation of the HIV/AIDS epidemic - 2013

    Joseph Larmarange (IRD, Ceped), Sophie Le Coeur

    INED fact sheet 2013 (updates of the 2008 fact sheet)

    According to UNAIDS estimates for the year 2012, 35.3 million persons are infected with the HIV virus worldwide and there were 2.3 million new infections and 1.6 million deaths that year.

     Read the fact sheet

Migration and HIV

  • Migrants subsahariens suivis pour le VIH en France : combien ont été infectés après la migration ? Estimation dans l’étude ANRS-Parcours

    Annabel Desgrées du Loû, Julie Pannetier, Andrainolo Ravalihasy, Anne Gosselin, and al.
    Bulletin épidémiologique hebdomadaire. BEH, nº 40-41, december 2015, p. 752-758

    From 2012-2013 a cross-sectional life history survey was conducted in Île-de-France with HIV-infected persons from Sub-Saharan Africa to determine what proportion had been contaminated in France. The figure is quite high: between 35% and 49%.

    Read the article [FR]

  • Access to employment among African migrant women living with HIV in France: opportunities and constraints

    Marjorie Gerbier-Aublanc, Anne Gosselin & the PARCOURS study group
    AIDS Care, published online, 21 April 2016, 4 p.

    Quantitative and qualitative data have shown that HIV-positive women from Sub-Saharan Africa integrate the job market faster in France than others thanks to assistance from migrant networks. Most of these women work in the care sector.

    Read the article

HIV effects on mortality

  • Divergences in trends in child and adult mortality in sub-Saharan Africa: survey evidence on the survival of children and siblings

    Bruno Masquelier, Georges Reniers, Gilles Pison
    Population studies, vol. 68, n° 2, July 2014, p. 161-177

    While child mortality has fallen in many East and Southern African countries, adult mortality has markedly increased due to the rising number of people with HIV. In East Africa, however, mortality rates are once again declining thanks to the development of antiretroviral therapy programmes.

    Read the article

  • Demographic Analysis of AIDS Mortality in Spain

    Béatrice Valdes
    Population, revue de l’Ined, vol. 68, n° 3, 2013, p. 539-552

    The author analyses data on the AIDS epidemic in Spain, where deaths due to the disease were and have remained quite high compared to other European countries.

    Read the article

Quality of life, sexuality and society

  • The Development of PROQOL-HIV: An International Instrument to Assess the Health-Related Quality of Life of Persons Living With HIV/AIDS

    Martin Duracinsky, Susan Herrmann, Baiba Berzins, Andrew Armstrong, Rewa Kohli, Sophie Le Coeur and al.
    JAIDS, Journal of Acquired Immune Deficiency Syndromes, vol. 59, n° 5, 2012, p. 498-505

    The health-related quality of life for persons with HIV was analysed in 11 countries, taking into account several aspects, including emotions, energy/fatigue, sleep and daily activity. Quality varies by sociocultural background, disease stage and highly active antiretroviral therapy (HAART) use.

    Read the article

  • Sexualité, relations et prévention chez les homosexuels masculins : un nouveau rapport au risque

    Under direction of de Michel Bozon and Véronique Doré
    ANRS (Collection Sciences sociales et sida), 2007, 106 p.

    As sexual norms become increasingly individualized, it is crucial to continue developing AIDS prevention awareness campaigns, especially as antiretroviral treatments have reduced the visibility of this chronic disease.

    Read the article [FR]

  • Marital sex among people living with HIV receiving antiretroviral treatment in Northern Thailand

    Sophie Le Coeur, Michel Bozon, Eva Lelièvre, and al.
    Culture, Health & Sexuality: An International Journal for Research, Intervention and Care Volume 16, n° 8, 2014, p. 898-915

    How has antiretroviral treatment impacted the sexual lives of persons living with HIV? A comparison of practices of uninfected persons (control group) with those of patients followed by four hospitals in northern Thailand.

    Read the article

  • © IRD - Fay, Maurice

    Changes in sexual behaviours: from secular trends to public health policies

    Nathalie Bajos, Michel Bozon, Nathalie Beltzer, and al.
    AIDS, Official journal of the international Aids society, Vol. 24, n°8, 2010, p. 1185-1191

    What are the impacts of secular trends and public health policies on changes in sexual behaviours? To substantiate their analysis, the authors examine the case of France, where sexual behaviour surveys were conducted in 1970, 1992 and 2006.

    Read the article 

  • CC Caribb

    Discrimination against people living with HIV infection in metropolitan France

    Élise Marsicano, Rosemary Dray-Spira, France Lert, Christine Hamelin and the ANRS-VESPA2 group
    Population & Societies n° 516, 2014

    One-fourth of HIV-positive respondents questioned in the ANRS-Vespa2 survey say they have been subjected to HIV-related discrimination in the last two years; respondents also cite racist or homophobic treatment. According to analysis of the findings in the latest issue of Population & Societies, HIV-positive women, particularly sub-Saharan African immigrants and intravenous drug-users, report more discrimination than men. Eleven per cent of persons with HIV in France, particularly women and gay men, report discrimination within their family, which is particularly pronounced if they are jobless.

    Read the article