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'HIV/AIDS, Illness and African Well-Being' highlights the specific health problems facing Africa today, most particularly the HIV/AIDS pandemic. Taking a multi-disciplinary approach, the book presents not only various health crises, but also the larger historical and contemporary contexts within which they must be understood and managed. Chapters offering analysis of specific illness case studies, and the effects of globalization and underdevelopment on health, provide an overarching context in which HIV/AIDS and other health-related concerns can be understood. The contributions on the HIV/AIDS pandemic grapple with the complications of national and international policies, the sociological effects of the pandemic, and policy options for the future. 'HIV/AIDS, Illness and African Well-Being' thus provides a comprehensive view of health issues currently plaguing the continent and the many different ways that scholars are interpreting the health outlook in Africa. Contributors: Obijiofor Aginam, Yacouba Banhoro, Richard Beilock, Charity Chenga, Mandi Chikombero, Kaley Creswell, Freek Cronjé, Frank N. F. Dadzie, Gabriel B. Fosu, Stephen Obeng-Manu Gyimah, Kathryn H. Jacobsen, W. Bediako Lamousé-Smith, William N. Mkanta, Gerald M. Mumma, Kalala Ngalamulume, Raphael Chijioke Njoku, Cecilia S. Obeng, Iruka N. Okeke, Akpen Philip, Baffour K. Takyi, Melissa K. Van Dyke, Sophie Wertheimer, Ellen A. S. Whitney. Toyin Falola is the Francis Nalle Higgenbothom Centennial Professor of History and Distinuished Teaching at the University of Texas at Austin. Matthew M. Heaton is a PhD candidate at the University of Texas at Austin.
Although attitudes to premarital sex may be influenced by several factors, the importance of religion to that discourse cannot be underestimated. By providing standards to judge and guide behaviour, religion provides a social control function such that religious persons are expected to act in ways that conform to certain norms. This study investigated the interconnectedness of several dimensions of religion and premarital sexual attitudes among young people in the informal settlements of Nairobi, Kenya. Using reference group as the theoretical base, it was found that those affiliated with Pentecostal/Evangelical faiths had more conservative attitudes towards premarital sex than those of other Christian faiths. Additionally, while a high level of religiosity was found to associate with more conservative views on premarital sex, the effect was more pronounced among Pentecostal groups. The findings are discussed in relation to programmes on adolescent sexuality.
Rapid urbanisation in sub-Saharan Africa is believed to have weakened the traditional family ties which sustained older people in the past, but there is little empirical evidence about how older people today perceive their ageing experience in sub-Saharan Africa. The international gerontology literature demonstrates that, apart from financial wellbeing and health status, religious and secular forms of social involvement are key predictors of life satisfaction in older ages. No formal analysis, however, exists on the effects of religious and non-religious social involvement on the subjective wellbeing of older people in sub-Saharan nations. This study sought to fill this gap by examining the relationship between religious identity, religiosity, and secular social engagement using survey data from a sample of 2,524 men and women aged 50 or more years living in informal settlements of Nairobi City. We found significant differences in life satisfaction between Moslems, Catholics and non-Catholic Christians. Secular social support, personal sociability and community participation had positive effects on subjective wellbeing. In this context, we also observed that next to health status, the social involvement of older people was very important for life satisfaction.
Although a growing body of research has linked religious involvement with HIV/AIDS protective behaviour in Africa, the focus has mainly been on women. Given the patriarchal nature of African culture, this paper argues for the inclusion of men, a critical group whose sexual behaviours have increasingly been linked to the spread and sustenance of the virus in the region. Drawing on different theoretical discourses and using data from the 2003 Ghana Demographic and Health Survey, this paper examines how religious affiliation influences men's risky sexual behaviours. While the results from the bivariate analysis suggested that Muslims and Traditionalists were significantly less likely to engage in risky sexual behaviour compared with Christians, those differences disappeared once socioeconomic variables were controlled, rendering support for the selectivity thesis. This finding could benefit programmatic and policy formulation regarding AIDS prevention in Ghana.
Although studies have examined religious differences in fertility in sub-Saharan Africa, it is argued in this paper that using women-only sample data may be conceptually problematic in patriarchal African societies where the influence of husbands on their wives’ reproductive preferences is paramount. The present study contributes to this discourse by examining the relationship between religion and fertility behaviour using matched-couple data from Ghana. Guided by the ‘religious values’ and ‘characteristics’ hypotheses, the results indicate significant religious differences in fertility. Compared with Traditionalists, Christians and Muslims have lower fertility, albeit these differences diminish significantly after controlling for socioeconomic variables. The impact of wife’s religious denomination on marital fertility is attenuated after controlling for husband’s religious affiliation. Also, fertility was found to be higher if couples belong to the same faith compared with those of different faiths.
Using pooled children data from the 1998 and 2003 Ghana Demographic and Health Surveys, this study examines religious differences in child survival in Ghana. Guided by the particularized theology and selectivity theses, a piecewise constant hazard model with gamma-shared frailty is used to explore if there are denominational differences in child mortality, and whether these could be explained through other characteristics. At the bivariate level, children whose mothers identified as Muslim and Traditional were found to have a significantly higher risk of death compared with their counterparts whose mothers identified as Christians. In the multivariate models, however, the religious differences disappeared after the mediating and confounding influence of socioeconomic factors were controlled. The findings provide support for the selectivity hypothesis, which is based on the notion that religious variations mainly reflect differential access to social and human capital rather than religious theology per se.
Studies on the health of Africans have increased substantially during the past couple of decades. For the most part, recent studies have concentrated on reproductive health issues, malaria, and HIV/AIDS. One health topic that is rarely addressed in African health research is disability. Not much is known about prevalence, determinants, and impact of disability among African populations. While disability is generally associated with reduced labor force participation, it also has social, cultural, and political consequences. As governments adopt policies and institute programs to ensure the full participation of the population with disability in all national activities, they often face the challenge of identifying the population with disability, and the extent and type of disability. There is, indeed, a great need to understand the magnitude of the problem in order to develop intervention programs.
Since the 1982 United Nations World Program of Action Concerning Disabled Persons, many countries have affirmed the importance of information on disability for developing programs and policies that promote the threefold objectives of prevention of disability, rehabilitation, and realization of the full participation of disabled persons in social life and economic development. Such information, however, is not being collected and analyzed on a regular basis. For this reason the UN recommended that disability should be included in national censuses in order to provide “a valuable source of information on the prevalence and distribution of disability in the population at national, regional, and local levels and give possibilities for its correlation with data on employment, level of education and other relevant variables collected in the census.”
