Conflict, HIV and AIDS: A new dynamic in warfare?

Abstract

The argument that there is a link between conflict and the spread of HIV has become commonplace in both the academic and policy world. This article examines five key reasons offered for this link: the high HIV prevalence in many militaries; that conflict leads to migration which acts as a vector for the spread of the disease; the changes in sexual behaviour introduced by conflict, including increased incidence of rape; reduced health provision and support as a result of conflict; and the risks introduced in post-conflict settings. The article argues that these reasons offer a poor explanation as to why HIV is spread in some conflicts but not others and develops a new model to explain when conflict might lead to the spread of HIV. © 2009 Taylor & Francis.