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24-Apr-2015 05:30

The odds are stacked against women in the fight against HIV, with biology as well as social, cultural and economic factors conspiring to make women much more vulnerable to the virus than are men.

Physiologically, women are up to four times more vulnerable to HIV infection than men. Infected semen remains in the cervix for some time, there is a large surface area in the vagina and cervix exposed to the virus, and the vagina is more susceptible to small tears during sex.

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AIDS is still the biggest killer of women of child-bearing age in Africa.

Southern African countries carry a very high burden of HIV (in Swaziland, a quarter of adults have the virus), while the risk moderates in East and Central Africa and is relatively small in West Africa.

Worldwide, a quarter of all new HIV infections are of women aged between 15 and 24.

The vast majority of these young women live in sub-Saharan Africa, where six out of every 10 people living with HIV are women.

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Nomasonto appears oblivious to the danger she faces from older men with cash.

She is six times more likely to become infected with HIV from a man over the age of 24 than from a boy her own age, according to research conducted in Vulindlela, her semi-rural village in South Africa.