This paper aims to begin to consider the evidence for AIDS as a diseas
e of poverty. It seeks to describe the important influence of the soci
al and economic context of HIV/AIDS and of those behaviours associated
with HIV transmission, and argues for a shift in emphasis in the conc
eptualization of the 'problem of AIDS'. The relationship between pover
ty and AIDS is explored, particularly in relation to global economic d
evelopment, urbanization, homelessness and the disintegration of neigh
bourhoods, migration and systems of labour and production. Examples of
socially-driven community-based responses to the prevention and contr
ol of the HIV epidemic in diverse cultures are discussed and the need
for new outcome measures for assessing community initiatives is propos
ed.