Health and economic impact of HIV/AIDS on South African households: a cohort study

Bachmann, Max O. ORCID: and Booysen, Frederick L. R. (2003) Health and economic impact of HIV/AIDS on South African households: a cohort study. BMC Public Health, 3. ISSN 1471-2458

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Background: South African households are severely affected by human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) but health and economic impacts have not been quantified in controlled cohort studies. Methods: We compared households with an HIV-infected member, and unaffected neighbouring households, in one rural and one urban area in Free State province, South Africa. Interviews were conducted with one key informant in each household, at baseline and six months later. We studied 1913 members of 404 households, with 94% and 96% follow up, respectively. Household and individual level analyses were done. Results: Members of affected households, compared to members of unaffected households, were independently more likely to be continuously ill (adjusted odds ratio (OR) 2.1, 95% CI 1.3–3.4 at follow up), and to die (adjusted OR 3.4, 95% CI 1.0–11), mainly due to infectious diseases. Government clinics and hospitals were the main sources of health care. Affected households were poorer than unaffected households at baseline (relative income per person 0.61, 95% CI 0.49–0.76). Over six months expenditure and income decreased more rapidly in affected than in unaffected households (baseline-adjusted relative expenditure 0.86, 95% CI 0.75–0.99 and income 0.89, 95% CI 0.75–1.05). Baseline morbidity was independently associated with lower income and expenditure at baseline but not with changes over six months. Conclusions: HIV/AIDS affects the health and wealth of households as well as infected individuals, aggravating pre-existing poverty.

Item Type: Article
Uncontrolled Keywords: acquired immunodeficiency syndrome,adolescent,adult,child,cohort studies,family characteristics,female,hiv infections,health expenditures,health surveys,humans,male,odds ratio,poverty,prevalence,questionnaires,residence characteristics,rural health,south africa,survival analysis,urban health,sdg 3 - good health and well-being ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Depositing User: EPrints Services
Date Deposited: 25 Nov 2010 11:12
Last Modified: 24 Oct 2022 02:52
DOI: 10.1186/1471-2458-3-14

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