Economic Status and Coping Mechanisms of Individuals Seeking HIV Care in Uganda.
Economic Status and Coping Mechanisms of Individuals Seeking HIV Care in Uganda.
复制标题
乌干达寻求艾滋病毒护理的个人的经济状况和应对机制。
DOI：
10.1093/jae/ejr014
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发表时间：
2011
影响因子：
1.6
通讯作者：
Wagner,Glenn
中科院分区：
文献类型：
--
作者：
Linnemayr,Sebastian;Lawson,BrookeStearns;Glick,Peter;Wagner,Glenn
这项研究使用新的数据进行全面评估的人口和经济情况所面临的艾滋病毒阳性的个人谁刚刚进入艾滋病毒护理在乌干达。虽然提供艾滋病毒护理和抗逆转录病毒疗法可以改善身体健康，但为了实现改善艾滋病毒/艾滋病感染者的生活质量和社会经济生存能力这一更广泛的目标，可能需要适当的社会和经济方案来补充治疗。我们报告的结果从基线数据的纵向，前瞻性队列研究与12个月的随访期在两个乌干达艾滋病毒诊所。我们使用测试来检查样本子群体之间的差异，并在第二步采用多变量logistic回归和普通最小二乘回归。通过调查被调查者的就业和收入历史以及家庭组成的变化等可追溯变量，我们可以得出关于有艾滋病毒抗体阳性成员的家庭所经历的冲击的结论。我们发现，研究参与者经历了失业和家庭收入下降，因为测试艾滋病毒呈阳性，主要是由于受访者的健康状况恶化。我们还发现，家庭使用一系列的应对机制，如家庭组成的变化或借款，以应对这些冲击，但这些策略并不适用于所有类型的家庭在同一程度上。研究结果强调了抗逆转录病毒疗法的重要性，不仅是改善身体健康，而且是帮助家庭恢复经济能力的第一个必要步骤（尽管可能还不够）。
This study uses novel data to conduct a comprehensive evaluation of the demographic and economic circumstances facing HIV-positive individuals who have just entered HIV care in Uganda. While the provision of HIV care and antiretroviral therapy (ART) may improve physical health, to achieve the broader goal of improving the quality of life and socioeconomic viability of people living with HIV/AIDS, appropriate social and economic programmes may need to complement treatment. We report results from baseline data of a longitudinal, prospective cohort study with a 12-month follow-up period in two Ugandan HIV clinics. We uset-tests to examine differences across sample subpopulations and in a second step employ multivariate logistic and ordinary least squares regressions. The investigation of retrospective variables such as the respondent's employment and income history, as well as changes in household composition, allows us to draw conclusions about the shocks experienced by households with HIV-positive members. We find that the study participants have experienced job loss and declining household income since testing HIV-positive, mainly due to worsened health status of the respondent. We also find that households use a range of coping mechanisms, such as changes in household composition or borrowing in response to these shocks, but that these strategies are not accessible to all types of households to the same degree. The findings highlight the importance of ART, not only to improve physical health, but also as a first necessary (though potentially not sufficient) step to help households restore their economic capacity.