Relationship between socioeconomic status and HIV infection: findings from a survey in the Free State and Western Cape Provinces of South Africa
Relationship between socioeconomic status and HIV infection: findings from a survey in the Free State and Western Cape Provinces of South Africa
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DOI：
10.1136/bmjopen-2017-016232
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发表时间：
2017-11-01
期刊：
影响因子：
2.9
通讯作者：
Coetzee, David John
中科院分区：
文献类型：
--
作者：
Bunyasi, Erick Wekesa;Coetzee, David John
背景研究表明，在撒哈拉以南非洲地区，社会经济地位(SES)和流行的艾滋病毒感染之间存在混合关联。一般而言，受正规教育年限与艾滋病毒感染之间的关系与艾滋病毒流行的成熟度从正相关变为负相关。我们的目标是确定南非自由州(FSP)和西开普省(WCP)育龄妇女中SES与HIV的相关性。研究设计横断面设计。方法我们对2007-2008年间1906名育龄妇女进行二次分析，该调查评估了预防艾滋病毒母婴传播计划的有效性。SES是通过家庭财富五分之一、正规教育年限和就业状况来衡量的。结果WCP人群HIV感染率与财富五分位数呈显著负相关(P
Background Studies have shown a mixed association between socioeconomic status (SES) and prevalent HIV infection across and within settings in sub-Saharan Africa. In general, the relationship between years of formal education and HIV infection changed from a positive to a negative association with maturity of the HIV epidemic. Our objective was to determine the association between SES and HIV in women of reproductive age in the Free State (FSP) and Western Cape Provinces (WCP) of South Africa (SA).Study design Cross-sectional.Setting SA.Methods We conducted secondary analysis on 1906 women of reproductive age from a 2007 to 2008 survey that evaluated effectiveness of Prevention of Mother-toChild HIV Transmission Programmes. SES was measured by household wealth quintiles, years of formal education and employment status. Our analysis principally used logistic regression for survey data.Results There was a significant negative trend between prevalent HIV infection and wealth quintile in WCP (P