Socio-economic inequality and HIV in South Africa.
Socio-economic inequality and HIV in South Africa.
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DOI：
10.1186/1471-2458-13-1037
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发表时间：
2013-11-04
影响因子：
4.5
通讯作者：
Taffa N
中科院分区：
文献类型：
--
作者：
Wabiri N;Taffa N
使用基于人口的家庭调查数据分析了社会经济不平等与艾滋病毒结果之间的联系，该调查采用多阶段分层抽样。目标是帮助人们重新关注艾滋病毒与不平等之间的关系。使用耐用资产所有权衡量标准的多重对应分析得出的社会经济指数 (SEI) 分数用于生成三个 SEI 组：低（最穷）、中和上（不那么穷）。使用加权数据评估了 SEI 群体中艾滋病毒结果的分布（即艾滋病毒感染率、获得艾滋病毒/艾滋病信息的机会、对艾滋病毒/艾滋病的耻辱程度、感知的艾滋病毒风险和性行为）以及其他背景特征。使用单变量和多变量逻辑回归来评估不同社会经济群体的艾滋病毒结果的协变量。研究样本包括 14,384 名 15 岁及以上的成年人。 SEI 较差的女性 (57.5%) 多于男性 (42.3%) [P<0.001]。贫困人口中的艾滋病毒感染率最高（20.8%），其次是中等收入群体（15.9%）和上层社会经济群体（4.6%）[P<0.001]。与男性相比，女性的这一比例最高（分别为 19.7% 和 11.4%），与其他种族相比，非洲黑人的比例最高（20.2%）[P<0.001]。与低SEI (47.7%) 相比，较高SEI 的个体报告的HIV 检测频率较高(59.3%) [P< 0.001]。在贫困 SEI 中，只有 20.5% 的人“能够很好地获取艾滋病毒/艾滋病信息”，而在较高 SEI 中，这一比例为 79.5%（P<0.001）。与上层社会经济群体 (34.8%) 相比，对艾滋病毒/艾滋病持歧视态度的穷人比例 (45.6%) 更高 [P< 0.001]。穷人中的个人艾滋病毒风险认知度较高（40.0%），而在上层 SEI 中，这一比例显着下降至 10.9%。我们的研究结果强调了南非穷人和弱势群体中艾滋病毒疾病和艾滋病毒恐惧所造成的不成比例的负担。由于无法获得艾滋病毒信息和艾滋病毒/艾滋病服务，例如艾滋病毒感染检测，穷人进一步处于不利地位。国家艾滋病毒/艾滋病应对措施迫切需要最大限度地关注穷人，特别是妇女。
The linkage between the socio-economic inequality and HIV outcomes was analysed using data from a population-based household survey that employed multistage-stratified sampling. The goal is to help refocus attention on how HIV is linked to inequalities. A socio-economic index (SEI) score, derived using Multiple Correspondence Analysis of measures of ownership of durable assets, was used to generate three SEI groups: Low (poorest), Middle, and Upper (no so poor). Distribution of HIV outcomes (i.e. HIV prevalence, access to HIV/AIDS information, level of stigma towards HIV/AIDS, perceived HIV risk and sexual behaviour) across the SEI groups, and other background characteristics was assessed using weighted data. Univariate and multivariate logistic regression was used to assess the covariates of the HIV outcomes across the socio-economic groups. The study sample include 14,384 adults 15 years and older. More women (57.5%) than men (42.3%) were found in the poor SEI [P<0.001]. HIV prevalence was highest among the poor (20.8%) followed by those in the middle (15.9%) and those in the upper SEI (4.6%) [P<0.001]. It was also highest among women compared to men (19.7% versus 11.4% respectively) and among black Africans (20.2%) compared to other races [P<0.001]. Individuals in the upper SEI reported higher frequency of HIV testing (59.3%) compared to the low SEI (47.7%) [P< 0.001]. Only 20.5% of those in poor SEI had “good access to HIV/AIDS information” compared to 79.5% in the upper SEI (P<0.001). A higher percentage of the poor had a stigmatizing attitude towards HIV/AIDS (45.6%) compared to those in the upper SEI (34.8%) [P< 0.001]. There was a high personal HIV risk perception among the poor (40.0%) and it declined significantly to 10.9% in the upper SEI. Our findings underline the disproportionate burden of HIV disease and HIV fear among the poor and vulnerable in South Africa. The poor are further disadvantaged by lack of access to HIV information and HIV/AIDS services such as testing for HIV infection. There is a compelling urgency for the national HIV/AIDS response to maximizing program focus for the poor particularly women.
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平方圈子：艾滋病，贫穷和人类发展。
影响因子：
15.8
作者：
Piot, Peter;Greener, Robert;Russell, Sarah
通讯作者：
Russell, Sarah
影响因子：
2.3
作者：
Howe, Laura D;Hargreaves, James R;Huttly, Sharon R A
通讯作者：
Huttly, Sharon R A
DOI：
10.1016/s2221-1691(12)60081-1
发表时间：
2012-06-01
影响因子：
1.7
作者：
Gonzalez, Lucia;Seley, Celeste;Troncoso, Alcides
通讯作者：
Troncoso, Alcides
DOI：
10.1111/j.1759-5436.2008.tb00490.x
发表时间：
2008-11-01
影响因子：
0.7
作者：
Gillespie, Stuart
通讯作者：
Gillespie, Stuart
撒哈拉以南非洲城市贫困人口中艾滋病毒感染的高度高风险。
影响因子：
4.4
作者：
Magadi MA
通讯作者：
Magadi MA