Relationships between HIV/AIDS, income and expenditure over time in deprived South African households

AIDS Care
M O Bachmann, F L R Booysen

Abstract

We compared 202 households with an HIV-infected member, and 202 unaffected neighbouring households, in one rural and one urban area in Free State province, South Africa. Interviews were conducted with a key informant in each household, at baseline and 6, 12 and 18 months later, with 87% follow-up. Results of the baseline and 6 months study were published previously; this paper reports on trends over the full 18 months of follow-up. We analysed changes in income and expenditure and their relationships with morbidity and mortality using multiple regression. Over 2 years, a third of affected households reported at least one death, mainly due to infectious disease. Affected households' real expenditures decreased over time, while real incomes did not, absolutely and relative to unaffected households. Mortality and morbidity independently predicted lower expenditure (adjusted relative expenditure 0.86 and 0.84, respectively), mortality predicted lower income (adjusted relative income 0.80) and higher expenditure predicted less morbidity and mortality (adjusted odds ratios for a US$100 monthly difference 0.78 and 0.65). Households' economies and HIV/AIDS were thus dynamically related, and occurred against a background of progressive ...Continue Reading

References

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Oct 3, 2002·Tropical Medicine & International Health : TM & IH·Juliana NgalulaJ Ties Boerma
Apr 2, 2003·BMC Public Health·Max O Bachmann, Frederick L R Booysen
May 14, 2003·Social Science & Medicine·Frederik le R Booysen, Tanja Arntz

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Citations

Mar 1, 2010·International Health·Chaturaka Rodrigo, Senaka Rajapakse
Aug 19, 2008·SAHARA J : Journal of Social Aspects of HIV/AIDS Research Alliance·Dipankar Datta, James Njuguna
Dec 18, 2010·Vulnerable Children and Youth Studies·Caroline Kuo, Don Operario
Nov 14, 2013·Vulnerable Children and Youth Studies·Mary Bachman DesilvaJonathon L Simon
Sep 7, 2006·AIDS·Max O Bachmann, Frikkie L R Booysen
Nov 10, 2013·PloS One·Haijun WangUNKNOWN study group for Economic Impact of Maternal Deaths in China
Aug 20, 2011·African Journal of AIDS Research : AJAR·Craig Demmer, Nina Rothschild
Mar 19, 2011·Ghana Medical Journal·Iw HowleyA Kwara
Aug 21, 2012·Journal of Community Psychology·Caroline KuoMarisa Casale
Mar 10, 2007·The American Journal of Hospice & Palliative Care·Craig Demmer
Dec 4, 2019·Global Social Welfare : Research, Policy & Practice·Rainier Masa, Gina Chowa
May 16, 2018·Social Science & Medicine·Brian King, Margaret S Winchester

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