Determinants of livelihood in the era of widespread access to ART
| Autor: | Alison Misselhorn, Bradley Carpenter, Hellen Myezwa, Jill Hanass-Hancock |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Economic growth Health (social science) Social Psychology Adolescent Cross-sectional study Anti-HIV Agents HIV Infections Food Supply Medication Adherence 03 medical and health sciences Disability Evaluation South Africa Young Adult 0302 clinical medicine Sex Factors Financial capital Acquired immunodeficiency syndrome (AIDS) Medicine Humans 030212 general & internal medicine Socioeconomics 030505 public health Food security business.industry Public Health Environmental and Occupational Health Age Factors Middle Aged Resilience Psychological Livelihood medicine.disease Cross-Sectional Studies Socioeconomic Factors Capital (economics) Cohort Marital status Female 0305 other medical science business |
| Zdroj: | AIDS care. 29(1) |
| ISSN: | 1360-0451 |
| Popis: | We have only just begun to understand the long-term impact of living with chronic HIV on health and livelihood after a decade of widespread access to treatment in southern Africa. This paper explores health and well-being, disability, and livelihood dynamics among people living with HIV (PLHIV) in a public healthcare setting in South Africa. We undertook a cross-sectional survey among a cohort of 1042 people on ART and explored associations between socio-demographic characteristics, treatment adherence, measures of disability (functional and activity limitations), livelihood resources (capitals) and outcomes, including food security, and exposure to livelihood shocks. A range of dynamic relationships relevant for decision-makers is evident. Age, gender, and marital status all had significant associations with levels of livelihood capitals and outcomes. Those who had been on ART for longer periods of time also had significantly higher aggregate livelihood capital. This was particularly driven by social and financial capital. Livelihoods are built within specific social and health contexts. Of particular importance is that the resources drawn on to build a livelihood differ significantly between men and women, and that different forms of disability also have gender-specific pathways in influencing livelihood and livelihood outcomes. Our results support the need for a gender-sensitive approach to supporting the well-being and livelihoods of PLHIV. Of equal importance is an approach that considers more comprehensively the new experiences of comorbidities and disabilities that may occur with a long life on ART. |
| Databáze: | OpenAIRE |
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