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Socio-economic and demographic factors related to HIV status in urban informal settlements in the Eastern Cape, South Africa.
Afr J AIDS Res. 2014 Sep; 13(3):271-9.AJ

Abstract

The prevalence of HIV&AIDS is embedded in social and economic inequity and the relationship between social determinants and HIV incidence is well established. The aim of this study was to determine which socio-economic and demographic factors are related to HIV status in the age group 18 to 49 years in informal settlements in the Eastern Cape, South Africa. This cross-sectional study was conducted in 3 informal settlements (n = 752) during March 2013 within the Nelson Mandela Bay and Buffalo City districts. A proportional cluster sample was selected and stratified by area and formal plot/squatter households in open areas. Respondents who volunteered to participate had to provide informed written consent before trained, bilingual peer educators interviewed them and completed the structured questionnaire. HIV status was determined and information on demographic and socio-economic variables was included in the bivariate analysis. The prevalence of HIV was higher, at 17.3%, than the 2011 estimated national prevalence among the general population in South Africa. The level of education (χ(2) = 5.50, df = 1, p < 0.05), geographical site (χ(2) = 7.41, df = 2, p < 0.05), gender (χ(2) = 33.10, df = 1, p < 0.0005), household food insecurity (χ(2) = 4.77, df = 1, p < 0.05), cooking with cast iron pots (χ(2) = 15.0, df = 3, p < 0.05) and availability of perceived 'wealth' indicators like mobile telephones and refrigerators (χ(2) = 9.67, df = 2, p < 0.05) were significantly associated with HIV-status. No significant associations could be demonstrated between household income, the number of people living in the household and the availability of electricity/water and HIV status. As the observed levels of HIV prevalence underlined gender bias and failure to graduate from high school, future interventions should focus on HIV prevention in female schoolchildren. However, HIV infection is also prevalent among wealthier individuals in informal settlements, which indicates that renewed efforts should be made to improve sexual risk behaviour within this group.

Authors+Show Affiliations

a HIV&AIDS Research Unit , Nelson Mandela Metropolitan University , PO Box 77000, Port Elizabeth , 6031 , South Africa.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25388981

Citation

Steenkamp, Liana, et al. "Socio-economic and Demographic Factors Related to HIV Status in Urban Informal Settlements in the Eastern Cape, South Africa." African Journal of AIDS Research : AJAR, vol. 13, no. 3, 2014, pp. 271-9.
Steenkamp L, Venter D, Walsh C, et al. Socio-economic and demographic factors related to HIV status in urban informal settlements in the Eastern Cape, South Africa. Afr J AIDS Res. 2014;13(3):271-9.
Steenkamp, L., Venter, D., Walsh, C., & Dana, P. (2014). Socio-economic and demographic factors related to HIV status in urban informal settlements in the Eastern Cape, South Africa. African Journal of AIDS Research : AJAR, 13(3), 271-9. https://doi.org/10.2989/16085906.2014.952651
Steenkamp L, et al. Socio-economic and Demographic Factors Related to HIV Status in Urban Informal Settlements in the Eastern Cape, South Africa. Afr J AIDS Res. 2014;13(3):271-9. PubMed PMID: 25388981.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Socio-economic and demographic factors related to HIV status in urban informal settlements in the Eastern Cape, South Africa. AU - Steenkamp,Liana, AU - Venter,Danie, AU - Walsh,Corinna, AU - Dana,Pelisa, PY - 2014/11/13/entrez PY - 2014/11/13/pubmed PY - 2015/6/27/medline KW - HIV KW - employment status KW - food security KW - informal KW - level of education KW - urban KW - wealth SP - 271 EP - 9 JF - African journal of AIDS research : AJAR JO - Afr J AIDS Res VL - 13 IS - 3 N2 - The prevalence of HIV&AIDS is embedded in social and economic inequity and the relationship between social determinants and HIV incidence is well established. The aim of this study was to determine which socio-economic and demographic factors are related to HIV status in the age group 18 to 49 years in informal settlements in the Eastern Cape, South Africa. This cross-sectional study was conducted in 3 informal settlements (n = 752) during March 2013 within the Nelson Mandela Bay and Buffalo City districts. A proportional cluster sample was selected and stratified by area and formal plot/squatter households in open areas. Respondents who volunteered to participate had to provide informed written consent before trained, bilingual peer educators interviewed them and completed the structured questionnaire. HIV status was determined and information on demographic and socio-economic variables was included in the bivariate analysis. The prevalence of HIV was higher, at 17.3%, than the 2011 estimated national prevalence among the general population in South Africa. The level of education (χ(2) = 5.50, df = 1, p < 0.05), geographical site (χ(2) = 7.41, df = 2, p < 0.05), gender (χ(2) = 33.10, df = 1, p < 0.0005), household food insecurity (χ(2) = 4.77, df = 1, p < 0.05), cooking with cast iron pots (χ(2) = 15.0, df = 3, p < 0.05) and availability of perceived 'wealth' indicators like mobile telephones and refrigerators (χ(2) = 9.67, df = 2, p < 0.05) were significantly associated with HIV-status. No significant associations could be demonstrated between household income, the number of people living in the household and the availability of electricity/water and HIV status. As the observed levels of HIV prevalence underlined gender bias and failure to graduate from high school, future interventions should focus on HIV prevention in female schoolchildren. However, HIV infection is also prevalent among wealthier individuals in informal settlements, which indicates that renewed efforts should be made to improve sexual risk behaviour within this group. SN - 1727-9445 UR - https://www.unboundmedicine.com/medline/citation/25388981/Socio_economic_and_demographic_factors_related_to_HIV_status_in_urban_informal_settlements_in_the_Eastern_Cape_South_Africa_ L2 - http://www.tandfonline.com/doi/full/10.2989/16085906.2014.952651 DB - PRIME DP - Unbound Medicine ER -