Cargando…

Do the socioeconomic impacts of antiretroviral therapy vary by gender? A longitudinal study of Kenyan agricultural worker employment outcomes

BACKGROUND: As access to antiretroviral therapy (ART) has grown in Africa, attention has turned to evaluating the socio-economic impacts of ART. One key issue is the extent to which improvements in health resulting from ART allows individuals to return to work and earn income. Improvements in health...

Descripción completa

Detalles Bibliográficos
Autores principales: Larson, Bruce A, Fox, Mathew P, Rosen, Sydney, Bii, Margret, Sigei, Carolyne, Shaffer, Douglas, Sawe, Fredrick, McCoy, Kelly, Wasunna, Monique, Simon, Jonathan L
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2717954/
https://www.ncbi.nlm.nih.gov/pubmed/19604381
http://dx.doi.org/10.1186/1471-2458-9-240
_version_ 1782169937301733376
author Larson, Bruce A
Fox, Mathew P
Rosen, Sydney
Bii, Margret
Sigei, Carolyne
Shaffer, Douglas
Sawe, Fredrick
McCoy, Kelly
Wasunna, Monique
Simon, Jonathan L
author_facet Larson, Bruce A
Fox, Mathew P
Rosen, Sydney
Bii, Margret
Sigei, Carolyne
Shaffer, Douglas
Sawe, Fredrick
McCoy, Kelly
Wasunna, Monique
Simon, Jonathan L
author_sort Larson, Bruce A
collection PubMed
description BACKGROUND: As access to antiretroviral therapy (ART) has grown in Africa, attention has turned to evaluating the socio-economic impacts of ART. One key issue is the extent to which improvements in health resulting from ART allows individuals to return to work and earn income. Improvements in health from ART may also be associated with reduced impaired presenteeism, which is the loss of productivity when an ill or disabled individual attends work but accomplishes less at his or her usual tasks or shifts to other, possibly less valuable, tasks. METHODS: Longitudinal data for this analysis come from company payroll records for 97 HIV-infected tea estate workers (the index group, 56 women, 41 men) and a comparison group of all workers assigned to the same work teams (n = 2485, 1691 men, 794 women) for a 37-month period covering two years before and one year after initiating ART. We used nearest neighbour matching methods to estimate the impacts of HIV/AIDS and ART on three monthly employment outcomes for tea estate workers in Kenya – days plucking tea, days assigned to non-plucking assignments, and kilograms harvested when plucking. RESULTS: The female index group worked 30% fewer days plucking tea monthly than the matched female comparison group during the final 9 months pre-ART. They also worked 87% more days on non-plucking assignments. While the monthly gap between the two groups narrowed after beginning ART, the female index group worked 30% fewer days plucking tea and about 100% more days on non-plucking tasks than the comparison group after one year on ART. The male index group was able to maintain a similar pattern of work as their comparison group except during the initial five months on therapy. CONCLUSION: Significant impaired presenteeism continued to exist among the female index group after one year on ART. Future research needs to explore further the socio-economic implications of HIV-infected female workers on ART being less productive than the general female workforce over sustained periods of time.
format Text
id pubmed-2717954
institution National Center for Biotechnology Information
language English
publishDate 2009
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-27179542009-07-30 Do the socioeconomic impacts of antiretroviral therapy vary by gender? A longitudinal study of Kenyan agricultural worker employment outcomes Larson, Bruce A Fox, Mathew P Rosen, Sydney Bii, Margret Sigei, Carolyne Shaffer, Douglas Sawe, Fredrick McCoy, Kelly Wasunna, Monique Simon, Jonathan L BMC Public Health Research Article BACKGROUND: As access to antiretroviral therapy (ART) has grown in Africa, attention has turned to evaluating the socio-economic impacts of ART. One key issue is the extent to which improvements in health resulting from ART allows individuals to return to work and earn income. Improvements in health from ART may also be associated with reduced impaired presenteeism, which is the loss of productivity when an ill or disabled individual attends work but accomplishes less at his or her usual tasks or shifts to other, possibly less valuable, tasks. METHODS: Longitudinal data for this analysis come from company payroll records for 97 HIV-infected tea estate workers (the index group, 56 women, 41 men) and a comparison group of all workers assigned to the same work teams (n = 2485, 1691 men, 794 women) for a 37-month period covering two years before and one year after initiating ART. We used nearest neighbour matching methods to estimate the impacts of HIV/AIDS and ART on three monthly employment outcomes for tea estate workers in Kenya – days plucking tea, days assigned to non-plucking assignments, and kilograms harvested when plucking. RESULTS: The female index group worked 30% fewer days plucking tea monthly than the matched female comparison group during the final 9 months pre-ART. They also worked 87% more days on non-plucking assignments. While the monthly gap between the two groups narrowed after beginning ART, the female index group worked 30% fewer days plucking tea and about 100% more days on non-plucking tasks than the comparison group after one year on ART. The male index group was able to maintain a similar pattern of work as their comparison group except during the initial five months on therapy. CONCLUSION: Significant impaired presenteeism continued to exist among the female index group after one year on ART. Future research needs to explore further the socio-economic implications of HIV-infected female workers on ART being less productive than the general female workforce over sustained periods of time. BioMed Central 2009-07-15 /pmc/articles/PMC2717954/ /pubmed/19604381 http://dx.doi.org/10.1186/1471-2458-9-240 Text en Copyright © 2009 Larson et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Larson, Bruce A
Fox, Mathew P
Rosen, Sydney
Bii, Margret
Sigei, Carolyne
Shaffer, Douglas
Sawe, Fredrick
McCoy, Kelly
Wasunna, Monique
Simon, Jonathan L
Do the socioeconomic impacts of antiretroviral therapy vary by gender? A longitudinal study of Kenyan agricultural worker employment outcomes
title Do the socioeconomic impacts of antiretroviral therapy vary by gender? A longitudinal study of Kenyan agricultural worker employment outcomes
title_full Do the socioeconomic impacts of antiretroviral therapy vary by gender? A longitudinal study of Kenyan agricultural worker employment outcomes
title_fullStr Do the socioeconomic impacts of antiretroviral therapy vary by gender? A longitudinal study of Kenyan agricultural worker employment outcomes
title_full_unstemmed Do the socioeconomic impacts of antiretroviral therapy vary by gender? A longitudinal study of Kenyan agricultural worker employment outcomes
title_short Do the socioeconomic impacts of antiretroviral therapy vary by gender? A longitudinal study of Kenyan agricultural worker employment outcomes
title_sort do the socioeconomic impacts of antiretroviral therapy vary by gender? a longitudinal study of kenyan agricultural worker employment outcomes
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2717954/
https://www.ncbi.nlm.nih.gov/pubmed/19604381
http://dx.doi.org/10.1186/1471-2458-9-240
work_keys_str_mv AT larsonbrucea dothesocioeconomicimpactsofantiretroviraltherapyvarybygenderalongitudinalstudyofkenyanagriculturalworkeremploymentoutcomes
AT foxmathewp dothesocioeconomicimpactsofantiretroviraltherapyvarybygenderalongitudinalstudyofkenyanagriculturalworkeremploymentoutcomes
AT rosensydney dothesocioeconomicimpactsofantiretroviraltherapyvarybygenderalongitudinalstudyofkenyanagriculturalworkeremploymentoutcomes
AT biimargret dothesocioeconomicimpactsofantiretroviraltherapyvarybygenderalongitudinalstudyofkenyanagriculturalworkeremploymentoutcomes
AT sigeicarolyne dothesocioeconomicimpactsofantiretroviraltherapyvarybygenderalongitudinalstudyofkenyanagriculturalworkeremploymentoutcomes
AT shafferdouglas dothesocioeconomicimpactsofantiretroviraltherapyvarybygenderalongitudinalstudyofkenyanagriculturalworkeremploymentoutcomes
AT sawefredrick dothesocioeconomicimpactsofantiretroviraltherapyvarybygenderalongitudinalstudyofkenyanagriculturalworkeremploymentoutcomes
AT mccoykelly dothesocioeconomicimpactsofantiretroviraltherapyvarybygenderalongitudinalstudyofkenyanagriculturalworkeremploymentoutcomes
AT wasunnamonique dothesocioeconomicimpactsofantiretroviraltherapyvarybygenderalongitudinalstudyofkenyanagriculturalworkeremploymentoutcomes
AT simonjonathanl dothesocioeconomicimpactsofantiretroviraltherapyvarybygenderalongitudinalstudyofkenyanagriculturalworkeremploymentoutcomes