Work and home productivity of people living with HIV in Zambia and South Africa

OBJECTIVE: To compare number of days lost to illness or accessing healthcare for HIV-positive and HIV-negative individuals working in the informal and formal sectors in South Africa and Zambia. DESIGN: As part of the HPTN 071 (PopART) study, data on adults aged 18–44 years were gathered from cross-s...

Descripción completa

Detalles Bibliográficos
Autores principales: Thomas, Ranjeeta, Friebel, Rocco, Barker, Kerrie, Mwenge, Lawrence, Kanema, Sarah, Vanqa, Nosivuyile, Harper, Abigail, Bell-Mandla, Nomtha, Smith, Peter C., Floyd, Sian, Bock, Peter, Ayles, Helen, Fidler, Sarah, Hayes, Richard, Hauck, Katharina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6467557/
https://www.ncbi.nlm.nih.gov/pubmed/30946160
http://dx.doi.org/10.1097/QAD.0000000000002160
_version_ 1783411285540470784
author Thomas, Ranjeeta
Friebel, Rocco
Barker, Kerrie
Mwenge, Lawrence
Kanema, Sarah
Vanqa, Nosivuyile
Harper, Abigail
Bell-Mandla, Nomtha
Smith, Peter C.
Floyd, Sian
Bock, Peter
Ayles, Helen
Fidler, Sarah
Hayes, Richard
Hauck, Katharina
author_facet Thomas, Ranjeeta
Friebel, Rocco
Barker, Kerrie
Mwenge, Lawrence
Kanema, Sarah
Vanqa, Nosivuyile
Harper, Abigail
Bell-Mandla, Nomtha
Smith, Peter C.
Floyd, Sian
Bock, Peter
Ayles, Helen
Fidler, Sarah
Hayes, Richard
Hauck, Katharina
author_sort Thomas, Ranjeeta
collection PubMed
description OBJECTIVE: To compare number of days lost to illness or accessing healthcare for HIV-positive and HIV-negative individuals working in the informal and formal sectors in South Africa and Zambia. DESIGN: As part of the HPTN 071 (PopART) study, data on adults aged 18–44 years were gathered from cross-sectional surveys of random general population samples in 21 communities in Zambia and South Africa. Data on the number of productive days lost in the last 3 months, laboratory-confirmed HIV status, labour force status, age, ethnicity, education, and recreational drug use was collected. METHODS: Differences in productive days lost between HIV-negative and HIV-positive individuals (’excess productive days lost’) were estimated with negative binomial models, and results disaggregated for HIV-positive individuals after various durations on antiretroviral treatment (ART). RESULTS: From samples of 19 330 respondents in Zambia and 18 004 respondents in South Africa, HIV-positive individuals lost more productive days to illness than HIV-negative individuals in both countries. HIV-positive individuals in Zambia lost 0.74 excess productive days [95% confidence interval (CI) 0.48–1.01; P < 0.001] to illness over a 3-month period. HIV-positive in South Africa lost 0.13 excess days (95% CI 0.04–0.23; P = 0.007). In Zambia, those on ART for less than 1 year lost most days, and those not on ART lost fewest days. In South Africa, results disaggregated by treatment duration were not statistically significant. CONCLUSION: There is a loss of work and home productivity associated with HIV, but it is lower than existing estimates for HIV-positive formal sector workers. The findings support policy makers in building an accurate investment case for HIV interventions.
format Online
Article
Text
id pubmed-6467557
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher Lippincott Williams & Wilkins
record_format MEDLINE/PubMed
spelling pubmed-64675572019-05-29 Work and home productivity of people living with HIV in Zambia and South Africa Thomas, Ranjeeta Friebel, Rocco Barker, Kerrie Mwenge, Lawrence Kanema, Sarah Vanqa, Nosivuyile Harper, Abigail Bell-Mandla, Nomtha Smith, Peter C. Floyd, Sian Bock, Peter Ayles, Helen Fidler, Sarah Hayes, Richard Hauck, Katharina AIDS Epidemiology and Social OBJECTIVE: To compare number of days lost to illness or accessing healthcare for HIV-positive and HIV-negative individuals working in the informal and formal sectors in South Africa and Zambia. DESIGN: As part of the HPTN 071 (PopART) study, data on adults aged 18–44 years were gathered from cross-sectional surveys of random general population samples in 21 communities in Zambia and South Africa. Data on the number of productive days lost in the last 3 months, laboratory-confirmed HIV status, labour force status, age, ethnicity, education, and recreational drug use was collected. METHODS: Differences in productive days lost between HIV-negative and HIV-positive individuals (’excess productive days lost’) were estimated with negative binomial models, and results disaggregated for HIV-positive individuals after various durations on antiretroviral treatment (ART). RESULTS: From samples of 19 330 respondents in Zambia and 18 004 respondents in South Africa, HIV-positive individuals lost more productive days to illness than HIV-negative individuals in both countries. HIV-positive individuals in Zambia lost 0.74 excess productive days [95% confidence interval (CI) 0.48–1.01; P < 0.001] to illness over a 3-month period. HIV-positive in South Africa lost 0.13 excess days (95% CI 0.04–0.23; P = 0.007). In Zambia, those on ART for less than 1 year lost most days, and those not on ART lost fewest days. In South Africa, results disaggregated by treatment duration were not statistically significant. CONCLUSION: There is a loss of work and home productivity associated with HIV, but it is lower than existing estimates for HIV-positive formal sector workers. The findings support policy makers in building an accurate investment case for HIV interventions. Lippincott Williams & Wilkins 2019-05-01 2019-04-04 /pmc/articles/PMC6467557/ /pubmed/30946160 http://dx.doi.org/10.1097/QAD.0000000000002160 Text en Copyright © 2019 The Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle Epidemiology and Social
Thomas, Ranjeeta
Friebel, Rocco
Barker, Kerrie
Mwenge, Lawrence
Kanema, Sarah
Vanqa, Nosivuyile
Harper, Abigail
Bell-Mandla, Nomtha
Smith, Peter C.
Floyd, Sian
Bock, Peter
Ayles, Helen
Fidler, Sarah
Hayes, Richard
Hauck, Katharina
Work and home productivity of people living with HIV in Zambia and South Africa
title Work and home productivity of people living with HIV in Zambia and South Africa
title_full Work and home productivity of people living with HIV in Zambia and South Africa
title_fullStr Work and home productivity of people living with HIV in Zambia and South Africa
title_full_unstemmed Work and home productivity of people living with HIV in Zambia and South Africa
title_short Work and home productivity of people living with HIV in Zambia and South Africa
title_sort work and home productivity of people living with hiv in zambia and south africa
topic Epidemiology and Social
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6467557/
https://www.ncbi.nlm.nih.gov/pubmed/30946160
http://dx.doi.org/10.1097/QAD.0000000000002160
work_keys_str_mv AT thomasranjeeta workandhomeproductivityofpeoplelivingwithhivinzambiaandsouthafrica
AT friebelrocco workandhomeproductivityofpeoplelivingwithhivinzambiaandsouthafrica
AT barkerkerrie workandhomeproductivityofpeoplelivingwithhivinzambiaandsouthafrica
AT mwengelawrence workandhomeproductivityofpeoplelivingwithhivinzambiaandsouthafrica
AT kanemasarah workandhomeproductivityofpeoplelivingwithhivinzambiaandsouthafrica
AT vanqanosivuyile workandhomeproductivityofpeoplelivingwithhivinzambiaandsouthafrica
AT harperabigail workandhomeproductivityofpeoplelivingwithhivinzambiaandsouthafrica
AT bellmandlanomtha workandhomeproductivityofpeoplelivingwithhivinzambiaandsouthafrica
AT smithpeterc workandhomeproductivityofpeoplelivingwithhivinzambiaandsouthafrica
AT floydsian workandhomeproductivityofpeoplelivingwithhivinzambiaandsouthafrica
AT bockpeter workandhomeproductivityofpeoplelivingwithhivinzambiaandsouthafrica
AT ayleshelen workandhomeproductivityofpeoplelivingwithhivinzambiaandsouthafrica
AT fidlersarah workandhomeproductivityofpeoplelivingwithhivinzambiaandsouthafrica
AT hayesrichard workandhomeproductivityofpeoplelivingwithhivinzambiaandsouthafrica
AT hauckkatharina workandhomeproductivityofpeoplelivingwithhivinzambiaandsouthafrica