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...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2019
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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 |
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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 |
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