Determinants of excellent/good self-rated health among HIV positive individuals in South Africa: evidence from a 2012 nationally representative household survey

Details

• Alternative Title:
  BMC Public Health
• Personal Author:
  Mabaso, M. L. H. ; Zungu, N. P. ; Rehle, T. ; Moyo, S. ; Jooste, S. ; Zuma, K.
• Description:
  Background
  
  In South Africa, HIV is increasingly becoming a chronic disease as a result of advances in HIV treatment and prevention in the last three decades. This has changed the perception from a life threating to a potentially manageable disease. However, little is known about self-perceived health status of HIV-infected individuals. Self-rated health (SRH) has been shown to be a sensitive indicator of health-relatedchanges directly linked to HIV, but can also be influenced by differences in social and material conditions. The aim of this paper was to identify determinants of excellent/good SRH among HIV-infected individuals using socio-demographic, life style and health related data.
  
  Methods
  
  The study used data from the nationally representative 2012 South African population-based household survey on HIV prevalence, incidence and behaviour conducted using multi-stage stratified cluster sampling design. Bivariate and multivariate logistic regression models were used to identify determinants of SRH among HIV-infected individuals.
  
  Results
  
  Out of a total of 2632 HIV positive participants 74.1% (95% CI: 68.4-74.2) reported excellent/good SRH. Increased likelihood of reporting excellent/good SRH was significantly associated with being Black African [OR= 1.97 (95%CI: 1.12-3.46), p = 0.019] and belonging to least poor household [OR= 3.13 (95%CI: 1.26-7.78), p = 0.014]. Decreased likelihood of reporting excellent/good SRH was significantly associated with those aged 25 to 34 years [OR= 0.49 (95% CI: 0.31-0.78), p = 0.003], 35 to 44 years[OR= 0.27 (95% CI: 0.17-0.44), p < 0.001], 45 to 54 years [OR= 0.20 (95% CI: 0.12-0.34), p < 0.001], and those 55 years and older [OR= 0.15 (95% CI: 0.09-0.26), p < 0.001], hospitalization in the past twelve months [OR= 0.40 (95% CI: 0.26-0.60), p < 0.001].
  
  Conclusion
  
  To have positive health effects and improve the perceived health status for PLWH social interventions should seek to enhance to support for the elderly HIV-positive individuals, and address the challenge of socio-economic inequalities and underlying comorbid conditions resulting in hospitalization.
  
  
• Subjects:
  Adolescent Adult Age Factors Comorbidity Diagnostic Self Evaluation Female HIV Infections Hospitalization Humans Male Middle Aged Prevalence Socioeconomic Factors Surveys And Questionnaires Young Adult

  More +
• Source:
  BMC Public Health. 18.
• DOI:
  http://dx.doi.org/10.1186/s12889-018-5102-9
• Pubmed ID:
  29378557
• Pubmed Central ID:
  PMC5789546
• Document Type:
  Journal Article
• Funding:
  5U2GGH000570/The President's Emergency Plan for AIDS Relief (PEPFAR) through the Centers for Disease Control and Prevention (CDC)/International
• Name as Subject:
  United States. President's Emergency Plan For AIDS Relief (PEPFAR)
• Place as Subject:
  South Africa
• Volume:
  18
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:94b8696746418cfb7913d29f9da7c0a6aceba336ea92c9d598de72f1bcbeb0948b69e2f9e715a6921c64b27e804e27f2f0c85e5229aced750205ee0a0c7e5af3
• Download URL:
  https://stacks.cdc.gov/view/cdc/61183/cdc_61183_DS1.pdf
• File Type:
  [PDF - 458.52 KB ]