Determinants of excellent/good self-rated health among HIV positive individuals in South Africa: evidence from a 2012 nationally representative household survey
Abstract 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-percei...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2018-01-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12889-018-5102-9 |
| _version_ | 1818852371887816704 |
|---|---|
| author | M. L. H. Mabaso N. P. Zungu T. Rehle S. Moyo S. Jooste K. Zuma |
| author_facet | M. L. H. Mabaso N. P. Zungu T. Rehle S. Moyo S. Jooste K. Zuma |
| author_sort | M. L. H. Mabaso |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-19T07:19:52Z |
| format | Article |
| id | doaj.art-cd33715fe88e40a194ff13bd6fd1901c |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-12-19T07:19:52Z |
| publishDate | 2018-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-cd33715fe88e40a194ff13bd6fd1901c2022-12-21T20:30:58ZengBMCBMC Public Health1471-24582018-01-011811810.1186/s12889-018-5102-9Determinants of excellent/good self-rated health among HIV positive individuals in South Africa: evidence from a 2012 nationally representative household surveyM. L. H. Mabaso0N. P. Zungu1T. Rehle2S. Moyo3S. Jooste4K. Zuma5Epidemiology and Strategic Information Unit, HIV/AIDS, STIs and TB Programme, Human Sciences Research CouncilHIV/AIDS, STIs and TB, Human Sciences Research CouncilSchool of Public Health and Family Medicine, University of Cape TownHIV/AIDS, STIs and TB, Human Sciences Research CouncilHIV/AIDS, STIs and TB, Human Sciences Research CouncilResearch Methodology and Data Center, Human Sciences Research CouncilAbstract 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.http://link.springer.com/article/10.1186/s12889-018-5102-9DeterminantsSelf-rated healthExcellent/good healthHIVSouth Africa |
| spellingShingle | M. L. H. Mabaso N. P. Zungu T. Rehle S. Moyo S. Jooste K. Zuma Determinants of excellent/good self-rated health among HIV positive individuals in South Africa: evidence from a 2012 nationally representative household survey BMC Public Health Determinants Self-rated health Excellent/good health HIV South Africa |
| title | Determinants of excellent/good self-rated health among HIV positive individuals in South Africa: evidence from a 2012 nationally representative household survey |
| title_full | Determinants of excellent/good self-rated health among HIV positive individuals in South Africa: evidence from a 2012 nationally representative household survey |
| title_fullStr | Determinants of excellent/good self-rated health among HIV positive individuals in South Africa: evidence from a 2012 nationally representative household survey |
| title_full_unstemmed | Determinants of excellent/good self-rated health among HIV positive individuals in South Africa: evidence from a 2012 nationally representative household survey |
| title_short | Determinants of excellent/good self-rated health among HIV positive individuals in South Africa: evidence from a 2012 nationally representative household survey |
| title_sort | determinants of excellent good self rated health among hiv positive individuals in south africa evidence from a 2012 nationally representative household survey |
| topic | Determinants Self-rated health Excellent/good health HIV South Africa |
| url | http://link.springer.com/article/10.1186/s12889-018-5102-9 |
| work_keys_str_mv | AT mlhmabaso determinantsofexcellentgoodselfratedhealthamonghivpositiveindividualsinsouthafricaevidencefroma2012nationallyrepresentativehouseholdsurvey AT npzungu determinantsofexcellentgoodselfratedhealthamonghivpositiveindividualsinsouthafricaevidencefroma2012nationallyrepresentativehouseholdsurvey AT trehle determinantsofexcellentgoodselfratedhealthamonghivpositiveindividualsinsouthafricaevidencefroma2012nationallyrepresentativehouseholdsurvey AT smoyo determinantsofexcellentgoodselfratedhealthamonghivpositiveindividualsinsouthafricaevidencefroma2012nationallyrepresentativehouseholdsurvey AT sjooste determinantsofexcellentgoodselfratedhealthamonghivpositiveindividualsinsouthafricaevidencefroma2012nationallyrepresentativehouseholdsurvey AT kzuma determinantsofexcellentgoodselfratedhealthamonghivpositiveindividualsinsouthafricaevidencefroma2012nationallyrepresentativehouseholdsurvey |