Social grants for people living with HIV and on antiretroviral therapy in KwaZulu-Natal, South Africa
A Longitudinal Study
Bibliographic Data
| ID | 2177641 |
|---|---|
| Authors | Karl Peltzer (0000-0002-5980-0876, Human Sciences Research Council, corresponding author) |
| Year | 2012 |
| Volume | 9 |
| Issue | 1 |
| Pages | 6-14 |
| Publication date | 2012-03-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | SAHARA-J Journal of Social Aspects of HIV/AIDS (JOURNAL) |
| Journal identifiers | ISSN: 1729-0376 • E-ISSN: 1813-4424 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/17290376.2012.665253 |
| PMID | 23237016 |
| OpenAlex | W2113412685 |
| Language | EN |
| Citations received | 2 |
| References cited | 25 |
The aim of this study was to assess the predictors of the receipt of a disability grant (DG) status and the impact of the DG on health outcomes of HIV patients and on antiretroviral therapy (ART) in a longitudinal study over 20 months in KwaZulu-Natal, South Africa. Consecutive patients, 735 (29.8% males and 70.2% females), who attended three HIV clinics completed the assessments (with a structured questionnaire and medical file review) prior to antiretroviral initiation, 519 after 6 months, 557 after 12 months and 499 after 20 months on ART. The results indicate that a large number of HIV or ART patients were found to be in receipt of a DG, which declined significantly over the time of being on ART (from 52.3% at 6 months on ART to 9.8% at 20 months on ART). At various stages, being in receipt of a DG was found to be associated with not being employed, higher quality of life (QoL), older age, higher alcohol use score, no formal salary as household income and higher subjective health status in multivariable analyses. A significant number of patients lost their DG status over the assessment period, which was not found to be associated with major health outcomes (CD4 cell counts, adherence to ART and HIV symptoms). In a multiple regression generalized estimating equation model, not being in receipt of a DG, health-related QoL, lower HIV symptoms and lower depression scores were associated with CD4 counts. HIV patients who no longer qualify for the DG and yet do not have adequate financial means to meet basic necessities should be put on a nutritional support programme
Antiretroviral therapy · Family medicine · Generalized estimating equation · Longitudinal study · Receipt · Viral load · Demography · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine · Nursing · Poverty, Education, and Child Welfare · Gerontology
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| Citations per year | 0.29 |
|---|---|
| Citation span | 2019 - 2023 (5) |
| Highly cited | No |