scholarly journals The impact of adult mortality on the living arrangements of older people in rural South Africa

2005 ◽  
Vol 25 (6) ◽  
pp. 431-444 ◽  
Author(s):  
VICTORIA HOSEGOOD ◽  
IAN M. TIMÆUS
Keyword(s):  
South Africa ◽  
Older People ◽  
Living Arrangements ◽  
Adult Mortality ◽  
Living Alone ◽  
Rural South ◽  
Kwazulu Natal ◽  
The Impact ◽  
Quality Infrastructure ◽  
Rural South Africa

This paper examines changes in households with older people in a northern rural area of KwaZulu Natal province, South Africa, between January 2000 and January 2002. The focus is the impact of adult deaths, especially those from AIDS, on the living arrangements of older people. The longitudinal data are from the Africa Centre Demographic Information System. In 2000, 3,657 older people (women aged 60 years or older, men 65 years or older) were resident in the area, and 3,124 households had at least one older member. The majority (87%) of older people lived in three-generation households. Households with older people were significantly poorer, more likely to be headed by a woman, and in homesteads with poorer quality infrastructure than households without older members. By January 2002, 316 (8%) of the older people in the sample had died. Of all the households with an older person, 12 per cent experienced at least one adult death from AIDS. The paper shows that older people, particularly those living alone or with children in the absence of other adults, were living in the poorest households. They were also coping with an increasing burden of young adult deaths, the majority of which were attributable to AIDS.

scholarly journals Linkage to primary care after home-based blood pressure screening in rural KwaZulu-Natal, South Africa: a population-based cohort study

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e023369 ◽  
Author(s):  
Mark J Siedner ◽  
Kathy Baisley ◽  
Joanna Orne-Gliemann ◽  
Deenan Pillay ◽  
Olivier Koole ◽  
...  
Keyword(s):  
South Africa ◽  
Blood Pressure ◽  
Linkage To Care ◽  
Sampling Weights ◽  
Rural South ◽  
Home Based ◽  
Kwazulu Natal ◽  
Blood Pressure Screening ◽  
The Impact ◽  
Rural South Africa

ObjectivesThe expanding burden of non-communicable diseases (NCDs) globally will require novel public health strategies. Community-based screening has been promoted to augment efficiency of diagnostic services, but few data are available on the downstream impact of such programmes. We sought to assess the impact of a home-based blood pressure screening programme on linkage to hypertension care in rural South Africa.SettingWe conducted home-based blood pressure screening withinin a population cohort in rural KwaZulu-Natal, using the WHO Stepwise Approach to Surveillance (STEPS) protocol.ParticipantsIndividuals meeting criteria for raised blood pressure (≥140 systolic or ≥90 diastolic averaged over two readings) were referred to local health clinics and included in this analysis. We defined linkage to care based on self-report of presentation to clinic for hypertension during the next 2 years of cohort observation. We estimated the population proportion of successful linkage to care with inverse probability sampling weights, and fit multivariable logistic regression models to identify predictors of linkage following a positive hypertension screen.ResultsOf 11 694 individuals screened, 14.6% (n=1706) were newly diagnosed with elevated pressure. 26.9% (95% CI 24.5% to 29.4%) of those sought hypertension care in the following 2 years, and 38.1% (95% CI 35.6% to 40.7%) did so within 5 years. Women (adjusted OR (aOR) 2.41, 95% CI 1.68 to 3.45), those of older age (aOR 11.49, 95% CI 5.87 to 22.46, for 45–59 years vs <30) and those unemployed (aOR 1.71, 95% CI 1.10 to 2.65) were more likely to have linked to care.ConclusionsLinkage to care after home-based identification of elevated blood pressure was rare in rural South Africa, particularly among younger individuals, men and the employed. Improved understanding of barriers and facilitators to NCD care is needed to enhance the effectiveness of blood pressure screening in the region.

The impact of adult mortality on household dissolution and migration in rural South Africa

AIDS ◽  
2004 ◽  
Vol 18 (11) ◽  
pp. 1585-1590 ◽  
Author(s):  
Victoria Hosegood ◽  
Nuala McGrath ◽  
Kobus Herbst ◽  
Ian M Timæus
Keyword(s):  
South Africa ◽  
Adult Mortality ◽  
Rural South ◽  
And Migration ◽  
The Impact ◽  
Rural South Africa

scholarly journals Gendered Perceptions of Sexual Behaviour in Rural South Africa

2011 ◽  
Vol 2011 ◽  
pp. 1-9 ◽  
Author(s):  
C. Ndinda ◽  
U. O. Uzodike ◽  
C. Chimbwete ◽  
M. T. M. Mgeyane
Keyword(s):  
South Africa ◽  
Sexual Behaviour ◽  
Rural Areas ◽  
Cultural Practices ◽  
Group Discussions ◽  
Rural South ◽  
Rural People ◽  
Kwazulu Natal ◽  
Shed Light ◽  
Rural South Africa

This paper discusses sexual behaviour findings collected through eleven homogenous focus group discussions conducted among women and men in a predominantly Zulu population in rural KwaZulu-Natal, South Africa. The objective of this paper is to shed light on sexual behaviour in a rural community. The findings suggest that sex is a taboo subject and the discussion around it is concealed in the use of polite language, euphemisms, and gestures. There are gender and generational dimensions to the discussion of sex. The contribution of this paper lies in the identification of what rural people discuss about sex and the influence of cultural practices and urban or global forces on sexual behaviour in rural areas. The paper adds to the growing body of literature on the use of focus groups in understanding sexual behaviour in rural contexts.

scholarly journals Levels and Correlates of Physical Activity in Rural Ingwavuma Community, uMkhanyakude District, KwaZulu-Natal, South Africa

2020 ◽  
Vol 17 (18) ◽  
pp. 6739
Author(s):  
Herbert Chikafu ◽  
Moses J. Chimbari
Keyword(s):  
Physical Activity ◽  
South Africa ◽  
Cardiovascular Disease ◽  
Vulnerable Groups ◽  
Health Awareness ◽  
Skeletal Health ◽  
Rural South ◽  
Kwazulu Natal ◽  
Sport And Recreation ◽  
Rural South Africa

Physical activity, among others, confers cardiovascular, mental, and skeletal health benefits to people of all age-groups and health states. It reduces the risks associated with cardiovascular disease and therefore, could be useful in rural South Africa where cardiovascular disease (CVD) burden is increasing. The objective of this study was to examine levels and correlates of physical activity among adults in the Ingwavuma community in KwaZulu-Natal (KZN). Self-reported data on physical activity from 392 consenting adults (female, n = 265; male, n = 127) was used. We used the one-sample t-test to assess the level of physical activity and a two-level multiple linear regression to investigate the relationship between total physical activity (TPA) and independent predictors. The weekly number of minutes spent on all physical activities by members of the Ingwavuma community was 912.2; standard deviation (SD) (870.5), with males having 37% higher physical activity (1210.6 min, SD = 994.2) than females (769.2, SD = 766.3). Livelihood activities constituted 65% of TPA, and sport and recreation contributed 10%. Participants without formal education (20%), those underweight (27%), and the obese (16%) had low physical activity. Notwithstanding this, in general, the Ingwavuma community significantly exceeded the recommended weekly time on physical activity with a mean difference of 762.1 (675.8–848.6) minutes, t (391) = 17.335, p < 0.001. Gender and age were significant predictors of TPA in level 1 of the multiple regression. Males were significantly more active than females by 455.4 min (β = −0.25, p < 0.001) and participants of at least 60 years were significantly less active than 18–29-year-olds by 276.2 min (β = −0.12, p < 0.05). Gender, marital status, and health awareness were significant predictors in the full model that included education level, employment status, body mass index (BMI), and physical activity related to health awareness as predictors. The high prevalence of insufficient physical activity in some vulnerable groups, notably the elderly and obese, and the general poor participation in sport and recreation activities are worrisome. Hence we recommend health education interventions to increase awareness of and reshape sociocultural constructs that hinder participation in leisure activities. It is important to promote physical activity as a preventive health intervention and complement the pharmacological treatment of CVDs in rural South Africa. Physical activity interventions for all sociodemographic groups have potential economic gains through a reduction in costs related to the treatment of chronic CVD.

scholarly journals Tourism and poverty in rural South Africa: A revisit

2020 ◽  
Vol 116 (1/2) ◽  
Author(s):  
Daan Toerien
Keyword(s):  
South Africa ◽  
South African ◽  
Poverty Reduction ◽  
Rural South ◽  
Population Sizes ◽  
Hospitality Sector ◽  
Tourism And Hospitality ◽  
The Impact ◽  
New Geography ◽  
Rural South Africa

Debates about the value of pro-poor tourism indicated a need to revisit the links between the dynamics of tourism and hospitality enterprises and community poverty in rural South African towns. The numbers of tourism and hospitality enterprises in these towns are related to population numbers by a power law with a sub-linear exponent. The residents of smaller South African towns are more dependent on the tourism and hospitality sector than are the residents of larger towns. Measurement of the enterprise dependency indices (EDIs) of these towns provides a valid measurement of their wealth/poverty states. Their EDIs are directly and negatively associated with the strength of their tourism and hospitality sectors. Communities in towns with more tourist and hospitality enterprises are overall wealthier, and vice versa. This finding contrasts with a previous view about tourism and poverty reduction in South Africa. Debates about the benefits of pro-poor tourism should include information about the impact of tourism on community wealth/poverty. The EDI is a simple, yet powerful, measure to provide poverty information. Expressing the number of tourism and hospitality enterprises per 1000 residents of towns enables comparisons of towns of different population sizes. Based on ideas of the ‘new geography of jobs’, it is clear that tourism is part of what is called the traded sector and results in inflows of external money into local economies. Tourism is a driver of prosperity and a reducer of poverty in South African towns.

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