Le SIDA en Afrique subsaharienne (serveur d'exploration)

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<title xml:lang="en">Returning home to die: Circular labour migration and mortality in South Africa
<xref ref-type="fn" rid="FN2">1</xref>
</title>
<author>
<name sortKey="Clark, Samuel J" sort="Clark, Samuel J" uniqKey="Clark S" first="Samuel J." last="Clark">Samuel J. Clark</name>
<affiliation>
<nlm:aff id="A1">Department of Sociology, University of Washington, USA; Institute of Behavioral Science (IBS), University of Colorado at Boulder, USA, South Africa</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, University of the Witwatersrand, South Africa</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Collinson, Mark A" sort="Collinson, Mark A" uniqKey="Collinson M" first="Mark A." last="Collinson">Mark A. Collinson</name>
<affiliation>
<nlm:aff id="A2">MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, University of the Witwatersrand, South Africa</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kahn, Kathleen" sort="Kahn, Kathleen" uniqKey="Kahn K" first="Kathleen" last="Kahn">Kathleen Kahn</name>
<affiliation>
<nlm:aff id="A2">MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, University of the Witwatersrand, South Africa</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Drullinger, Kyle" sort="Drullinger, Kyle" uniqKey="Drullinger K" first="Kyle" last="Drullinger">Kyle Drullinger</name>
<affiliation>
<nlm:aff id="A3">Institute of Behavioral Science (IBS), University of Colorado at Boulder, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Tollman, Stephen M" sort="Tollman, Stephen M" uniqKey="Tollman S" first="Stephen M." last="Tollman">Stephen M. Tollman</name>
<affiliation>
<nlm:aff id="A2">MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, University of the Witwatersrand, South Africa</nlm:aff>
</affiliation>
</author>
</titleStmt>
<publicationStmt>
<idno type="wicri:source">PMC</idno>
<idno type="pmid">17676501</idno>
<idno type="pmc">2825805</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2825805</idno>
<idno type="RBID">PMC:2825805</idno>
<idno type="doi">10.1080/14034950701355619</idno>
<date when="2007">2007</date>
<idno type="wicri:Area/Pmc/Corpus">001885</idno>
<idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001885</idno>
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<title xml:lang="en" level="a" type="main">Returning home to die: Circular labour migration and mortality in South Africa
<xref ref-type="fn" rid="FN2">1</xref>
</title>
<author>
<name sortKey="Clark, Samuel J" sort="Clark, Samuel J" uniqKey="Clark S" first="Samuel J." last="Clark">Samuel J. Clark</name>
<affiliation>
<nlm:aff id="A1">Department of Sociology, University of Washington, USA; Institute of Behavioral Science (IBS), University of Colorado at Boulder, USA, South Africa</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, University of the Witwatersrand, South Africa</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Collinson, Mark A" sort="Collinson, Mark A" uniqKey="Collinson M" first="Mark A." last="Collinson">Mark A. Collinson</name>
<affiliation>
<nlm:aff id="A2">MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, University of the Witwatersrand, South Africa</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Kahn, Kathleen" sort="Kahn, Kathleen" uniqKey="Kahn K" first="Kathleen" last="Kahn">Kathleen Kahn</name>
<affiliation>
<nlm:aff id="A2">MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, University of the Witwatersrand, South Africa</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Drullinger, Kyle" sort="Drullinger, Kyle" uniqKey="Drullinger K" first="Kyle" last="Drullinger">Kyle Drullinger</name>
<affiliation>
<nlm:aff id="A3">Institute of Behavioral Science (IBS), University of Colorado at Boulder, USA</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Tollman, Stephen M" sort="Tollman, Stephen M" uniqKey="Tollman S" first="Stephen M." last="Tollman">Stephen M. Tollman</name>
<affiliation>
<nlm:aff id="A2">MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, University of the Witwatersrand, South Africa</nlm:aff>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Scandinavian journal of public health. Supplement</title>
<idno type="ISSN">1403-4956</idno>
<imprint>
<date when="2007">2007</date>
</imprint>
</series>
</biblStruct>
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</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Aim:</title>
<p id="P1">To examine the hypothesis that circular labour migrants who become seriously ill while living away from home return to their rural homes to convalesce and possibly to die.</p>
</sec>
<sec id="S2">
<title>Methods:</title>
<p id="P2">Drawing on longitudinal data collected by the Agincourt health and demographic surveillance system in rural northeastern South Africa between 1995 and 2004, discrete time event history analysis is used to estimate the likelihood of dying for residents, short-term returning migrants, and long-term returning migrants controlling for sex, age, and historical period.</p>
</sec>
<sec id="S3">
<title>Results:</title>
<p id="P3">The annual odds of dying for short-term returning migrants are generally 1.1 to 1.9 times (depending on period, sex, and age) higher than those of residents and long-term returning migrants, and these differences are generally highly statistically significant. Further supporting the hypothesis is the fact that the proportion of HIV/TB deaths among short-term returning migrants increases dramatically as time progresses, and short-term returning migrants account for an increasing proportion of all HIV/TB deaths.</p>
</sec>
<sec id="S4">
<title>Conclusions:</title>
<p id="P4">This evidence strongly suggests that increasing numbers of circular labour migrants of prime working age are becoming ill in the urban areas where they work and coming home to be cared for and eventually to die in the rural areas where their families live. This shifts the burden of caring for them in their terminal illness to their families and the rural healthcare system with significant consequences for the distribution and allocation of health care resources.</p>
</sec>
</div>
</front>
</TEI>
<pmc article-type="research-article">
<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<pmc-dir>properties manuscript</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-journal-id">100883504</journal-id>
<journal-id journal-id-type="pubmed-jr-id">22249</journal-id>
<journal-id journal-id-type="nlm-ta">Scand J Public Health Suppl</journal-id>
<journal-id journal-id-type="iso-abbrev">Scand J Public Health Suppl</journal-id>
<journal-title-group>
<journal-title>Scandinavian journal of public health. Supplement</journal-title>
</journal-title-group>
<issn pub-type="ppub">1403-4956</issn>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">17676501</article-id>
<article-id pub-id-type="pmc">2825805</article-id>
<article-id pub-id-type="doi">10.1080/14034950701355619</article-id>
<article-id pub-id-type="manuscript">UKMS28804</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Returning home to die: Circular labour migration and mortality in South Africa
<xref ref-type="fn" rid="FN2">1</xref>
</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>CLARK</surname>
<given-names>SAMUEL J.</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>COLLINSON</surname>
<given-names>MARK A.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>KAHN</surname>
<given-names>KATHLEEN</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>DRULLINGER</surname>
<given-names>KYLE</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>TOLLMAN</surname>
<given-names>STEPHEN M.</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>
</contrib-group>
<aff id="A1">
<label>1</label>
Department of Sociology, University of Washington, USA; Institute of Behavioral Science (IBS), University of Colorado at Boulder, USA, South Africa</aff>
<aff id="A2">
<label>2</label>
MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, University of the Witwatersrand, South Africa</aff>
<aff id="A3">
<label>3</label>
Institute of Behavioral Science (IBS), University of Colorado at Boulder, USA</aff>
<author-notes>
<corresp id="CR1">Correspondence: Samuel J. Clark, Department of Sociology, University of Washington, USA.
<email>samclark@u.washington.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>17</day>
<month>2</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="ppub">
<month>8</month>
<year>2007</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>22</day>
<month>2</month>
<year>2010</year>
</pub-date>
<volume>69</volume>
<fpage>35</fpage>
<lpage>44</lpage>
<permissions>
<copyright-statement>© 2007 Taylor & Francis</copyright-statement>
<copyright-year>2007</copyright-year>
</permissions>
<abstract>
<sec id="S1">
<title>Aim:</title>
<p id="P1">To examine the hypothesis that circular labour migrants who become seriously ill while living away from home return to their rural homes to convalesce and possibly to die.</p>
</sec>
<sec id="S2">
<title>Methods:</title>
<p id="P2">Drawing on longitudinal data collected by the Agincourt health and demographic surveillance system in rural northeastern South Africa between 1995 and 2004, discrete time event history analysis is used to estimate the likelihood of dying for residents, short-term returning migrants, and long-term returning migrants controlling for sex, age, and historical period.</p>
</sec>
<sec id="S3">
<title>Results:</title>
<p id="P3">The annual odds of dying for short-term returning migrants are generally 1.1 to 1.9 times (depending on period, sex, and age) higher than those of residents and long-term returning migrants, and these differences are generally highly statistically significant. Further supporting the hypothesis is the fact that the proportion of HIV/TB deaths among short-term returning migrants increases dramatically as time progresses, and short-term returning migrants account for an increasing proportion of all HIV/TB deaths.</p>
</sec>
<sec id="S4">
<title>Conclusions:</title>
<p id="P4">This evidence strongly suggests that increasing numbers of circular labour migrants of prime working age are becoming ill in the urban areas where they work and coming home to be cared for and eventually to die in the rural areas where their families live. This shifts the burden of caring for them in their terminal illness to their families and the rural healthcare system with significant consequences for the distribution and allocation of health care resources.</p>
</sec>
</abstract>
<kwd-group>
<kwd>Agincourt</kwd>
<kwd>AIDS</kwd>
<kwd>HIV</kwd>
<kwd>labour</kwd>
<kwd>migration</kwd>
<kwd>mortality</kwd>
<kwd>South Africa</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source country="United Kingdom">Wellcome Trust : </funding-source>
<award-id>069683 || WT</award-id>
</award-group>
<award-group>
<funding-source country="United Kingdom">Wellcome Trust : </funding-source>
<award-id>058893/Z/99/A || WT</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
</record>

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