Le SIDA en Afrique subsaharienne (serveur d'exploration)

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<title xml:lang="en">The impact of pensions on health and wellbeing in rural South Africa: Does gender matter?</title>
<author>
<name sortKey="Schatz, Enid" sort="Schatz, Enid" uniqKey="Schatz E" first="Enid" last="Schatz">Enid Schatz</name>
<affiliation>
<nlm:aff id="A1">School of Health Professions and Department of Women’s & Gender Studies, University of Missouri</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">MRC/Wits Rural Population Health and Health Transition Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">Institute of Behavioral Science, University of Colorado, Boulder</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="G Mez Olive, Xavier" sort="G Mez Olive, Xavier" uniqKey="G Mez Olive X" first="Xavier" last="G Mez-Olivé">Xavier G Mez-Olivé</name>
<affiliation>
<nlm:aff id="A2">MRC/Wits Rural Population Health and Health Transition Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff>
</affiliation>
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<author>
<name sortKey="Ralston, Margaret" sort="Ralston, Margaret" uniqKey="Ralston M" first="Margaret" last="Ralston">Margaret Ralston</name>
<affiliation>
<nlm:aff id="A4">Department of Sociology, University of Missouri</nlm:aff>
</affiliation>
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<name sortKey="Menken, Jane" sort="Menken, Jane" uniqKey="Menken J" first="Jane" last="Menken">Jane Menken</name>
<affiliation>
<nlm:aff id="A2">MRC/Wits Rural Population Health and Health Transition Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">Institute of Behavioral Science, University of Colorado, Boulder</nlm:aff>
</affiliation>
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<name sortKey="Tollman, Stephen" sort="Tollman, Stephen" uniqKey="Tollman S" first="Stephen" last="Tollman">Stephen Tollman</name>
<affiliation>
<nlm:aff id="A2">MRC/Wits Rural Population Health and Health Transition Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">Institute of Behavioral Science, University of Colorado, Boulder</nlm:aff>
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<title xml:lang="en" level="a" type="main">The impact of pensions on health and wellbeing in rural South Africa: Does gender matter?</title>
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<name sortKey="Schatz, Enid" sort="Schatz, Enid" uniqKey="Schatz E" first="Enid" last="Schatz">Enid Schatz</name>
<affiliation>
<nlm:aff id="A1">School of Health Professions and Department of Women’s & Gender Studies, University of Missouri</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A2">MRC/Wits Rural Population Health and Health Transition Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">Institute of Behavioral Science, University of Colorado, Boulder</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="G Mez Olive, Xavier" sort="G Mez Olive, Xavier" uniqKey="G Mez Olive X" first="Xavier" last="G Mez-Olivé">Xavier G Mez-Olivé</name>
<affiliation>
<nlm:aff id="A2">MRC/Wits Rural Population Health and Health Transition Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Ralston, Margaret" sort="Ralston, Margaret" uniqKey="Ralston M" first="Margaret" last="Ralston">Margaret Ralston</name>
<affiliation>
<nlm:aff id="A4">Department of Sociology, University of Missouri</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Menken, Jane" sort="Menken, Jane" uniqKey="Menken J" first="Jane" last="Menken">Jane Menken</name>
<affiliation>
<nlm:aff id="A2">MRC/Wits Rural Population Health and Health Transition Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">Institute of Behavioral Science, University of Colorado, Boulder</nlm:aff>
</affiliation>
</author>
<author>
<name sortKey="Tollman, Stephen" sort="Tollman, Stephen" uniqKey="Tollman S" first="Stephen" last="Tollman">Stephen Tollman</name>
<affiliation>
<nlm:aff id="A2">MRC/Wits Rural Population Health and Health Transition Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</nlm:aff>
</affiliation>
<affiliation>
<nlm:aff id="A3">Institute of Behavioral Science, University of Colorado, Boulder</nlm:aff>
</affiliation>
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<title level="j">Social science & medicine (1982)</title>
<idno type="ISSN">0277-9536</idno>
<idno type="eISSN">1873-5347</idno>
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<date when="2012">2012</date>
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<p id="P2">Unique to Africa, a means-tested non-contributory pension is available to South Africans. In 2006, women over 60 and men over 65 were pension-eligible. To explore the effect of the pension for health and wellbeing indicators of rural South African men and women, we analyze data from the WHO-INDEPTH Study of Global Ageing and Adult Health Survey, carried out in the Agincourt sub-district by the MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) in 2006. Because pension receipt was not measured directly, our findings represent
<italic>intent-to-treat (ITT)</italic>
rather than
<italic>treatment-on-the-treated (TOT)</italic>
effects using age as an indicator for intent-to-treat. Overall, women report poorer wellbeing compared to men. However, women have a “honeymoon” period at ages 60–64, the first years of pension-eligibility, in which they report lower levels of worry and sadness, and higher overall happiness, life satisfaction, and quality of life as compared to younger and older women. For men, in contrast, reports of wellbeing worsen in the pre-pension years, followed by a similar but not as prominent pattern of favorable reports in the five years following pension-eligibility, and a decline in the next five-year period. Thus, while pensions continue to enhance financial wellbeing, our results suggest that their effect on social wellbeing may be gendered and transitory. Further research is needed to improve understanding of these dynamics.</p>
</div>
</front>
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<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<journal-meta>
<journal-id journal-id-type="nlm-journal-id">8303205</journal-id>
<journal-id journal-id-type="pubmed-jr-id">7517</journal-id>
<journal-id journal-id-type="nlm-ta">Soc Sci Med</journal-id>
<journal-id journal-id-type="iso-abbrev">Soc Sci Med</journal-id>
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<journal-title>Social science & medicine (1982)</journal-title>
</journal-title-group>
<issn pub-type="ppub">0277-9536</issn>
<issn pub-type="epub">1873-5347</issn>
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<article-id pub-id-type="pmid">22884944</article-id>
<article-id pub-id-type="pmc">3475956</article-id>
<article-id pub-id-type="doi">10.1016/j.socscimed.2012.07.004</article-id>
<article-id pub-id-type="manuscript">NIHMS400906</article-id>
<article-categories>
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<subject>Article</subject>
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<title-group>
<article-title>The impact of pensions on health and wellbeing in rural South Africa: Does gender matter?</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Schatz</surname>
<given-names>Enid</given-names>
</name>
<xref ref-type="aff" rid="A1">a</xref>
<xref ref-type="aff" rid="A2">b</xref>
<xref ref-type="aff" rid="A3">c</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Gómez-Olivé</surname>
<given-names>Xavier</given-names>
</name>
<xref ref-type="aff" rid="A2">b</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ralston</surname>
<given-names>Margaret</given-names>
</name>
<xref ref-type="aff" rid="A4">d</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Menken</surname>
<given-names>Jane</given-names>
</name>
<xref ref-type="aff" rid="A2">b</xref>
<xref ref-type="aff" rid="A3">c</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tollman</surname>
<given-names>Stephen</given-names>
</name>
<xref ref-type="aff" rid="A2">b</xref>
<xref ref-type="aff" rid="A3">c</xref>
</contrib>
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<aff id="A1">
<label>a</label>
School of Health Professions and Department of Women’s & Gender Studies, University of Missouri</aff>
<aff id="A2">
<label>b</label>
MRC/Wits Rural Population Health and Health Transition Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa</aff>
<aff id="A3">
<label>c</label>
Institute of Behavioral Science, University of Colorado, Boulder</aff>
<aff id="A4">
<label>d</label>
Department of Sociology, University of Missouri</aff>
<author-notes>
<corresp id="FN1">Corresponding author: Enid Schatz,
<email>schatzej@health.missouri.edu</email>
</corresp>
</author-notes>
<pub-date pub-type="nihms-submitted">
<day>23</day>
<month>9</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="epub">
<day>27</day>
<month>7</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="ppub">
<month>11</month>
<year>2012</year>
</pub-date>
<pub-date pub-type="pmc-release">
<day>01</day>
<month>11</month>
<year>2013</year>
</pub-date>
<volume>75</volume>
<issue>10</issue>
<fpage>1864</fpage>
<lpage>1873</lpage>
<permissions>
<copyright-statement>© 2012 Elsevier Ltd. All rights reserved.</copyright-statement>
<copyright-year>2012</copyright-year>
</permissions>
<abstract>
<p id="P2">Unique to Africa, a means-tested non-contributory pension is available to South Africans. In 2006, women over 60 and men over 65 were pension-eligible. To explore the effect of the pension for health and wellbeing indicators of rural South African men and women, we analyze data from the WHO-INDEPTH Study of Global Ageing and Adult Health Survey, carried out in the Agincourt sub-district by the MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) in 2006. Because pension receipt was not measured directly, our findings represent
<italic>intent-to-treat (ITT)</italic>
rather than
<italic>treatment-on-the-treated (TOT)</italic>
effects using age as an indicator for intent-to-treat. Overall, women report poorer wellbeing compared to men. However, women have a “honeymoon” period at ages 60–64, the first years of pension-eligibility, in which they report lower levels of worry and sadness, and higher overall happiness, life satisfaction, and quality of life as compared to younger and older women. For men, in contrast, reports of wellbeing worsen in the pre-pension years, followed by a similar but not as prominent pattern of favorable reports in the five years following pension-eligibility, and a decline in the next five-year period. Thus, while pensions continue to enhance financial wellbeing, our results suggest that their effect on social wellbeing may be gendered and transitory. Further research is needed to improve understanding of these dynamics.</p>
</abstract>
<kwd-group>
<kwd>South Africa</kwd>
<kwd>gender</kwd>
<kwd>pension</kwd>
<kwd>social wellbeing</kwd>
<kwd>quality of life</kwd>
<kwd>health and demographic surveillance system</kwd>
<kwd>aging</kwd>
</kwd-group>
<funding-group>
<award-group>
<funding-source country="United States">National Institute on Aging : NIA</funding-source>
<award-id>R24 AG032112 || AG</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
</pmc>
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