Le SIDA au Ghana (serveur d'exploration)

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Coming home to die? The association between migration and mortality in rural South Africa.

Identifieur interne : 000567 ( PubMed/Checkpoint ); précédent : 000566; suivant : 000568

Coming home to die? The association between migration and mortality in rural South Africa.

Auteurs : Paul Welaga [Ghana] ; Victoria Hosegood ; Renay Weiner ; Caterina Hill ; Kobus Herbst ; Marie-Louise Newell

Source :

RBID : pubmed:19538717

Descripteurs français

English descriptors

Abstract

Studies on migration often ignore the health and social impact of migrants returning to their rural communities. Several studies have shown migrants to be particularly susceptible to HIV infection. This paper investigates whether migrants to rural households have a higher risk of dying, especially from HIV, than non-migrants.

DOI: 10.1186/1471-2458-9-193
PubMed: 19538717


Affiliations:


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pubmed:19538717

Le document en format XML

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<nlm:affiliation>Navrongo Health Research Centre, Navrongo, Ghana. wepaulus@hotmail.com</nlm:affiliation>
<country xml:lang="fr">Ghana</country>
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<name sortKey="Hosegood, Victoria" sort="Hosegood, Victoria" uniqKey="Hosegood V" first="Victoria" last="Hosegood">Victoria Hosegood</name>
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<name sortKey="Weiner, Renay" sort="Weiner, Renay" uniqKey="Weiner R" first="Renay" last="Weiner">Renay Weiner</name>
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<name sortKey="Hill, Caterina" sort="Hill, Caterina" uniqKey="Hill C" first="Caterina" last="Hill">Caterina Hill</name>
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<term>Acquired Immunodeficiency Syndrome (mortality)</term>
<term>Adolescent</term>
<term>Adult</term>
<term>Cause of Death</term>
<term>Confidence Intervals</term>
<term>Emigration and Immigration (statistics & numerical data)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mortality</term>
<term>Proportional Hazards Models</term>
<term>Rural Population (statistics & numerical data)</term>
<term>South Africa (epidemiology)</term>
<term>Survival Analysis</term>
<term>Young Adult</term>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Cause de décès</term>
<term>Femelle</term>
<term>Humains</term>
<term>Intervalles de confiance</term>
<term>Jeune adulte</term>
<term>Modèles de hasards proportionnels</term>
<term>Mortalité</term>
<term>Mâle</term>
<term>Population rurale ()</term>
<term>République d'Afrique du Sud (épidémiologie)</term>
<term>Syndrome d'immunodéficience acquise (mortalité)</term>
<term>Émigration et immigration ()</term>
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<term>South Africa</term>
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<term>Acquired Immunodeficiency Syndrome</term>
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<term>Syndrome d'immunodéficience acquise</term>
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<term>Emigration and Immigration</term>
<term>Rural Population</term>
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<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>République d'Afrique du Sud</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Adolescent</term>
<term>Adult</term>
<term>Cause of Death</term>
<term>Confidence Intervals</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Mortality</term>
<term>Proportional Hazards Models</term>
<term>Survival Analysis</term>
<term>Young Adult</term>
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<term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Cause de décès</term>
<term>Femelle</term>
<term>Humains</term>
<term>Intervalles de confiance</term>
<term>Jeune adulte</term>
<term>Modèles de hasards proportionnels</term>
<term>Mortalité</term>
<term>Mâle</term>
<term>Population rurale</term>
<term>Émigration et immigration</term>
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<div type="abstract" xml:lang="en">Studies on migration often ignore the health and social impact of migrants returning to their rural communities. Several studies have shown migrants to be particularly susceptible to HIV infection. This paper investigates whether migrants to rural households have a higher risk of dying, especially from HIV, than non-migrants.</div>
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<DateCreated>
<Year>2009</Year>
<Month>07</Month>
<Day>08</Day>
</DateCreated>
<DateCompleted>
<Year>2009</Year>
<Month>09</Month>
<Day>28</Day>
</DateCompleted>
<DateRevised>
<Year>2016</Year>
<Month>10</Month>
<Day>19</Day>
</DateRevised>
<Article PubModel="Electronic">
<Journal>
<ISSN IssnType="Electronic">1471-2458</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>9</Volume>
<PubDate>
<Year>2009</Year>
<Month>Jun</Month>
<Day>18</Day>
</PubDate>
</JournalIssue>
<Title>BMC public health</Title>
<ISOAbbreviation>BMC Public Health</ISOAbbreviation>
</Journal>
<ArticleTitle>Coming home to die? The association between migration and mortality in rural South Africa.</ArticleTitle>
<Pagination>
<MedlinePgn>193</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1186/1471-2458-9-193</ELocationID>
<Abstract>
<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Studies on migration often ignore the health and social impact of migrants returning to their rural communities. Several studies have shown migrants to be particularly susceptible to HIV infection. This paper investigates whether migrants to rural households have a higher risk of dying, especially from HIV, than non-migrants.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Using data from a large and ongoing Demographic Surveillance System, 41,517 adults, enumerated in bi-annual rounds between 2001 and 2005, and aged 18 to 60 years were categorized into four groups: external in-migrants, internal migrants, out-migrants and residents. The risk of dying by migration status was quantified by Cox proportional hazard regression. In a sub-group analysis of 1212 deaths which occurred in 2000 - 2001 and for which cause of death information was available, the relationship between migration status and dying from AIDS was examined in logistic regression.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In all, 618 deaths were recorded among 7,867 external in-migrants, 255 among 4,403 internal migrants, 310 among 11,476 out-migrants and 1900 deaths were registered among 17,771 residents. External in-migrants were 28% more likely to die than residents [adjusted Hazard Ratio (aHR) = 1.28, P < 0.001, 95% Confidence Interval (CI) (1.16, 1.41)]. In the sub-group analysis, the odds of dying from AIDS was 1.79 [adjusted Odd ratio (aOR) = 1.79, P = 0.009, 95% CI (1.15, 2.78)] for external in-migrants compared to residents; there was no statistically significant difference in AIDS mortality between residents and out-migrants, [aOR = 1.25, P = 0.533, 95% CI (0.62-2.53)]. Independently, females were more likely to die from AIDS than males [aOR = 2.35, P < 0.001, 95% CI (1.79, 3.08)].</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">External in-migrants have a higher risk of dying, especially from HIV related causes, than residents, and in areas with substantial migration this needs to be taken into account in evaluating mortality statistics and planning health care services.</AbstractText>
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<LastName>Welaga</LastName>
<ForeName>Paul</ForeName>
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<Affiliation>Navrongo Health Research Centre, Navrongo, Ghana. wepaulus@hotmail.com</Affiliation>
</AffiliationInfo>
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<LastName>Hosegood</LastName>
<ForeName>Victoria</ForeName>
<Initials>V</Initials>
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<LastName>Weiner</LastName>
<ForeName>Renay</ForeName>
<Initials>R</Initials>
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<LastName>Hill</LastName>
<ForeName>Caterina</ForeName>
<Initials>C</Initials>
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<LastName>Herbst</LastName>
<ForeName>Kobus</ForeName>
<Initials>K</Initials>
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<LastName>Newell</LastName>
<ForeName>Marie-Louise</ForeName>
<Initials>ML</Initials>
</Author>
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<Language>eng</Language>
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<Grant>
<GrantID>GR065377MA</GrantID>
<Agency>Wellcome Trust</Agency>
<Country>United Kingdom</Country>
</Grant>
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<CommentsCorrectionsList>
<CommentsCorrections RefType="Cites">
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<PMID Version="1">11089628</PMID>
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<RefSource>Int J Epidemiol. 2008 Oct;37(5):956-62</RefSource>
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<RefSource>AIDS. 1992 Dec;6(12):1535-9</RefSource>
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<PMID Version="1">11123832</PMID>
</CommentsCorrections>
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