Social patterns and differentials in the fertility transition in the context of HIV/AIDS: evidence from population surveillance, rural South Africa, 1993 - 2013.
Identifieur interne : 000418 ( PubMed/Corpus ); précédent : 000417; suivant : 000419Social patterns and differentials in the fertility transition in the context of HIV/AIDS: evidence from population surveillance, rural South Africa, 1993 - 2013.
Auteurs : Brian Houle ; Athena Pantazis ; Chodziwadziwa Kabudula ; Stephen Tollman ; Samuel J. ClarkSource :
- Population health metrics [ 1478-7954 ] ; 2016.
Abstract
Literature is limited on the effects of high prevalence HIV on fertility in the absence of treatment, and the effects of the introduction of sustained access to antiretroviral therapy (ART) on fertility. We summarize fertility patterns in rural northeast South Africa over 21 years during dynamic social and epidemiological change.
DOI: 10.1186/s12963-016-0079-z
PubMed: 27019642
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pubmed:27019642Le document en format XML
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<author><name sortKey="Kabudula, Chodziwadziwa" sort="Kabudula, Chodziwadziwa" uniqKey="Kabudula C" first="Chodziwadziwa" last="Kabudula">Chodziwadziwa Kabudula</name>
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<front><div type="abstract" xml:lang="en">Literature is limited on the effects of high prevalence HIV on fertility in the absence of treatment, and the effects of the introduction of sustained access to antiretroviral therapy (ART) on fertility. We summarize fertility patterns in rural northeast South Africa over 21 years during dynamic social and epidemiological change.</div>
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<ArticleTitle>Social patterns and differentials in the fertility transition in the context of HIV/AIDS: evidence from population surveillance, rural South Africa, 1993 - 2013.</ArticleTitle>
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<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Literature is limited on the effects of high prevalence HIV on fertility in the absence of treatment, and the effects of the introduction of sustained access to antiretroviral therapy (ART) on fertility. We summarize fertility patterns in rural northeast South Africa over 21 years during dynamic social and epidemiological change.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We use data for females aged 15-49 from the Agincourt health and socio-demographic surveillance system (1993-2013). We use discrete time event history analysis to summarize patterns in the probability of any birth.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Overall fertility declined in 2001-2003, increased in 2004-2011, and then declined in 2012-2013. South Africans showed a similar pattern. Mozambicans showed a different pattern, with strong declines prior to 2003 before stalling during 2004-2007, and then continued fertility decline afterwards. There was an inverse gradient between fertility levels and household socioeconomic status. The gradient did not vary by time or nationality.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">The fertility transition in rural South Africa shows a pattern of decline until the height of the HIV/AIDS pandemic, with a resulting stall until further decline in the context of ART rollout. Fertility patterns are not homogenous among groups.</AbstractText>
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