Socioeconomic Differentials Between HIV Caregivers and Noncaregivers: Is There a Selection Effect? A Case of Older People Living in Nairobi City Slums
Identifieur interne : 001C22 ( Pmc/Corpus ); précédent : 001C21; suivant : 001C23Socioeconomic Differentials Between HIV Caregivers and Noncaregivers: Is There a Selection Effect? A Case of Older People Living in Nairobi City Slums
Auteurs : Gloria Chepngeno-Langat ; Jane Falkingham ; Nyovani J. Madise ; Maria EvandrouSource :
- Research on aging [ 0164-0275 ] ; 2010.
Abstract
This article seeks to investigate the association between caregiving to someone with an HIV-related illness and the socioeconomic status of the caregiver using a population-based survey of 1,587 older people living in Nairobi slums. Findings indicate significant differences in living arrangements, wealth, income, and expenditure between HIV caregivers and noncaregivers. HIV caregivers lived in larger households and were also more likely to live in households with a large number of children younger than the age of 15 years. Whereas a high proportion of HIV caregivers were ranked highly in terms of wealth status, differences in per capita income and expenditure were not significant when household size and other confounders were accounted for. The financial costs associated with caring for someone with a chronic illness and the reliance on family members with financial ability for material support, a common feature of African extended family systems, may account for the relative economic advantage of HIV caregivers.
Url:
DOI: 10.1177/0164027509348116
PubMed: 21552461
PubMed Central: 3087240
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<pmc-dir>properties manuscript</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-journal-id">7908221</journal-id><journal-id journal-id-type="pubmed-jr-id">6911</journal-id><journal-id journal-id-type="nlm-ta">Res Aging</journal-id><journal-id journal-id-type="iso-abbrev">Res Aging</journal-id><journal-title-group><journal-title>Research on aging</journal-title></journal-title-group><issn pub-type="ppub">0164-0275</issn></journal-meta><article-meta><article-id pub-id-type="pmid">21552461</article-id><article-id pub-id-type="pmc">3087240</article-id><article-id pub-id-type="doi">10.1177/0164027509348116</article-id><article-id pub-id-type="manuscript">UKMS35307</article-id><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Socioeconomic Differentials Between HIV Caregivers and Noncaregivers: Is There a Selection Effect? A Case of Older People Living in Nairobi City Slums</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Chepngeno-Langat</surname><given-names>Gloria</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Falkingham</surname><given-names>Jane</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Madise</surname><given-names>Nyovani J.</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Evandrou</surname><given-names>Maria</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib></contrib-group><aff id="A1"><label>1</label>University of Southampton, Southampton, UNITED KINGDOM</aff><author-notes><corresp id="CR1"><bold>Corresponding Author:</bold> Gloria Chepngeno-Langat, Centre for Research on Ageing, University of Southampton, Murray Building (58), Highfield, Southampton, SO17 1BJ, UNITED KINGDOM, E-mail: <email>tete@soton.ac.uk</email></corresp><fn id="FN1"><p id="P1"><bold>Authors’ Note</bold> This research is part of the Urbanization, Poverty and Health Dynamics Program (UPHD) in sub–Saharan Africa.</p></fn></author-notes><pub-date pub-type="nihms-submitted"><day>27</day><month>4</month><year>2011</year></pub-date><pub-date pub-type="ppub"><month>1</month><year>2010</year></pub-date><pub-date pub-type="pmc-release"><day>04</day><month>5</month><year>2011</year></pub-date><volume>32</volume><issue>1</issue><fpage>67</fpage><lpage>96</lpage><permissions><copyright-statement>© The Author(s) 2010</copyright-statement><copyright-year>2010</copyright-year></permissions><self-uri xlink:href="http://sproa.highwire.org/content/32/1/67.full.pdf+html"></self-uri><abstract><p id="P3">This article seeks to investigate the association between caregiving to someone with an HIV-related illness and the socioeconomic status of the caregiver using a population-based survey of 1,587 older people living in Nairobi slums. Findings indicate significant differences in living arrangements, wealth, income, and expenditure between HIV caregivers and noncaregivers. HIV caregivers lived in larger households and were also more likely to live in households with a large number of children younger than the age of 15 years. Whereas a high proportion of HIV caregivers were ranked highly in terms of wealth status, differences in per capita income and expenditure were not significant when household size and other confounders were accounted for. The financial costs associated with caring for someone with a chronic illness and the reliance on family members with financial ability for material support, a common feature of African extended family systems, may account for the relative economic advantage of HIV caregivers.</p></abstract><kwd-group><kwd>HIV/AIDS</kwd><kwd>caregiving</kwd><kwd>older people</kwd><kwd>sub–Saharan Africa</kwd><kwd>urbanization</kwd><kwd>economic well-being</kwd></kwd-group><funding-group><award-group><funding-source country="United Kingdom">Wellcome Trust : </funding-source><award-id>078530 || WT</award-id></award-group></funding-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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