Social grants, welfare, and the incentive to trade-off health for income among individuals on HAART in South Africa.
Identifieur interne : 000474 ( PubMed/Curation ); précédent : 000473; suivant : 000475Social grants, welfare, and the incentive to trade-off health for income among individuals on HAART in South Africa.
Auteurs : Atheendar S. Venkataramani [États-Unis] ; Brendan Maughan-Brown ; Nicoli Nattrass ; Jennifer Prah RugerSource :
- AIDS and behavior [ 1573-3254 ] ; 2010.
Descripteurs français
- KwdFr :
- Aide médicale, Facteurs socioéconomiques, Financement organisé (), Financement organisé (économie), Humains, Infections à VIH (traitement médicamenteux), Infections à VIH (économie), Motivation, Organismes d'aide sociale (économie), République d'Afrique du Sud, Sécurité sociale (organisation et administration), Thérapie antirétrovirale hautement active, Études longitudinales.
- MESH :
- organisation et administration : Sécurité sociale.
- traitement médicamenteux : Infections à VIH.
- économie : Financement organisé, Infections à VIH, Organismes d'aide sociale.
- Aide médicale, Facteurs socioéconomiques, Financement organisé, Humains, Motivation, République d'Afrique du Sud, Thérapie antirétrovirale hautement active, Études longitudinales.
- Wicri :
- geographic : Afrique du Sud.
English descriptors
- KwdEn :
- Antiretroviral Therapy, Highly Active, Financing, Organized (economics), Financing, Organized (statistics & numerical data), HIV Infections (drug therapy), HIV Infections (economics), Humans, Longitudinal Studies, Medical Assistance, Motivation, Social Security (organization & administration), Social Welfare (economics), Socioeconomic Factors, South Africa.
- MESH :
- geographic : South Africa.
- drug therapy : HIV Infections.
- economics : Financing, Organized, HIV Infections, Social Welfare.
- organization & administration : Social Security.
- statistics & numerical data : Financing, Organized.
- Antiretroviral Therapy, Highly Active, Humans, Longitudinal Studies, Medical Assistance, Motivation, Socioeconomic Factors.
Abstract
South Africa's government disability grants are considered important in providing income support to low-income AIDS patients. Indeed, anecdotal evidence suggests that some individuals may opt to compromise their health by foregoing Highly Active Antiretroviral Treatment (HAART) to remain eligible for the grant. In this study, we examined the disability grant's importance to individual and household welfare, and the impact of its loss using a unique longitudinal dataset of HAART patients in Khayelitsha, Cape Town. We found that grant loss was associated with sizeable declines in income and changes in household composition. However, we found no evidence of individuals choosing poor health over grant loss. Our analysis also suggested that though the grants officially target those too sick to work, some people were able to keep grants longer than expected, and others received grants while employed. This has helped cushion people on HAART, but other welfare measures need consideration.
DOI: 10.1007/s10461-009-9642-y
PubMed: 20033277
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pubmed:20033277Le document en format XML
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<front><div type="abstract" xml:lang="en">South Africa's government disability grants are considered important in providing income support to low-income AIDS patients. Indeed, anecdotal evidence suggests that some individuals may opt to compromise their health by foregoing Highly Active Antiretroviral Treatment (HAART) to remain eligible for the grant. In this study, we examined the disability grant's importance to individual and household welfare, and the impact of its loss using a unique longitudinal dataset of HAART patients in Khayelitsha, Cape Town. We found that grant loss was associated with sizeable declines in income and changes in household composition. However, we found no evidence of individuals choosing poor health over grant loss. Our analysis also suggested that though the grants officially target those too sick to work, some people were able to keep grants longer than expected, and others received grants while employed. This has helped cushion people on HAART, but other welfare measures need consideration.</div>
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