The epidemiology of HIV in South African workplaces

Centre for AIDS Development, Research and Evaluation (CADRE), Durban, South Africa.
AIDS (Impact Factor: 5.55). 08/2007; 21 Suppl 3(Suppl 3):S13-9. DOI: 10.1097/01.aids.0000279690.69276.c9
Source: PubMed

ABSTRACT To determine the prevalence and distribution of HIV in South African workplaces.
: Cross-sectional HIV prevalence and knowledge, attitudes and practices surveys, conducted in 22 public and private sector organizations in all nine provinces of South Africa on full-time, formally employed personnel who provided consent to participate.
The primary outcome was HIV prevalence.
The crude HIV prevalence among the 32 015 participants was 10.9%. HIV prevalence was higher among men (11.3%) than among women (9.8%) and among black Africans (16.6%) than among other race groups (2.7%). Although managers and employees with post-school education had a lower HIV prevalence than lower skilled employees, this only partly accounted for the race differences.
The HIV prevalence within an organization is not entirely explained by the race, age and sex structure of the workforce. This indicates that there is some other factor that is associated with the organization and has an impact on HIV prevalence.

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    • "Several studies have demonstrated that general infection risk depends on multiple personal factors including age, gender, and marital status [17,18]. In this study, these three variables did not affect HIV risk self-perception. "
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    ABSTRACT: The study objective was to assess the current status of HIV knowledge, attitudes and behavior (KAB) among employees of Namibian ministries. As most HIV campaigning takes place in the capital of Windhoek, an additional aim was to compare Windhoek to four regions (Hardap, Erongo, Oshana, and Caprivi). Between January and March 2011 a cross-sectional survey was conducted in two Namibian ministries, with participants selected randomly from the workforce. Data collection was based on questionnaires. 832 participants were included in the study (51.6% male). Nearly 90% of participants reported to have been tested for HIV before. Knowledge about HIV transmission ranged from 67% to 95% of correct answers, with few differences between the capital and regions. However, a knowledge gap regarding HIV transmission and prevention was seen. In particular, we found significantly lower knowledge regarding transmission from mother-to-child during pregnancy and higher rate of belief in a supernatural role in HIV transmission. In addition, despite many years of HIV prevention activities, a substantial proportion of employees had well-known HIV risk factors including multiple concurrent partnership rates (21%), intergenerational sex (19%), and lower testing rates for men (82% compared to women with 91%).
    PLoS ONE 09/2013; 8(9):e75593. DOI:10.1371/journal.pone.0075593 · 3.23 Impact Factor
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    • "Therefore, comparing HIV prevalences among workforces is problematic. HIV cannot be modeled for a particular company purely on the basis of knowing the demographic structure of the workforce [Colvin et al., 2007]. However, in concluding his inaugural address on the determinants of the HIV pandemic in southern Africa— Migration, Mines and Mores—Hargrove [2008] stated that it is tempting to suggest that the high incidence of HIV infection has an underlying source: the breakdown of family structure associated with oscillating migration. "
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    ABSTRACT: Background Hundreds of thousands of men from rural areas of South Africa and neighboring countries have come to seek work in the gold mines. They are not immigrants in the usual sense as they work for periods in the mines, go home, and then return. This is termed oscillating or circular migration. Today we have serious interrelated epidemics of silicosis, tuberculosis, and HIV infection in the gold mining industry.Methods This article discusses the role of oscillating migration in fuelling these epidemics, by examining the historical, political, social, and economic contexts of these diseases.ResultsThe impact of silicosis, tuberculosis, and HIV infection extends beyond individual miners to their families and communities.Conclusion Failure to control dust and tuberculosis has resulted in serious consequences decades later. The economic and political migrant labor system provided the foundations for the epidemics seen in southern Africa today. Am. J. Ind. Med. 53:398–404, 2010. © 2009 Wiley-Liss, Inc.
    American Journal of Industrial Medicine 03/2010; 53(4):398 - 404. DOI:10.1002/ajim.20716 · 1.74 Impact Factor
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