QAD/21s301; Total nos of Pages: 7;
The epidemiology of HIV in South African
Mark Colvina, Cathy Connollyband Lorna Maduraic
Objective: To determine the prevalence and distribution of HIV in South African
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.
Outcome measures: The primary outcome was HIV prevalence.
Results: The crude HIV prevalence among the 32015 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.
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.
? 2007 Lippincott Williams & Wilkins
AIDS 2007, 21 (suppl 0):S1–S7
Over the past decade, employers in the private and public
sectors of South Africa have been increasingly concerned
about the impact that the HIV epidemic may have on
their operations. The potential impacts of HIV-related
mortality and morbidity include decreased productivity,
rising production costs and a higher employee turnover.
At the same time, employers have been under increasing
pressure to respond to the epidemic by providing
prevention and treatment services.
In order to determine the extent of the impacts and to
plan for the future, many organizations have undertaken
HIV prevalence studies on their workforces. Obtaining
data on the epidemiology of HIVallows an organization
to conduct human resource and cost-impact planning,
enables it to anticipate treatment and support require-
ments, facilitates the implementation of prevention
measures, and allows the impact of workplace HIV
interventions to be monitored over time.
As a result of concerns regarding the confidentiality of
company information and potentially negative publicity,
however, most research in this field is not published.
of HIV in South African workplaces by combining
datasets from studies conducted in 22 workplaces, and to
compare and contrast workplace data with data obtained
from other surveys.
Since 1997 the authors and colleagues have conducted
HIV prevalence surveys in a variety of private sector
companies and government institutions across all nine
provinces of South Africa. Each survey is individually
commissioned by the management of the organization
and therefore the researchers have no control over the
selection of organizations.
From theaCentre for AIDS Development, Research and Evaluation (CADRE), Durban, South Africa, thebSouth African Medical
Research Council (MRC), Durban, South Africa, and thecGlobal Laboratories, Durban, South Africa.
Correspondence to Mark Colvin, CADRE, Private Bag X07, Dalbridge 4014, South Africa. No reprints available from the authors.
Received: ????; revised: ?? ??; accepted: ????.
ISSN 0269-9370 Q 2007 Lippincott Williams & Wilkins
Manuscript No. 21s301
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