scholarly journals Factors associated with mortality in HIV-infected people in rural and urban South Africa

2014 ◽  
Vol 7 (1) ◽  
pp. 25488 ◽  
Author(s):  
Kennedy N. Otwombe ◽  
Max Petzold ◽  
Tebogo Modisenyane ◽  
Neil A. Martinson ◽  
Tobias Chirwa
Keyword(s):  
South Africa ◽  
Infected People ◽  
Factors Associated ◽  
Rural And Urban ◽  
Urban South

The Development of a Framework to Evaluate the Management of HIV/AIDS Programmes in Rural and Urban South Africa

2010 ◽  
pp. 115-128
Author(s):  
Rochelle Sassman ◽  
Brian Lehaney ◽  
Rajeev K. Bali ◽  
Raouf N. G. Naguib ◽  
Ian M. Marshall
Keyword(s):  
South Africa ◽  
Rural And Urban ◽  
Urban South ◽  
Hiv Aids

scholarly journals Self-Reported Physical Activity in Middle-Aged and Older Adults in Rural South Africa: Levels and Correlates

2020 ◽  
Vol 17 (17) ◽  
pp. 6325
Author(s):  
Simone A. Tomaz ◽  
Justine I. Davies ◽  
Lisa K. Micklesfield ◽  
Alisha N. Wade ◽  
Kathleen Kahn ◽  
...  
Keyword(s):  
Physical Activity ◽  
South Africa ◽  
Urban Areas ◽  
Cognitive Capacity ◽  
Rural South ◽  
Factors Associated ◽  
Rural And Urban Areas ◽  
Rural And Urban ◽  
Global Physical Activity Questionnaire ◽  
Age Range

Little is known about physical activity (PA) levels and correlates in adults from rural settings in South Africa, where a rapid increase in the number of older people and marked disparities in wealth are evident, particularly between those living in rural and urban areas. This paper describes levels of self-reported PA in rural South African men and women and examines factors associated with meeting PA guidelines. Global Physical Activity Questionnaire (GPAQ) data from the Health and Aging in Africa: Longitudinal studies of INDEPTH communities (HAALSI) survey of 5059 adults aged over 40 years were assessed. Logistic regression analyses were used to assess socio-demographic, functional and cognitive capacity, and chronic disease measures associated with PA. In addition, 75.4% (n = 3421) of the participants with valid GPAQ data (n = 4538 of 5059) met the PA guidelines. Factors associated with not the meeting PA guidelines were being male, over the age of 80 years, being in a higher wealth category, obesity, and poorer functional capacity. These findings highlight worthwhile targets for future interventions to maintain or improve PA levels in this population and suggest that intervening earlier within this age range (from 40 years) may be crucial to prevent the ‘spiral of decline’ that characterizes the frailty syndrome.

scholarly journals Body composition and physical activity as mediators in the relationship between socioeconomic status and blood pressure in young South African women: a structural equation model analysis

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e023404 ◽  
Author(s):  
Richard J Munthali ◽  
Mercy Manyema ◽  
Rihlat Said-Mohamed ◽  
Juliana Kagura ◽  
Stephen Tollman ◽  
...  
Keyword(s):  
Physical Activity ◽  
South Africa ◽  
Blood Pressure ◽  
Socioeconomic Status ◽  
Young Women ◽  
Structural Equation ◽  
Cross Sectional ◽  
Positive Effects ◽  
Rural And Urban ◽  
Urban South

ObjectivesVarying hypertension prevalence across different socioeconomic strata within a population has been well reported. However, the causal factors and pathways across different settings are less clear, especially in sub-Saharan Africa. Therefore, this study aimed to compare blood pressure (BP) levels and investigate the extent to which socioeconomic status (SES) is associated with BP, in rural and urban South Africa women.SettingRural and urban South Africa.DesignCross-sectional.ParticipantsCross-sectional data on SES, total moderate and vigorous physical activity (MVPA), anthropometric and BP were collected on rural (n=509) and urban (n=510) young black women (18–23 years age). Pregnant and mentally or physically disabled women were excluded from the study.ResultsThe prevalence of combined overweight and obesity (46.5% vs 38.8%) and elevated BP (27.0% vs 9.3%) was higher in urban than rural women, respectively. Results from the structural equation modelling showed significant direct positive effects of body mass index (BMI) on systolic BP (SBP) in rural, urban and pooled datasets. Negative direct effects of SES on SBP and positive total effects of SES on SBP were observed in the rural and pooled datasets, respectively. In rural young women, SES had direct positive effects on BMI and was negatively associated with MVPA in urban and pooled analyses. BMI mediated the positive total effects association between SES and SBP in pooled analyses (ß 0.46; 95% CI 0.15 to 0.76).ConclusionsThough South Africa is undergoing nutritional and epidemiological transitions, the prevalence of elevated BP still varies between rural and urban young women. The association between SES and SBP varies considerably in economically diverse populations with BMI being the most significant mediator. There is a need to tailor prevention strategies to take into account optimising BMI when designing strategies to reduce future risk of hypertension in young women.

Pregnancy Outcomes in HIV-Infected and Uninfected Women in Rural and Urban South Africa

2007 ◽  
Vol 44 (3) ◽  
pp. 321-328 ◽  
Author(s):  
Nigel C Rollins ◽  
Hoosen M Coovadia ◽  
Ruth M Bland ◽  
Anna Coutsoudis ◽  
Michael L Bennish ◽  
...  
Keyword(s):  
South Africa ◽  
Pregnancy Outcomes ◽  
Rural And Urban ◽  
Urban South
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