The Impact of ART on the Economic Outcomes of People Living with HIV/AIDS

Background. Clinical benefits of ART are well documented, but less is known about its effects on economic outcomes such as work status and income in sub-Saharan Africa. Methods. Data were examined from 482 adult clients entering HIV care (257 starting ART; 225 not yet eligible for ART) in Kampala,...

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Main Authors: Nannungi, Annet, Wagner, Glenn, Ghosh-Dastidar, Bonnie
Format: Online
Language:English
Published: Hindawi Publishing Corporation 2013
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3569883/
id pubmed-3569883
recordtype oai_dc
spelling pubmed-35698832013-02-19 The Impact of ART on the Economic Outcomes of People Living with HIV/AIDS Nannungi, Annet Wagner, Glenn Ghosh-Dastidar, Bonnie Research Article Background. Clinical benefits of ART are well documented, but less is known about its effects on economic outcomes such as work status and income in sub-Saharan Africa. Methods. Data were examined from 482 adult clients entering HIV care (257 starting ART; 225 not yet eligible for ART) in Kampala, Uganda. Self-reported data on work status and income were assessed at baseline, months 6 and 12. Multivariate analysis examined the effects of ART over time, controlling for change in physical health functioning and baseline covariates. Results. Fewer ART patients worked at baseline compared to non-ART patients (25.5% versus 34.2%); 48.8% of those not working at baseline were now working at month 6, and 50% at month 12, with similar improvement in both the ART and non-ART groups. However, multivariate analysis revealed that the ART group experienced greater improvement over time. Average weekly income did not differ between the groups at baseline nor change significantly over time, among those who were working; being male gender and having any secondary education were predictive of higher income. Conclusions. ART was associated with greater improvement in work status, even after controlling for change in physical health functioning, suggesting other factors associated with ART may influence work. Hindawi Publishing Corporation 2013 2013-01-28 /pmc/articles/PMC3569883/ /pubmed/23424678 http://dx.doi.org/10.1155/2013/362972 Text en Copyright © 2013 Annet Nannungi et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Nannungi, Annet
Wagner, Glenn
Ghosh-Dastidar, Bonnie
spellingShingle Nannungi, Annet
Wagner, Glenn
Ghosh-Dastidar, Bonnie
The Impact of ART on the Economic Outcomes of People Living with HIV/AIDS
author_facet Nannungi, Annet
Wagner, Glenn
Ghosh-Dastidar, Bonnie
author_sort Nannungi, Annet
title The Impact of ART on the Economic Outcomes of People Living with HIV/AIDS
title_short The Impact of ART on the Economic Outcomes of People Living with HIV/AIDS
title_full The Impact of ART on the Economic Outcomes of People Living with HIV/AIDS
title_fullStr The Impact of ART on the Economic Outcomes of People Living with HIV/AIDS
title_full_unstemmed The Impact of ART on the Economic Outcomes of People Living with HIV/AIDS
title_sort impact of art on the economic outcomes of people living with hiv/aids
description Background. Clinical benefits of ART are well documented, but less is known about its effects on economic outcomes such as work status and income in sub-Saharan Africa. Methods. Data were examined from 482 adult clients entering HIV care (257 starting ART; 225 not yet eligible for ART) in Kampala, Uganda. Self-reported data on work status and income were assessed at baseline, months 6 and 12. Multivariate analysis examined the effects of ART over time, controlling for change in physical health functioning and baseline covariates. Results. Fewer ART patients worked at baseline compared to non-ART patients (25.5% versus 34.2%); 48.8% of those not working at baseline were now working at month 6, and 50% at month 12, with similar improvement in both the ART and non-ART groups. However, multivariate analysis revealed that the ART group experienced greater improvement over time. Average weekly income did not differ between the groups at baseline nor change significantly over time, among those who were working; being male gender and having any secondary education were predictive of higher income. Conclusions. ART was associated with greater improvement in work status, even after controlling for change in physical health functioning, suggesting other factors associated with ART may influence work.
publisher Hindawi Publishing Corporation
publishDate 2013
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3569883/
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