South African Family Practice最新文献

An approach to persons who are not willing to engage in behavioural change. 针对不愿意改变行为的人的一种方法。

IF 1.2

South African Family Practice Pub Date : 2024-08-29 DOI: 10.4102/safp.v66i1.5874

Olufemi B Omole, Deidré Pretorius, Klaus B Von Pressentin

{"title":"An approach to persons who are not willing to engage in behavioural change.","authors":"Olufemi B Omole, Deidré Pretorius, Klaus B Von Pressentin","doi":"10.4102/safp.v66i1.5874","DOIUrl":"10.4102/safp.v66i1.5874","url":null,"abstract":"With its unique position, primary health care (PHC) can provide health promotion and prevention services, including lifestyle behavioural counselling. Unhealthy lifestyle behaviours are very prevalent among patients attending PHC, with many patients unwilling to change or in the precontemplation stage. While patients in the contemplation stage are better managed using the 5As approach of motivational interviewing counselling, those unwilling or not ready for change necessitate a different approach, such as the 5Rs of motivational interviewing (MI) counselling. The 5Rs MI approach holds promise in motivating unwilling individuals to consider embarking on the journey of behavioural change. The 5Rs approach is not a stand-alone checklist of tasks implemented in isolation but is best integrated within a theoretical behavioural change framework. Of the four health-related behavioural change theoretical frameworks that are frequently used, the transtheoretical stages of the change model are the most used. This continued professional development article provides a summary review of the literature on behavioural change theories as they apply to lifestyle health behaviour change and presents the 5Rs approach as a feasible and practical approach to manage patients who are unwilling to change or in the precontemplation stage. This offers a beacon of hope for improved patient outcomes in a PHC system saddled with high prevalence of modifiable unhealthy lifestyle behaviours.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11369572/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112181","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of burnout on depression among nurses at a private hospital in Johannesburg, South Africa. 职业倦怠对南非约翰内斯堡一家私立医院护士抑郁症的影响。

IF 1.2

South African Family Practice Pub Date : 2024-08-28 DOI: 10.4102/safp.v66i1.5906

Ongeziwe Dyasi, Emmanuel E-O Agbenyeku, Anesu G Kuhudzai, Teboho A Moloi

{"title":"Impact of burnout on depression among nurses at a private hospital in Johannesburg, South Africa.","authors":"Ongeziwe Dyasi, Emmanuel E-O Agbenyeku, Anesu G Kuhudzai, Teboho A Moloi","doi":"10.4102/safp.v66i1.5906","DOIUrl":"10.4102/safp.v66i1.5906","url":null,"abstract":"Background: Burnout is a syndrome that is understood as emanating from chronic workplace stressors that have not been managed successfully. Little is known about the causes of burnout among nurses in South Africa. The study aimed to determine the prevalence of burnout and its impact on depression and assess the relationship between burnout and depression among nurses at a Johannesburg private hospital.Methods: Nurses at a private hospital in Johannesburg were asked about their exposure to depression and burnout using a closed-ended questionnaire as part of a quantitative, cross-sectional study design. A p-value 0.05 was considered statistically significant. The respondents were selected using the simple-random sampling method. The collected data were analysed using IBM-SPSS version 28.Results: The study involved 112 nurses, of whom 95 (84.8%) were females. Most of the nurses, that is, 56 (50.0%) were registered nurses. Emotional exhaustion (p = 0.001) and depersonalisation (p = 0.001) were significantly associated with depression. Work experience (p = 0.001) and depersonalisation (p = 0.002) had an impact on depression.Conclusion: The study revealed a high prevalence of burnout among nurses at a Johannesburg private hospital. The study found that depression was significantly associated with emotional exhaustion and depersonalisation. The study also found that work experience and depersonalisation have an impact on depression.Contribution: The study's recommendations can help mitigate burnout and improve the well-being of nurses, ultimately enhancing the quality of healthcare services provided at the hospital.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11369583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112182","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

What do women with epilepsy know about pregnancy? 患有癫痫的女性对怀孕了解多少？

IF 1.2

South African Family Practice Pub Date : 2024-08-16 DOI: 10.4102/safp.v66i1.5937

Miyalani G Baloyi, Rethabile Khalema, Sumaiya Adam

{"title":"What do women with epilepsy know about pregnancy?","authors":"Miyalani G Baloyi, Rethabile Khalema, Sumaiya Adam","doi":"10.4102/safp.v66i1.5937","DOIUrl":"10.4102/safp.v66i1.5937","url":null,"abstract":"Background: Understanding the intersection of epilepsy and pregnancy, including knowledge gaps and healthcare access for women with epilepsy (WWE), is critical. This study evaluated WWE knowledge gaps and information needs concerning epilepsy's impact on their sexual and reproductive health during pregnancy and examined healthcare system factors affecting their access to information, aiming to identify areas for improvement in educational and healthcare strategies to enhance health management for WWE.Methods: From July 2022 to June 2023, 111 WWE aged 18 to 40 years were recruited from the family medicine and internal medicine outpatient departments at Steve Biko Academic Hospital, Tembisa Tertiary Hospital (TTH), and Kalafong Hospital. Interviews assessed various aspects related to epilepsy in pregnancy and contraceptive use.Results: The study found strong links between WWE, their demographics, and their awareness of pregnancy-related epilepsy issues. Participants from TTH showed notably higher awareness (85.5%) of risks from epilepsy and AED during pregnancy (p 0.05). Age and education significantly influenced pregnancy planning and understanding of medication risks. Younger women (20-25 years) were more inclined towards future pregnancies, and those with more education were better informed about medication risks (p 0.05); and 68.5% had received counselling on AED and contraceptive interactions, yet only 16.2% knew AED could reduce contraceptive effectiveness.Conclusion: The study reveals significant knowledge gaps in WWE regarding the impact of epilepsy and AED on pregnancy, suggesting tailored educational and counselling initiatives to improve WWE health outcomes and quality of life, advancing chronic disease management and public health objectives.Contribution: The study highlights substantial knowledge gaps in epilepsy during pregnancy among WWE, urging tailored counselling and information to empower informed decisions.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11369557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

More than chest pain: A case of oesophageal foreign body ingestion. 不仅仅是胸痛一例食道异物误食病例

IF 1.2

South African Family Practice Pub Date : 2024-08-14 DOI: 10.4102/safp.v66i1.5942

Mohammed M A Agbabiaka, Idris T Akinwande, Chika K Egenasi, Mathew O Benedict

{"title":"More than chest pain: A case of oesophageal foreign body ingestion.","authors":"Mohammed M A Agbabiaka, Idris T Akinwande, Chika K Egenasi, Mathew O Benedict","doi":"10.4102/safp.v66i1.5942","DOIUrl":"10.4102/safp.v66i1.5942","url":null,"abstract":"Background: Physicians often focus on possible cardiac causes in patients presenting with chest pain. However, this case highlights a patient who presented with chest pain caused by ingestion of a foreign body after an uneventful meal eaten an hour prior to presentation. The fishbone was discovered after imaging. The article aims to raise awareness regarding the potential origins of chest pain, highlighting that it may stem from non-cardiac conditions.Methods: The methodology employed in this study involved conducting a case study that meticulously examined the repercussions and management strategies associated with foreign body ingestion.Results: The case report delineates the scenario of a 27-year-old male patient who inadvertently ingested a fishbone during a routine meal. It details the swift decline in clinical status, the meticulous diagnostic procedures employed, the subsequent management strategies implemented and the ultimate discharge of the patient in a stable condition.Conclusion: This case highlights the importance of comprehensive history taking and considering a wide range of causes of chest pain when evaluating a patient. The foreign body ingested with the resulting cardiac complications could have been fatal if not promptly diagnosed.Contribution: This study contributed to advancing awareness surrounding foreign body ingestion, shedding light on potential complications and offering valuable insights into effective management strategies.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11369581/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112184","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Waist-based anthropometric measures and central adiposity-related comorbidities in children. 基于腰围的人体测量指标与儿童中枢性脂肪相关并发症。

IF 1.2

South African Family Practice Pub Date : 2024-08-14 DOI: 10.4102/safp.v66i1.5932

Howard Gomwe, Lesego Phiri, Chioneso S Marange

{"title":"Waist-based anthropometric measures and central adiposity-related comorbidities in children.","authors":"Howard Gomwe, Lesego Phiri, Chioneso S Marange","doi":"10.4102/safp.v66i1.5932","DOIUrl":"10.4102/safp.v66i1.5932","url":null,"abstract":"Background: Waist-related measures are commonly used to classify central adiposity and related comorbidities. This classification may be essential among children, as it may identify the risk of future non-communicable diseases.Methods: A cross-sectional study was conducted in the Eastern Cape province, South Africa, among 459 primary school learners aged 9-14 years. Height, weight and waist circumference (WC) were measured using standardised techniques recommended by World Health Organization (WHO). The anthropometric measurements, including body mass index (BMI), WC, waist-to-hip ratio (WHR) and waist-to-height ratio (WHtR) were computed and evaluated.Results: Most participants were girls (57.70%) with an average age of 11.20 ± 1.60 years. The average weight was 38.81 kg ± 10.49 kg with an average height of 144.16 (standard deviation [s.d.] = 10.37) cm. The sample had a BMI of 18.41 kg/m2 (s.d. = 3.19). The results showed, on average, WC of 62.10 cm ± 8.12 cm, WHR of 0.82 ± 0.15 and WHtR of 0.44 ± 0.05. Girls reported significantly higher BMI, WC and WHtR. Based on WHtR, the results showed the acceptable ability to classify children according to abdominal obesity, thus identifying their risk for comorbidities.Conclusion: Overall body fat indicated by BMI and central obesity shown by waist-related anthropometric measures can play a significant role in classifying children in terms of their risk of comorbidities.Contribution: To prevent the risks of metabolic diseases in childhood, it is necessary to detect abdominal obesity early using WC-based anthropometric measurements, especially WHtR, to identify those at risk.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11369570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A clinical audit of red blood cell transfusion practices at a district hospital in South Africa 对南非一家地区医院输注红细胞做法的临床审计

IF 1.2

South African Family Practice Pub Date : 2024-08-08 DOI: 10.4102/safp.v66i1.5958

Nonofo S. Madito, C. van Rooyen, D. Hagemeister

{"title":"A clinical audit of red blood cell transfusion practices at a district hospital in South Africa","authors":"Nonofo S. Madito, C. van Rooyen, D. Hagemeister","doi":"10.4102/safp.v66i1.5958","DOIUrl":"https://doi.org/10.4102/safp.v66i1.5958","url":null,"abstract":"Background: Red blood cell (RBC) transfusion is one of the most critical and expensive lifesaving treatment modalities. A clinical audit is a valuable instrument to determine whether transfusion practices align with the guidelines and identify knowledge deficiencies. The study aimed to evaluate the RBC transfusion practices and patient outcomes at the National District Hospital in Bloemfontein, South Africa, and to determine adherence to transfusion guidelines.Methods: A retrospective descriptive study was conducted. All blood transfusion registers in the hospital were used to identify transfusion episodes during the study period. Files were retrieved from the admissions office and information captured on a paper-based datasheet. The appropriateness of the transfusion and adherence to the South African transfusion guidelines were evaluated using specific criteria.Results: Of the 118 transfusion episodes during the study period, 78 files were retrieved and 76 included in the study. The patients’ median age was 47 years (interquartile range [IQR]: 32–66 years), with human immunodeficiency viruses (HIV) (n = 34; 44.7%) being the most common comorbid condition. Pre-transfusion haemoglobin was documented for all patients with a median of 4.6 g/dL (IQR: 3.95 g/dL – 5.5 g/dL). The audit revealed that in 68.4% (n = 52) of the cases, the guidelines were applied appropriately.Conclusion: The study described the blood transfusion practices and identified shortcomings when compared with the standard clinical guidelines.Contribution: The study highlights the importance of applying rationale, caution and consideration of the specific patient profile when performing transfusions.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141928309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of adult day care centre attendance on hypertension management 参加成人日间护理中心对高血压管理的影响

IF 1.2

South African Family Practice Pub Date : 2024-08-08 DOI: 10.4102/safp.v66i1.5961

Sentebaleng E. Seitshiro, Omololu S. Aluko, Wilhelm J. Steinberg

{"title":"Effect of adult day care centre attendance on hypertension management","authors":"Sentebaleng E. Seitshiro, Omololu S. Aluko, Wilhelm J. Steinberg","doi":"10.4102/safp.v66i1.5961","DOIUrl":"https://doi.org/10.4102/safp.v66i1.5961","url":null,"abstract":"Background: Hypertension (HT) silently threatens one in three adults, especially older adults, who struggle with blood pressure (BP) control because of limited health access, poor adherence to medication and failure to make lifestyle changes. This increases their risk for heart disease, kidney failure and dementia. Fortunately, adult day care centres (ADCCs) offer hope. These community facilities provide daytime care, including health support services, social activities and exercise. This study investigated the perceived effect of adult daycare centre attendance on BP control and treatment adherence.Methods: A mainly descriptive study at MUCPP Community Health Centre (CHC) in Bloemfontein, South Africa, between July 2020 and September 2020, used questionnaires researchers completed during interviews. The researchers approached 372 hypertensive patients of a minimum of 60 years old and at least 2 years since being diagnosed.Results: Of the 90 who attended ADCCs, 71.1% had controlled hypertension compared to 51.4% of those who did not. While treatment adherence showed no difference, a positive association between ADCC attendance and BP control is evident.Conclusion: The findings suggest a promising link between ADCC attendance and improved BP control in older adults with hypertension. Adult Day Care Centres warrant further exploration as it seems to be an encouraging support intervention for this vulnerable population.Contribution: This study highlights the positive impact ADCCs have on hypertension management in older adults, urging increased physician awareness and patient referrals.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141927947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of COVID-19 on continuing professional development: Perspectives of audiologists. COVID-19 对继续职业发展的影响：听力学家的观点。

IF 1.2

South African Family Practice Pub Date : 2024-08-07 DOI: 10.4102/safp.v66i1.5963

Suvishka Barath, Andrew J Ross

{"title":"Impact of COVID-19 on continuing professional development: Perspectives of audiologists.","authors":"Suvishka Barath, Andrew J Ross","doi":"10.4102/safp.v66i1.5963","DOIUrl":"10.4102/safp.v66i1.5963","url":null,"abstract":"Background: The coronavirus disease 2019 (COVID-19) pandemic triggered unprecedented disruptions to continuing professional development (CPD) activities, which are essential for healthcare professionals (HCPs) to stay abreast on best practices, current knowledge and emerging technologies, ultimately enhancing patient care. Audiologists encountered multiple challenges during the pandemic, necessitating adaptations and innovations in their CPD practices. While literature was published during the pandemic on shifting education systems to online platforms, little is known about its impact on the CPD of young audiologists working in the private sector.Methods: A descriptive, qualitative research design was adopted to collect rich data from 11 audiologists using online semi-structured interviews which were thematically analysed using Braun and Clark's steps.Results: COVID-19 brought about both positive adaptations and negative disruptions to the CPD activities of young audiologists. Eight major themes were identified in this study. These include (1) the adoption of online learning, (2) improved flexibility, (3) cost-effectiveness, (4) diverse learning opportunities, (5) keeping current, (6) isolation and networking, (7) limited interactivity and (8) uncertain quality assurance.Conclusion: The COVID-19 pandemic had a considerable influence on the CPD activities of young audiologists in the private sector. While presenting significant challenges, including disruptions to traditional learning modalities, the pandemic also catalysed innovation and adaptation within the profession.Contribution: This study highlights the resilience exhibited by young audiologists towards their CPD and also provides actionable insights for informing professional development initiatives, tailored to the evolving needs of audiologists in the post-COVID-19 era.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11369554/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142112183","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors influencing adherence to antiretroviral therapy among young adults in Limpopo province. 影响林波波省年轻人坚持抗逆转录病毒疗法的因素。

IF 1.2

South African Family Practice Pub Date : 2024-08-05 DOI: 10.4102/safp.v66i1.5973

Victoria Mashele, Gert J O Marincowitz, Clara Marincowitz

{"title":"Factors influencing adherence to antiretroviral therapy among young adults in Limpopo province.","authors":"Victoria Mashele, Gert J O Marincowitz, Clara Marincowitz","doi":"10.4102/safp.v66i1.5973","DOIUrl":"10.4102/safp.v66i1.5973","url":null,"abstract":"Background: South Africa is among the countries with the greatest burden of human immunodeficiency virus (HIV) in the world. The introduction of antiretroviral therapy (ART) has made HIV a manageable chronic health condition with a return to normal life expectancy. Adherence to ART is a prerequisite to realising these benefits.Methods: A qualitative study was conducted using individual semi-structured interviews to understand factors influencing adherence to ART among young adults. The study was conducted at three busy primary care clinics around Mankweng Hospital. Participants aged 18-35 years who had been on ART for more than a year were purposefully selected. Open-ended questions were used to explore factors that influence ART. Recorded interviews were transcribed verbatim and translated. The coded transcripts were thematically analysed.Results: Eight major themes were identified to influence ART adherence among young adults: medication-related factors, healthcare system factors, attitudes of healthcare workers, economic factors, disclosure, acceptance, mobile phone reminders and family support.Conclusion: Adherence to ART is a major problem in our communities, and people living with HIV are still finding it challenging to optimally adhere to their ART medication because of the identified factors that influence ART adherence. Family support is a significant factor that was identified to positively influence ART as it leads to disclosure and acceptance of HIV-positive status, better emotional well-being and subsequently improved ART adherence.Contribution: This study underscores the importance of a family-oriented, patient-centred care approach in managing HIV and ART adherence.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11369518/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Age, gender and household infrastructural inequality in COVID-19: Contextual analysis of Mamelodi. COVID-19 中的年龄、性别和家庭基础设施不平等：马梅洛迪的背景分析。

IF 1.2

South African Family Practice Pub Date : 2024-07-22 DOI: 10.4102/safp.v66i1.5924

Simon M Marcus, Caitlin V Gardiner

{"title":"Age, gender and household infrastructural inequality in COVID-19: Contextual analysis of Mamelodi.","authors":"Simon M Marcus, Caitlin V Gardiner","doi":"10.4102/safp.v66i1.5924","DOIUrl":"10.4102/safp.v66i1.5924","url":null,"abstract":"Background: Age, gender and household infrastructure are important social determinants affecting health inequalities. This study aims to assess the ways that age and gender of the household head and household infrastructure intersect to create relative advantage and disadvantage in COVID-19 vulnerability.Methods: Using household primary care survey data from Mamelodi, Gauteng, headed households were sorted into three risk categories for each of the relevant infrastructural determinants of COVID-19. Bivariate ordinal logistic regression was used to determine the odds of households falling into each risk category. The proportion of high-risk (HR) categories and dwelling types was also calculated.Results: Households headed by someone ≥ 65 years were less likely to be in all HR categories and more frequently had formal houses. Male-head households were more likely to be HR for water, sanitation and hygiene infrastructure and indoor pollution; however, female-headed households (FHHs) were at higher risk for crowding. In Mamelodi, households headed by ≥ 65 years olds were relatively infrastructurally protected, likely because of pro-equity housing policy, as were FHHs, except for crowding. The care load on FHHs results in their infrastructural protection benefiting more community members, while simultaneously incurring risk.Conclusion: Infrastructural support based on the household head's age and gender could improve targeting and the effectiveness of health interventions. These results demonstrate the importance of a contextual understanding of gender and age inequalities and tailoring public health support based on this understanding.Contribution: This research describes patterns of health-related infrastructural inequality, identifies ways to improve health interventions, and demonstrates the importance of equity-focused policy in an African context.","PeriodicalId":22040,"journal":{"name":"South African Family Practice","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11304177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0