Etude de la Population Africaine
Volume 28, Issue 1, 2014, Pages 691-701

Ubiquitous burden: The contribution of migration to AIDS and tuberculosis mortality in rural South Africa (Article)

Bocquier P.* , Collinson M.A. , Clark S.J. , Gerritsen A.A.M. , Kahn K. , Tollman S.M.
  • a Université Catholique de Louvain, Louvain-la-Neuve, Belgium, MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, University of the Witwatersrand, Johannesburg, South Africa
  • b MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, University of the Witwatersrand, Johannesburg, South Africa, Centre for Global Health Research, Umeå University, Sweden, INDEPTH Network, Accra, Ghana
  • c MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, University of the Witwatersrand, Johannesburg, South Africa, INDEPTH Network, Accra, Ghana, University of Washington, Seattle, United States, Institute of Behavioral Science (IBS), University of Colorado at Boulder, United States
  • d MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, University of the Witwatersrand, Johannesburg, South Africa, INDEPTH Network, Accra, Ghana
  • e MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, University of the Witwatersrand, Johannesburg, South Africa, Centre for Global Health Research, Umeå University, Sweden, INDEPTH Network, Accra, Ghana
  • f MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, University of the Witwatersrand, Johannesburg, South Africa, Centre for Global Health Research, Umeå University, Sweden, INDEPTH Network, Accra, Ghana

Abstract

The paper aims to estimate the extent to which migrants are contributing to AIDS or tuberculosis (TB) mortality among rural sub-district populations. The Agincourt (South Africa) health and socio-demographic surveillance system provided comprehensive data on vital and migration events between 1994 and 2006. AIDS and TB cause-deleted life expectancy, and crude death rates by gender, migration status and period were computed. The annualised crude death rate almost tripled from 5∙39 [95% CI 5∙13-5∙65] to 15∙10 [95% CI 14∙62-15∙59] per 1000 over the years 1994-2006. The contribution of AIDS and TB in returned migrants to the increase in crude death rate was 78∙7% [95% CI 77∙4-80∙1] for males and 44∙4% [95% CI 43∙2-46∙1] for females. So, in a typical South African setting dependent on labour migration for rural livelihoods, the contribution of returned migrants, many infected with AIDS and TB, to the burden of disease is high. © 2014, Union for African Population Studies. All rights reserved.

Author Keywords

Migration tuberculosis AIDS HDSS Mortality

Index Keywords

[No Keywords available]
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84916604326&partnerID=40&md5=318fc77fe38d0fd2d8c809b8068c0e34
ISSN: 08505780
Cited by: 9
Original Language: English