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

Bocquier, Philippe;Tollman, Stephen M.;Kahn, Kathleen;Gerritsen, Annette A. M.;Collinson, Mark A.;et.al.
(2014) Etude de la Population Africaine — Vol. 28, n° 1, p. 691-701 (2014)

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Authors
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  • Tollman, Stephen M.University of the Witwatersrand
    Author
  • Kahn, KathleenUniversity of the Witwatersrand
    Author
  • Gerritsen, Annette A. M.Unversity of the Witwatersrand
    Author
  • Collinson, Mark A.University of the Witwatersrand
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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.
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Citations

Bocquier, P., Tollman, S. M., Kahn, K., Gerritsen, A. A. M., Clark, S. J., & Collinson, M. A. (2014). Ubiquitous burden: The contribution of migration to AIDS and tuberculosis mortality in rural South Africa. Etude de la Population Africaine, 28(1), 691-701. https://hdl.handle.net/2078.5/46403 (Original work published 2014)