A comparison of quality of life between HIV positive and negative diamond miners in South Africa

Gow, Jeff and George, Gavin and Govender, Kaymarlin (2013) A comparison of quality of life between HIV positive and negative diamond miners in South Africa. SAHARA-J: Journal of Social Aspects of HIV/AIDS, 10 (2). pp. 89-95. ISSN 1729-0376

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Objective: To analyse the health-related quality of life (HR-QOL) in two groups of diamond miners (HIV negative and positive) in South Africa using three instruments. Two hypotheses were to be tested. One, was that the HR-QOL of HIV positive miners would be lower than that of HIV negative miners; and two, the selected instruments would behave consistently and thus all would confirm hypothesis one. Methods: In our study, workers were recruited during a voluntary counselling and testing programme for HIV. HR-QOL were estimated using the Assessment of Quality of Life (AQOL) Mark 2, EQ-5D (EuroQOL), and Health Utilities Index 3 (HUI3) instruments. The data were analysed for utility values and for correlations between variables of interest (in particular HIV status). Goodness of fit, Pearson’s r coefficient and t-tests were the statistical tests applied to the data. Results: Just over 1100 respondents were included in the analysis. HIV positive workers scored significantly lower on quality of life on the HUI3 as compared to HIV negative workers but this relationship did not (surprisingly) hold for the AQOL or EQ-5D. There was a significant positive correlation between all three instruments. Conclusion: There was inconsistency among the instruments in measuring quality of life
differences according to HIV status. The HUI3 confirmed the a priori expectation that the HR-QOL of HIV positive miners would
be lower than HIV negative miners. There was no statistical difference for the AQOL and a confounding result was found for the EQ5D.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Copyright 2013 The Author(s). Published by Taylor & Francis. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The moral rights of the named author(s) have been asserted.
Faculty/School / Institute/Centre: Historic - Faculty of Business and Law - School of Accounting, Economics and Finance
Date Deposited: 04 Mar 2014 06:08
Last Modified: 08 May 2014 04:49
Uncontrolled Keywords: health-related quality of life, South Africa, miners
Fields of Research : 11 Medical and Health Sciences > 1117 Public Health and Health Services > 111706 Epidemiology
14 Economics > 1402 Applied Economics > 140208 Health Economics
Socio-Economic Objective: C Society > 92 Health > 9204 Public Health (excl. Specific Population Health) > 920401 Behaviour and Health
Identification Number or DOI: 10.1080/17290376.2013.870066
URI: http://eprints.usq.edu.au/id/eprint/24926

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