The Meaning of Health in Rural South Africa Gender, the Life Course, and the Socioepidemiological Context
This article examines the meaning of health among middle-aged and older adults in a rural South African setting, where 72 percent of adults aged 40 and over are living with a major chronic condition, and 81 percent report good or very good health. We draw on a unique mixed-methods dataset that inclu...
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| Vydané v: | Population and development review Ročník 48; číslo 4; s. 1061 - 1095 |
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| Hlavní autori: | , , , , , |
| Médium: | Journal Article |
| Jazyk: | English |
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New York
Wiley
01.12.2022
Blackwell Publishing Ltd |
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| ISSN: | 0098-7921, 1728-4457 |
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| Abstract | This article examines the meaning of health among middle-aged and older adults in a rural South African setting, where 72 percent of adults aged 40 and over are living with a major chronic condition, and 81 percent report good or very good health. We draw on a unique mixed-methods dataset that includes a population-based survey with disease biomarkers (hypertension, diabetes, HIV), self-assessments of health including self-rated health, functional ability and medication use, as well as nested qualitative life history interviews with survey participants including questions about lived experiences of health. We conduct survey trend analysis and ordinal logistic regression, as well as inductive and deductive coding of qualitative interviews, and triangulate findings across data sources. Overall, we find that self-rated health and functional ability are not associated with biometric disease indicators; however, we find that gendered familial expectations, life course stage, and the socioepidemiological context work together to regulate the salience of illness as people age. The study highlights the utility of research with multiple measures of health in illuminating the challenges of aging amidst the complex epidemiological transitions that increasingly characterize low- and middle-income countries. |
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| AbstractList | This article examines the meaning of health among middle‐aged and older adults in a rural South African setting, where 72 percent of adults aged 40 and over are living with a major chronic condition, and 81 percent report good or very good health. We draw on a unique mixed‐methods dataset that includes a population‐based survey with disease biomarkers (hypertension, diabetes, HIV), self‐assessments of health including self‐rated health, functional ability and medication use, as well as nested qualitative life history interviews with survey participants including questions about lived experiences of health. We conduct survey trend analysis and ordinal logistic regression, as well as inductive and deductive coding of qualitative interviews, and triangulate findings across data sources. Overall, we find that self‐rated health and functional ability are not associated with biometric disease indicators; however, we find that gendered familial expectations, life course stage, and the socioepidemiological context work together to regulate the salience of illness as people age. The study highlights the utility of research with multiple measures of health in illuminating the challenges of aging amidst the complex epidemiological transitions that increasingly characterize low‐ and middle‐income countries. |
| Author | Schatz, Enid Mojola, Sanyu A. Houle, Brian Gómez-Olivé, F. Xavier Angotti, Nicole Ice, Erin |
| Author_xml | – sequence: 1 givenname: Sanyu A. surname: Mojola fullname: Mojola, Sanyu A. – sequence: 2 givenname: Erin surname: Ice fullname: Ice, Erin – sequence: 3 givenname: Enid surname: Schatz fullname: Schatz, Enid – sequence: 4 givenname: Nicole surname: Angotti fullname: Angotti, Nicole – sequence: 5 givenname: Brian surname: Houle fullname: Houle, Brian – sequence: 6 givenname: F. Xavier surname: Gómez-Olivé fullname: Gómez-Olivé, F. Xavier |
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| CitedBy_id | crossref_primary_10_1215_00703370_11146140 crossref_primary_10_1080_01459740_2024_2395285 crossref_primary_10_1016_j_socscimed_2023_116134 crossref_primary_10_1111_saje_12385 crossref_primary_10_1080_08959420_2023_2195348 crossref_primary_10_1177_0192513X241268701 crossref_primary_10_1186_s13104_023_06478_w crossref_primary_10_1111_soc4_13176 crossref_primary_10_1007_s12119_024_10298_w |
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| Notes | Sanyu A. Mojola, Department of Sociology, School of Public and International Affairs and the Office of Population Research, Wallace Hall, Princeton University, Princeton, NJ 08544, USA and MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), Faculty of Health Sciences, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa. Email Erin Ice, Department of Sociology and Population Research Center, University of Michigan, Ann Arbor, MI, 4810, USA. Enid Schatz, Department of Public Health and Department of Women's & Gender Studies, University of Missouri, Columbia, MO 65211, USA and MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), Faculty of Health Sciences, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa. Nicole Angotti, Department of Sociology, American University, Washington, DC 20016, USA and MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), Faculty of Health Sciences, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa. Brian Houle, School of Demography, The Australian National University, Canberra, Australia and MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), Faculty of Health Sciences, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa. F. Xavier Gόmez‐Olive, MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa. smojola@princeton.edu ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 |
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| Snippet | This article examines the meaning of health among middle-aged and older adults in a rural South African setting, where 72 percent of adults aged 40 and over... This article examines the meaning of health among middle‐aged and older adults in a rural South African setting, where 72 percent of adults aged 40 and over... |
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| SubjectTerms | Adults Ageing Aging Biological markers Biomarkers Biometrics Blood pressure Chronic illnesses Diabetes Diabetes mellitus Disease Drugs Epidemiology Gender Health HIV Human immunodeficiency virus Hypertension Interviews Life course Life history Life transitions Low income groups Meaning Older people Polls & surveys Qualitative analysis Salience Self evaluation Surveys Trend analysis |
| Subtitle | Gender, the Life Course, and the Socioepidemiological Context |
| Title | The Meaning of Health in Rural South Africa |
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