Investigation into the relationship between the socio-economic and health status of the Coloured people of the Western Cape in an urban setting

El, Stellenberg; Groenewald, JC

doi:10.4102/curationis.v31i2.981

Cited by 5 publications

(4 citation statements)

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“… 2008 ; Stellenberg et al . 2008 ). Nevertheless, it is suggested that: [ s ]trategies that narrowly focus on poverty and health without the broader perspectives offered by equity and human rights may fail because they do not take into consideration the key factors that often influence the relationship between poverty and ill-health.…”

Section: Discussionmentioning

confidence: 99%

“…They identified that chronic diseases such as asthma, smoking and abuse of alcohol were more prevalent amongst the poor than the rich; poorer areas are still plagued by a high burden of disease. To further substantiate this finding, Stellenberg, Welmann and Groenewald ( 2008 ) found a statistical relationship between the health status and the socioeconomic level of the coloured people of the Western Cape.…”

Section: Introductionmentioning

confidence: 91%

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Accessibility, affordability and use of health services in an urban area in South Africa

Stellenberg

2015

curationis

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BackgroundInequalities in healthcare between population groups of South Africa existed during the apartheid era and continue to exist both between and within many population groups. Accessibility and affordability of healthcare is a human right.ObjectivesThe aim of the study was to explore and describe accessibility, affordability and the use of health services by the mixed race (coloured) population in the Western Cape, South Africa.MethodA cross-sectional descriptive, non-experimental study with a quantitative approach was applied. A purposive convenient sample of 353 participants (0.6%) was drawn from a population of 63 004 economically-active people who lived in the residential areas as defined for the purpose of the study. All social classes were represented. The hypothesis set was that there is a positive relationship between accessibility, affordability and the use of health services. A pilot study was conducted which also supported the reliability and validity of the study. Ethics approval was obtained from the University of Stellenbosch and informed consent from respondents. A questionnaire was used to collect the data.ResultsThe hypothesis was accepted. The statistical association between affordability (p = < 0.01), accessibility (p = < 0.01) and the use of health services was found to be significant using the Chi-square (χ2) test.ConclusionThe study has shown how affordability and accessibility may influence the use of healthcare services. Accessibility is not only the distance an individual must travel to reach the health service point but more so the utilisation of these services. Continuous Quality Management should be a priority in healthcare services, which should be user-friendly.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 91%

Accessibility, affordability and use of health services in an urban area in South Africa

Stellenberg

2015

curationis

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“…The most recent study investigating SEV in the African population was the South African Demographic and Health Survey (SADHS) in 2003 [9]. More recently, the relationship between SEV and health status in economically active subjects has been looked at by Stellenberg et al [16], in the coloured population and Malhotra [4], in the black African population in the Western Cape. Unfortunately there are very few studies that look at the SEV as predictors of health, especially in pregnant women in the black South African population [2, 17].…”

Section: Discussionmentioning

confidence: 99%

An Investigation into the Influence of Socioeconomic Variables on Gestational Body Mass Index in Pregnant Women Living in a Peri-Urban Settlement, South Africa

Davies

Visser

Tomlinson

et al. 2011

Matern Child Health J

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Maternal and child mortality rates are still unacceptably high in South Africa. The health status of women in peri-urban areas has been influenced by political and socio-economic factors. Examining socio-economic variables (SEV) in a population aids in the explanation of the impact of social structures on an individual. Risk factors can then be established and pregnant women in these higher risk groups can be identified and given additional support during pregnancy. The aim of this study was to investigate the association between SEV and gestational Body Mass Index (GBMI) in a peri-urban settlement, South Africa. This was a sub-study of the Philani Mentor Mothers’ Study (2009–2010). Maternal anthropometry and SEV were obtained from 1,145 participants. Multinomial regression was used to analyse the data. Household income was the only SEV that was significantly associated with GBMI. The odds of being underweight rather than normal weight during pregnancy increase by a factor of 2.145 (P < 0.05) for those who had a household income lower than R2000 per month. All other SEV were not significant. Logistic regression was therefore not carried out. Women who had a lower income were at risk of having a lower GBMI during pregnancy. This can lead to adverse birth outcomes such as premature birth, low birth weight, height and head circumference. Public health policy needs to be developed to include optimal nutrition health promotion strategies targeting women with a low income ante and post-natally. Once implemented, they need to be evaluated to assess the impact on maternal and child mortality.

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“…At the time of the study, 25.8% of inhabitants lived in informal settlements (Erasmus, Mans & Jacobs, 2006). Factors identified in the area that adversely influenced health included unemployment, low socio-economic levels and crime (Stellenberg et al, 2008). The social habits of this community revealed an inordinate amount of substance and alcohol abuse.…”

Section: Research-intensive University: a Project From The Universitymentioning

confidence: 99%

Community Engagement by University Nursing Schools: Survey and Case Studies

et al. 2014

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The purpose of this article is to describe the results obtained from the survey on the involvement of university schools in community engagement and to share the descriptions of exemplary community engagement projects, each selected from the different categories of universities, i.e. research-intensive university, research-teaching balanced university, comprehensive university and a university of technology. The results show that of the ten schools who responded, all were engaged in communities around them, with projects to improve health services being most common (22 projects), followed by projects to promote health and prevent illness (29 projects). The least popular were projects to develop policy (only 2) and projects to develop new services (8 ). On average, between 10 and 29% of academics from each school were involved in the different types of community activities. The number of projects per school varied between 1 and 18. The more detailed project descriptions provide a picture of valuable projects both in terms of scope and duration, benefiting communities and schools. The projects often involved research.

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Investigation into the relationship between the socio-economic and health status of the Coloured people of the Western Cape in an urban setting

Cited by 5 publications

References 4 publications

Accessibility, affordability and use of health services in an urban area in South Africa

Accessibility, affordability and use of health services in an urban area in South Africa

An Investigation into the Influence of Socioeconomic Variables on Gestational Body Mass Index in Pregnant Women Living in a Peri-Urban Settlement, South Africa

Community Engagement by University Nursing Schools: Survey and Case Studies

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