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The relevance of timing of illness and death events in the household life cycle for coping outcomes in rural Uganda in the era of HIV

Amurwon, Jovita and Hajdu, Flora and Seeley, Janet (2015). The relevance of timing of illness and death events in the household life cycle for coping outcomes in rural Uganda in the era of HIV. International journal for equity in health. 14, 8
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Official URL: http://dx.doi.org/10.1186/s12939-015-0253-0

Abstract

Introduction: Predicting the household's ability to cope with adult illness and death can be complicated in low-income countries with high HIV prevalence and multiple other stressors and shocks. This study explored the link between stage of the household in the life cycle and the household's capacity to cope with illness and death of adults in rural Uganda.Methods: Interviews focusing on life histories were combined with observations during monthly visits to 22 households throughout 2009, and recorded livelihood activities and responses to illness and death events. For the analysis, households were categorised into three life cycle stages ('Young', 'Middle-aged' and 'Old') and the ability to cope and adapt to recorded events of prolonged illness or death was assessed.Results: In 16 of the 26 recorded events, a coping or struggling outcome was found to be related to household life cycle stage. 'Young' households usually had many dependants too young to contribute significantly to livelihoods, so were vulnerable to illness or death of the household head specifically. 'Middle-aged' households had adult children who participated in activities that contributed to livelihoods at home or sent remittances. More household members meant livelihood diversification, so these households usually coped best. Worst off were 'Old' households, where members were unable to work hard and often supported young grandchildren, while their adult children had stopped sending remittances as they had established households of their own.Conclusions: While households may adopt diverse coping mechanisms, the stage in the household life cycle when stressful events occur is important for coping outcomes. Households of the elderly and households with many young dependents are clearly vulnerable. These results demonstrate that household life cycle analysis can be useful in assessing ability to respond to stressors and shocks, including AIDS-related illness and death.

Authors/Creators:Amurwon, Jovita and Hajdu, Flora and Seeley, Janet
Title:The relevance of timing of illness and death events in the household life cycle for coping outcomes in rural Uganda in the era of HIV
Series/Journal:International journal for equity in health (BIB10381494)
Year of publishing :2015
Depositing date:10 March 2016
Volume:14
Page range:8
Number of Pages:8
Publisher:BioMed Central Ltd
ISSN:1475-9276
Language:English
Publication Type:Journal article
Refereed:Yes
Article category:Scientific peer reviewed
Version:Published version
Full Text Status:Public
Agris subject categories.:X Agricola extesions > X38 Human medicine, health, and safety
Subjects:(A) Swedish standard research categories 2011 > 5 Social Sciences > 507 Social and Economic Geography > Human Geography
(A) Swedish standard research categories 2011 > 3 Medical and Health Sciences > 303 Health Sciences > Public Health, Global Health, Social Medicine and Epidemiology
Agrovoc terms:life cycle analysis, households, AIDS, adults
Keywords:Age, Capability, Dependency-ratio, Diversification, Livelihood, Longitudinal studies, Shock, Struggling, Coping
URN:NBN:urn:nbn:se:slu:epsilon-e-3303
Permanent URL:
http://urn.kb.se/resolve?urn=urn:nbn:se:slu:epsilon-e-3303
Additional ID:
Type of IDID
Web of Science (WoS)000364000500001
DOI10.1186/s12939-015-0253-0
ID Code:13141
Faculty:NJ - Fakulteten för naturresurser och jordbruksvetenskap
Department:(NL, NJ) > Dept. of Urban and Rural Development
(LTJ, LTV) > Dept. of Urban and Rural Development
Deposited By: SLUpub Connector
Deposited On:10 Mar 2016 07:38
Metadata Last Modified:10 Mar 2016 07:39

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