Socio-economic status and self-reported tuberculosis: A multilevel analysis in a low-income township in the eastern cape, South Africa

Few studies have investigated the interplay of multiple factors affecting the prevalence of tuberculosis in developing countries. The compositional and contextual factors that affect health and disease patterns must be fully understood to successfully control tuberculosis. Experience with tuberculosis in South Africa was examined at the household level (overcrowding, a leaky roof, social capital, unemployment, income) and at the neighbourhood level (Gini coefficient of inequality, unemployment rate, headcount poverty rate). A hierarchical random-effects model was used to assess household-level and neighbourhoodlevel effects on self-reported tuberculosis experience. Every tenth household in each of the 20 Rhini neighbourhoods was selected for inclusion in the sample. Eligible respondents were at least 18 years of age and had been residents of Rhini for at least six months of the previous year. A Kish grid was used to select one respondent from each targeted household, to ensure that all eligible persons in the household stood an equal chance of being included in the survey. We included 1,020 households within 20 neighbourhoods of Rhini, a suburb of Grahamstown in the Eastern Cape, South Africa. About one-third of respondents (n=329; 32%) reported that there had been a tuberculosis case within the household. Analyses revealed that overcrowding (P≤0.05) and roof leakage (P≤0.05) contributed significantly to the probability of a household tuberculosis experience experience, whereas higher social capital (P≤0.01) significantly reduced this probability. Overcrowding, roof leakage and the social environment affected tuberculosis prevalence in this economically disadvantaged community. Policy makers should consider the possible benefits of programs that deal with housing and social environments when addressing the spread of tuberculosis in economically poor districts

Valerie Møller: a pioneer in South African Quality of Life Research

publisher versionProfessor Valerie Møller is Professor Emeritus of Quality of Life Studies at Rhodes University, Grahamstown, South Africa. Before that she was director of the Institute of Social and Economic Research at Rhodes University (1998–2006) and headed the Quality of Life Research Unit at the University of KwaZulu-Natal, Durban, South Africa, in the 1990s. She completed her primary school education in North Carolina, USA, and her secondary and tertiary education in Zürich, Switzerland. She earned Lic. Phil and DPhil degrees from the University of Zürich, majoring in sociology. She has lived and worked in Southern Africa since 1972. Together with the late Professor Lawrence Schlemmer she developed the first survey instruments to measure objective and subjective well-being among South Africans from all walks of life. The South African Quality of Life Trends Study has tracked happiness and life satisfaction from apartheid to the transition to democracy (1983–2012)

Satisfied and dissatisfied South Africans: results from the General Household Survey in international comparison

life satisfaction, material living standards, South Africa,

Monitoring perceptions of social progress and pride of place in a South African community

Publisher versionA social indicators community project was conducted in 2007 to monitor living standards and quality of life in Rhini, a low-income suburb of Grahamstown, Makana Municipality, South Africa. Since 1994, under democratic rule, considerable progress has been made in service delivery to the formerly disadvantaged in South African society in terms of access to housing, infrastructure, and a social safety net to mitigate the high rate of unemployment. A representative cross-sectional household study (n 1020) conducted in 2007 in Rhini found that a positive assessment of the household’s situation and personal life satisfaction did not reflect better living conditions. Lack of income and employment opportunities appeared to dilute gains from higher living standards. The project also inquired into attitudes to place names and a proposed name change for the city under discussion at the time of the survey. It is argued that a place name with which one can identify may be as important as service delivery to enhance community satisfaction and overall quality of life. Dissatisfied residents who had limited access to services and expressed less civic pride were more likely than others to opt for a proposed name change for the city of Grahamstown that would better reflect the country’s new identity and multicultural heritage. It is concluded that a useful pursuit for community quality-of-life studies in countries undergoing social transformation will be to inquire into the complex combination of factors that drive perceptions of material and symbolic progress

The Personal Wellbeing Index in the South African isiXhosa translation: a qualitative focus group study

publisher versionInternational scholars who rely on the Personal Wellbeing Index (PWI) to compare cross-cultural quality of life have often been confronted with the problems of nuances getting ‘lost in translation’. This qualitative study explored the meaning of the isiXhosa version of the PWI in focus group discussions with native speakers. Participants in the study discussed how they understood and rated their lives on each item in the index. The discourse conveyed the different shades of meaning associated with the PWI items of life satisfaction and eight domains of life. The study found that PWI items related to material well-being, living standards, achievements in life and future (financial) security were best understood. The PWI items referring to personal relationships and community connectedness were seen as nearly identical in meaning. Both translation and cultural factors may be responsible for the conflation of these two items. Noteworthy is that the PWI item on religion and spirituality was seen to embrace both Christian and traditional African beliefs and practice, without prejudice. A new item on daily activities was piloted with good results. The focus group study also showcased the manner in which discussants worked with the rating scale and drew on social comparisons when evaluating global and domain satisfactions. It is concluded that cognitive testing of PWI items in different translations will serve not only to appraise the validity of PWI ratings across cultures, but importantly also opens a window on what makes for a life of quality in a particular social setting