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Is social capital associated with HIV risk in rural South Africa?

Author

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  • Pronyk, Paul M.
  • Harpham, Trudy
  • Morison, Linda A.
  • Hargreaves, James R.
  • Kim, Julia C.
  • Phetla, Godfrey
  • Watts, Charlotte H.
  • Porter, John D.

Abstract

The role of social capital in promoting health is now widely debated within international public health. In relation to HIV, the results of previous observational and cross-sectional studies have been mixed. In some settings it has been suggested that high levels of social capital and community cohesion might be protective and facilitate more effective collective responses to the epidemic. In others, group membership has been a risk factor for HIV infection. There have been few attempts to strengthen social capital, particularly in developing countries, and examine its effect on vulnerability to HIV. Employing data from an intervention study, we examined associations between social capital and HIV risk among 1063 14 to 35-year-old male and female residents of 750 poor households from 8 villages in rural Limpopo province, South Africa. We assessed cognitive social capital (CSC) and structural social capital (SSC) separately, and examined associations with numerous aspects of HIV-related psycho-social attributes, risk behavior, prevalence and incidence. Among males, after adjusting for potential confounders, residing in households with greater levels of CSC was linked to lower HIV prevalence and higher levels of condom use. Among females, similar patterns of relationships with CSC were observed. However, while greater SSC was associated with protective psychosocial attributes and risk behavior, it was also associated with higher rates of HIV infection. This work underscores the complex and nuanced relationship between social capital and HIV risk in a rural African context. We suggest that not all social capital is protective or health promotive, and that getting the balance right is critical to informing HIV prevention efforts.

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  • Pronyk, Paul M. & Harpham, Trudy & Morison, Linda A. & Hargreaves, James R. & Kim, Julia C. & Phetla, Godfrey & Watts, Charlotte H. & Porter, John D., 2008. "Is social capital associated with HIV risk in rural South Africa?," Social Science & Medicine, Elsevier, vol. 66(9), pages 1999-2010, May.
    • Handle: RePEc:eee:socmed:v:66:y:2008:i:9:p:1999-2010
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    1. Campbell, Catherine & MacPhail, Catherine, 2002. "Peer education, gender and the development of critical consciousness: participatory HIV prevention by South African youth," Social Science & Medicine, Elsevier, vol. 55(2), pages 331-345, July.
    2. Gilbert, Leah & Walker, Liz, 2002. "Treading the path of least resistance: HIV/AIDS and social inequalities--a South African case study," Social Science & Medicine, Elsevier, vol. 54(7), pages 1093-1110, April.
    3. Dunkle, Kristin L. & Jewkes, Rachel K. & Brown, Heather C. & Gray, Glenda E. & McIntryre, James A. & Harlow, Siobán D., 2004. "Transactional sex among women in Soweto, South Africa: prevalence, risk factors and association with HIV infection," Social Science & Medicine, Elsevier, vol. 59(8), pages 1581-1592, October.
    4. Wakefield, Sarah E.L. & Poland, Blake, 2005. "Family, friend or foe? Critical reflections on the relevance and role of social capital in health promotion and community development," Social Science & Medicine, Elsevier, vol. 60(12), pages 2819-2832, June.
    5. Veenstra, Gerry, 2000. "Social capital, SES and health: an individual-level analysis," Social Science & Medicine, Elsevier, vol. 50(5), pages 619-629, March.
    6. Cattell, Vicky, 2001. "Poor people, poor places, and poor health: the mediating role of social networks and social capital," Social Science & Medicine, Elsevier, vol. 52(10), pages 1501-1516, May.
    7. Killewo, J. & Dahlgren, L. & Sandström, A., 1994. "Socio-geographical patterns of HIV-1 transmission in Kagera region, Tanzania," Social Science & Medicine, Elsevier, vol. 38(1), pages 129-134, January.
    8. Jewkes, Rachel & Levin, Jonathan & Penn-Kekana, Loveday, 2002. "Risk factors for domestic violence: findings from a South African cross-sectional study," Social Science & Medicine, Elsevier, vol. 55(9), pages 1603-1617, November.
    9. Rhodes, Tim & Singer, Merrill & Bourgois, Philippe & Friedman, Samuel R. & Strathdee, Steffanie A., 2005. "The social structural production of HIV risk among injecting drug users," Social Science & Medicine, Elsevier, vol. 61(5), pages 1026-1044, September.
    10. Gregson, Simon & Terceira, Nicola & Mushati, Phyllis & Nyamukapa, Constance & Campbell, Catherine, 2004. "Community group participation:: Can it help young women to avoid HIV? An exploratory study of social capital and school education in rural Zimbabwe," Social Science & Medicine, Elsevier, vol. 58(11), pages 2119-2132, June.
    11. Hawe, Penelope & Shiell, Alan, 2000. "Social capital and health promotion: a review," Social Science & Medicine, Elsevier, vol. 51(6), pages 871-885, September.
    12. Hargreaves, James R. & Morison, Linda A. & Gear, John S.S. & Makhubele, Mzamani B. & Porter, John D.H. & Busza, Joanna & Watts, Charlotte & Kim, Julia C. & Pronyk, Paul M., 2007. ""Hearing the Voices of the Poor": Assigning Poverty Lines on the Basis of Local Perceptions of Poverty. A Quantitative Analysis of Qualitative Data from Participatory Wealth Ranking in Rural," World Development, Elsevier, vol. 35(2), pages 212-229, February.
    13. Drukker, Marjan & Buka, Stephen L. & Kaplan, Charles & McKenzie, Kwame & Van Os, Jim, 2005. "Social capital and young adolescents' perceived health in different sociocultural settings," Social Science & Medicine, Elsevier, vol. 61(1), pages 185-198, July.
    14. Kelly, J.A., 1999. "Community-level interventions are needed to prevent new HIV infections," American Journal of Public Health, American Public Health Association, vol. 89(3), pages 299-301.
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