Hanass-Hancock Jill, Regondi Ilaria, Naidoo Kerisha
Health Economics and HIV and AIDS Research Division (HEARD), University of KwaZulu-Natal, South Africa.
Afr J Disabil. 2013 Feb 12;2(1):25. doi: 10.4102/ajod.v2i1.25. eCollection 2013.
The Eastern and Southern Africa (ESA) region is the epicentre of the global HIV epidemic and also home to a large number of people with disabilities. Both HIV and Disability are significant public health issues. While they are generally viewed as distinct and unrelated phenomena data seems to suggest that they are particularly closely intertwined in ESA. For the first time in history, by using the same disability indicator consistently, the publication of the World Report on Disability in 2011 has allowed for the comparison of disability data between countries, and across regions. This has the potential to shed some light on the relationship between disability and socio-economic markers and other health conditions in a way that was not possible previously. In the absence of disability and HIV-specific population-based surveys, this paper uses global socio-economic and HIV datasets and compares them to data contained in the most recent World Report on Disability. The analysis suggests that disability prevalence may be related to HIV-prevalence in ESA (Pearson 0.87). It identifies research and policy gaps and seeks to shed light on the relationship between the two phenomena. It concludes that, more than any other region in the world, ESA needs to ensure better data collection on disability and the inclusion of disability throughout its HIV programmes in order to provide a comprehensive and appropriate response to the epidemic.
东部和南部非洲（ESA）地区是全球艾滋病流行的中心，也是大量残疾人的家园。艾滋病和残疾都是重大的公共卫生问题。虽然它们通常被视为不同且不相关的现象，但数据似乎表明，在东部和南部非洲，它们之间的联系尤为紧密。2011年发布的《世界残疾报告》有史以来首次持续使用相同的残疾指标，从而能够对各国之间以及各地区之间的残疾数据进行比较。这有可能以一种前所未有的方式揭示残疾与社会经济指标以及其他健康状况之间的关系。由于缺乏基于人群的残疾和艾滋病专项调查，本文使用了全球社会经济和艾滋病数据集，并将其与最新《世界残疾报告》中的数据进行比较。分析表明，在东部和南部非洲，残疾患病率可能与艾滋病患病率相关（皮尔逊相关系数为0.87）。本文指出了研究和政策方面的差距，并试图阐明这两种现象之间的关系。结论是，与世界上其他任何地区相比，东部和南部非洲更需要确保更好地收集残疾数据，并将残疾问题纳入其整个艾滋病防治项目中，以便对该流行病做出全面、恰当的应对。
