ArticleAIDS (London, England)2013
Antiretroviral therapy, labor productivity, and sex: a longitudinal cohort study of tea pluckers in Kenya.
Article in AIDS (London, England), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 3 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- Interventions for improving employment outcomes for workers with HIV.The Cochrane database of systematic reviews · 2015Pooled it
- The economic consequences of selected maternal and early childhood nutrition interventions in low- and middle-income countries: a review of the literature, 2000-2013.BMC women's health · 2015Pooled it
- Acceptability of Suubi+Adherence intervention to improve ART adherence in Southern Uganda: A qualitative analysis.PloS one · 2026Trial
- Work and home productivity of people living with HIV in Zambia and South Africa.AIDS (London, England) · 2019Article
- The Association of Material Hardship with Medication Adherence and Perceived Stress Among People Living with HIV in Rural Zambia.Global social welfare : research, policy & practice · 2019Article
- A Multilevel Conceptual Framework to Understand the Role of Food Insecurity on Antiretroviral Therapy Adherence in Low-Resource Settings: From Theory to Practice.Social work in public health · 2017Article
- Unemployment, health, and education of HIV-infected males in Germany.International journal of public health · 2016Observational
- Prospective cohort study of the impact of antiretroviral therapy on employment outcomes among HIV clients in Uganda.AIDS patient care and STDs · 2013Article
- Prevalence and Predictors of Food Insecurity among People Living with HIV Enrolled in Antiretroviral Therapy and Livelihood Programs in Two Rural Zambian Hospitals.Ecology of food and nutritionArticle
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
objectiveTo estimate the impact of antiretroviral therapy (ART) on labor productivity and income using detailed employment data from two large tea plantations in western Kenya for HIV-infected tea pluckers who initiated ART.
designLongitudinal study using primary data on key employment outcomes for a group of HIV-infected workers receiving antiretroviral therapy (ART) and workers in the general workforce.
methodsWe used nearest-neighbor matching methods to estimate the impacts of HIV/AIDS and ART among 237 HIV-positive pluckers on ART (index group) over a 4-year period (2 years pre-ART and post-ART) on 4 monthly employment outcomes - days plucking tea, total kilograms (kgs) harvested, total days working, and total labor income. Outcomes for the index group were compared with those for a matched reference group from the general workforce.
resultsWe observed a rapid deterioration in all four outcomes for HIV-infected individuals in the period before ART initiation and then a rapid improvement after treatment initiation. By 18-24 months after treatment initiation, the index group harvested 8% (men) and 19% (women) less tea than reference individuals. The index group earned 6% (men) and 9% (women) less income from labor than reference individuals. Women's income would have dropped further if they had not been able to offset their decline in tea plucking by spending more time on nonplucking assignments.
conclusionHIV-infected workers experienced long-term income reductions before and after initiating ART. The implications of such long-term impacts in low-income countries have not been adequately addressed.
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