Epidemiol Rev 2004;26:112-123
© 2004 by the Oxford University Press
Social Epidemiology in South Africa
1 School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa.
2 Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY.
3 New York State Psychiatric Institute, New York, NY.
Correspondence to Landon Myer, School of Public Health and Family Medicine, University of Cape Town, Anzio Road, Observatory 7925, Cape Town, South Africa (e-mail: lmyer@cormack.uct.ac.za).
Received for publication October 9, 2003; accepted for publication December 23, 2003.
Abbreviations: AIDS, acquired immunodeficiency syndrome; HIV, human immunodeficiency virus.
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INTRODUCTION |
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In this paper, we review the history, present state, and future of social epidemiology in South Africa. In "developing" nations such as South Africa, social epidemiology is cast in a new light owing to these countries’ distinctive political, economic, and social histories. South Africa is still grappling with the public health legacy of the colonial and apartheid eras while contending with new public health threats that are linked to a changing global economy, as well as the devastating human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) epidemic. Furthermore, the possibilities for research in social epidemiology have been limited by the scarcity of resources and political constraints. While such factors are common to many developing countries, they are thrown into sharp relief in the case of South Africa.
We begin by tracing a brief history of social epidemiology in South Africa, noting its remarkable early growth. Then we review intriguing, if sparse,
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HISTORY OF SOCIAL EPIDEMIOLOGY IN SOUTH AFRICA |
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CONTEMPORARY SOCIAL EPIDEMIOLOGY IN SOUTH AFRICA |
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Social gradients and health
Measurement of socioeconomic position
Variations in health across racial categories
Occupation and health
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THE HIV/AIDS EPIDEMIC |
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Migration and HIV/AIDS
Social change and HIV/AIDS
Social epidemiology and the rhetoric of AIDS denial
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CONCLUSION |
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ACKNOWLEDGMENTS |
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