| Literature DB >> 28931968 |
Chodziwadziwa W Kabudula1,2, Brian Houle1,3,4, Mark A Collinson1,5,6, Kathleen Kahn1,5,6, Stephen Tollman1,5,6, Samuel Clark1,4,5,7.
Abstract
Understanding the distribution of socioeconomic status (SES) and its temporal dynamics within a population is critical to ensure that policies and interventions adequately and equitably contribute to the well-being and life chances of all individuals. This study assesses the dynamics of SES in a typical rural South African setting over the period 2001-2013 using data on household assets from the Agincourt Health and Demographic Surveillance System. Three SES indices, an absolute index, principal component analysis index and multiple correspondence analysis index, are constructed from the household asset indicators. Relative distribution methods are then applied to the indices to assess changes over time in the distribution of SES with special focus on location and shape shifts. Results show that the proportion of households that own assets associated with greater modern wealth has substantially increased over time. In addition, relative distributions in all three indices show that the median SES index value has shifted up and the distribution has become less polarized and is converging towards the middle. However, the convergence is larger from the upper tail than from the lower tail, which suggests that the improvement in SES has been slower for poorer households. The results also show persistent ethnic differences in SES with households of former Mozambican refugees being at a disadvantage. From a methodological perspective, the study findings demonstrate the comparability of the easy-to-compute absolute index to other SES indices constructed using more advanced statistical techniques in assessing household SES.Entities:
Keywords: Absolute index; Agincourt; Health and Demographic Surveillance System (HDSS); Household assets; Multiple correspondence analysis; Principal component analysis; Relative distribution methods; Socioeconomic status (SES); South Africa
Year: 2016 PMID: 28931968 PMCID: PMC5579134 DOI: 10.1007/s11205-016-1397-z
Source DB: PubMed Journal: Soc Indic Res ISSN: 0303-8300
Percentage of households owning particular assets items in villages of Agincourt HDSS, South Africa, over the period 2001–2013 and weights assigned to each asset indicator in absolute, PCA and MCA SES indices
| Percentage of households owning asset | Asset weights | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 2001 (n = 10,974) | 2003 (n = 11,501) | 2005 (n = 11,341) | 2007 (n = 11,253) | 2009 (n = 12,760) | 2011 (n = 11,549) | 2013 (n = 11,363) | Absolute index | PCA index | MCA index | |
| Type of dwelling’s wall material | ||||||||||
| Brick | 1.43 | 2.06 | 2.52 | 3.79 | 6.05 | 3.98 | 4.68 | 5 | 0.04 | 1.66 |
| Cement | 75.00 | 78.99 | 85.26 | 88.40 | 88.11 | 92.42 | 93.14 | 4 | 0.16 | 0.34 |
| Wood/other modern | 1.22 | 0.37 | 0.63 | 0.73 | 0.68 | 0.61 | 0.55 | 3 | −0.04 | −2.41 |
| Mud | 21.10 | 17.80 | 11.12 | 6.76 | 4.69 | 2.49 | 1.35 | 2 | −0.19 | −3.40 |
| Other traditional | 1.25 | 0.77 | 0.48 | 0.32 | 0.46 | 0.49 | 0.27 | 1 | −0.05 | −3.62 |
| Type of dwelling’s roof material | ||||||||||
| Tiles | 3.16 | 4.45 | 5.60 | 7.00 | 9.49 | 12.37 | 14.78 | 3 | 0.12 | 2.66 |
| Corrugated iron | 90.67 | 90.71 | 91.15 | 90.95 | 89.38 | 86.86 | 84.68 | 2 | −0.05 | −0.12 |
| Thatch/other traditional material | 6.17 | 4.84 | 3.25 | 2.04 | 1.13 | 0.76 | 0.55 | 1 | −0.11 | −4.15 |
| Floor material | ||||||||||
| Tiles | 0.46 | 1.01 | 1.90 | 2.67 | 4.58 | 9.75 | 13.57 | 7 | 0.10 | 3.28 |
| Cement | 90.06 | 92.17 | 93.59 | 94.81 | 93.62 | 88.94 | 85.68 | 6 | 0.02 | 0.01 |
| Carpet | 0.25 | 0.17 | 0.16 | 0.20 | 0.16 | 0.06 | 0.12 | 5 | 0.00 | 0.12 |
| Wood/other modern | 0.30 | 0.13 | 0.10 | 0.16 | 0.11 | 0.10 | 0.10 | 4 | −0.01 | −2.19 |
| Dirt | 5.54 | 4.50 | 3.45 | 1.48 | 0.77 | 0.88 | 0.33 | 3 | −0.13 | −4.64 |
| Mat | 0.20 | 0.06 | 0.05 | 0.06 | 0.17 | 0.13 | 0.06 | 2 | −0.02 | −3.09 |
| Other traditional material | 3.19 | 1.97 | 0.75 | 0.60 | 0.60 | 0.13 | 0.14 | 1 | −0.09 | −4.98 |
| Number of bedrooms in dwelling | ||||||||||
| 1 | 36.51 | 34.14 | 28.88 | 25.26 | 22.36 | 20.75 | 19.70 | 1 | −0.20 | −1.96 |
| 2 | 32.60 | 33.72 | 35.53 | 35.60 | 36.80 | 34.47 | 32.61 | 2 | −0.01 | −0.12 |
| 3 | 20.62 | 21.35 | 22.64 | 24.53 | 25.27 | 26.79 | 27.47 | 3 | 0.12 | 1.22 |
| 4 | 8.15 | 8.64 | 10.18 | 11.36 | 12.25 | 13.85 | 15.52 | 4 | 0.10 | 1.81 |
| 5 or more | 2.11 | 2.15 | 2.76 | 3.25 | 3.32 | 4.14 | 4.71 | 5 | 0.06 | 1.99 |
| Separate kitchen | 61.29 | 72.90 | 73.08 | 79.20 | 76.80 | 66.20 | 71.64 | 1 | 0.11 | 0.43 |
| No separate kitchen | 38.71 | 27.10 | 26.92 | 20.80 | 23.20 | 33.80 | 28.36 | 0 | −1.10 | |
| Separate living room | 47.52 | 49.46 | 51.44 | 55.26 | 52.98 | 58.36 | 61.06 | 1 | 0.19 | 1.08 |
| No separate living room | 52.48 | 50.54 | 48.56 | 44.74 | 47.02 | 41.64 | 38.94 | 0 | −1.26 | |
| Location of toilet facility | ||||||||||
| Inside the dwelling | 0.22 | 0.15 | 0.19 | 0.52 | 0.57 | 0.76 | 2.09 | 4 | 0.03 | 4.01 |
| In the yard | 56.35 | 59.80 | 65.99 | 71.23 | 73.22 | 78.47 | 81.35 | 3 | 0.26 | 0.88 |
| Neighbour’s compound | 18.08 | 20.21 | 17.42 | 16.15 | 16.82 | 14.84 | 12.76 | 2 | −0.14 | −1.57 |
| Bush | 25.35 | 19.84 | 16.39 | 12.10 | 9.39 | 5.92 | 3.80 | 1 | −0.21 | −2.86 |
| Type of toilet facility | ||||||||||
| Modern/flush | 0.20 | 0.15 | 0.25 | 0.26 | 0.28 | 0.54 | 2.11 | 4 | 0.03 | 4.33 |
| Ventilated improved pit latrine | 0.89 | 0.48 | 2.20 | 4.07 | 11.14 | 4.34 | 9.16 | 3 | 0.03 | 0.97 |
| Traditional latrine/pit | 59.29 | 59.54 | 63.94 | 69.19 | 79.16 | 75.44 | 72.44 | 2 | 0.23 | 0.78 |
| No facility | 39.61 | 39.83 | 33.61 | 26.48 | 9.42 | 19.69 | 16.29 | 1 | −0.27 | −2.33 |
| Source of drinking water | ||||||||||
| Tap in the house | 0.75 | 0.50 | 0.62 | 0.50 | 1.41 | 1.21 | 0.61 | 6 | 0.03 | 2.31 |
| Tap in the yard | 17.99 | 8.90 | 16.49 | 23.43 | 26.36 | 30.20 | 31.75 | 5 | 0.14 | 1.45 |
| Tap on the street | 65.35 | 75.90 | 80.05 | 74.19 | 66.76 | 65.81 | 60.77 | 4 | −0.12 | −0.42 |
| Water truck | 0.31 | 0.06 | 0.47 | 0.66 | 5.26 | 2.16 | 6.26 | 3 | 0.03 | 1.07 |
| Well | 10.84 | 14.38 | 2.19 | 0.65 | 0.05 | 0.20 | 0.39 | 2 | −0.04 | −1.50 |
| Pond. river. dam. rain and other | 4.77 | 0.25 | 0.19 | 0.57 | 0.16 | 0.42 | 0.23 | 1 | −0.01 | −1.07 |
| Source of power for lighting | ||||||||||
| Electricitry | 68.66 | 76.32 | 89.35 | 90.38 | 93.99 | 95.51 | 96.44 | 4 | 0.22 | 0.46 |
| Solar | 0.06 | 0.08 | 0.04 | 0.98 | 0.60 | 0.12 | 0.18 | 3 | −0.02 | −1.92 |
| Battery | 0.08 | 0.10 | 0.15 | 0.10 | 0.10 | 0.11 | 0.24 | 2 | 0.00 | 0.07 |
| Other | 31.19 | 23.49 | 10.47 | 8.55 | 5.31 | 4.26 | 3.14 | 1 | −0.22 | −3.26 |
| Source of power for cooking | ||||||||||
| Electricitry | 14.39 | 19.35 | 21.83 | 33.69 | 41.44 | 43.85 | 50.00 | 5 | 0.16 | 1.42 |
| Gas | 2.38 | 1.84 | 2.14 | 1.48 | 0.88 | 0.81 | 0.41 | 4 | 0.03 | 1.32 |
| Parafin | 6.98 | 5.36 | 4.41 | 1.58 | 0.44 | 0.24 | 0.11 | 3 | −0.04 | −1.38 |
| Wood | 75.72 | 73.24 | 71.51 | 63.11 | 57.13 | 55.02 | 49.38 | 2 | −0.15 | −0.69 |
| Other | 0.53 | 0.21 | 0.11 | 0.13 | 0.11 | 0.08 | 0.09 | 1 | −0.02 | −2.94 |
| Modern assets | ||||||||||
| Stove | 41.47 | 42.53 | 53.44 | 66.96 | 75.27 | 82.96 | 85.38 | 1 | 0.22 | 1.03 |
| No stove | 58.53 | 57.47 | 46.56 | 33.04 | 24.73 | 17.04 | 14.62 | 0 | −1.85 | |
| Fridge | 40.52 | 45.63 | 57.83 | 68.09 | 75.02 | 81.70 | 86.22 | 1 | 0.26 | 1.13 |
| No fridge | 59.48 | 54.37 | 42.17 | 31.91 | 24.98 | 18.30 | 13.78 | 0 | −2.13 | |
| TV | 53.47 | 55.21 | 59.99 | 64.43 | 71.64 | 80.21 | 84.21 | 1 | 0.22 | 0.96 |
| No TV | 46.53 | 44.79 | 40.01 | 35.57 | 28.36 | 19.79 | 15.79 | 0 | −1.96 | |
| Video | 5.86 | 7.27 | 11.81 | 39.17 | 56.07 | 65.88 | 66.44 | 1 | 0.20 | 1.68 |
| No video | 94.14 | 92.73 | 88.19 | 60.83 | 43.93 | 34.12 | 33.56 | 0 | −0.97 | |
| Satellite dish | 0.26 | 0.27 | 0.51 | 1.59 | 5.40 | 12.44 | 17.65 | 1 | 0.11 | 3.09 |
| No satellite dish | 99.74 | 99.73 | 99.49 | 98.41 | 94.60 | 87.56 | 82.35 | 0 | −0.18 | |
| Landline phone | 3.24 | 2.05 | 1.63 | 2.29 | 1.17 | 1.73 | 0.87 | 1 | 0.04 | 1.71 |
| No landline phone | 96.76 | 97.95 | 98.37 | 97.71 | 98.83 | 98.27 | 99.13 | 0 | −0.03 | |
| Cellphone | 36.91 | 52.01 | 75.73 | 85.10 | 92.25 | 94.87 | 97.74 | 1 | 0.18 | 0.64 |
| No cellphone | 63.09 | 47.99 | 24.27 | 14.90 | 7.75 | 5.13 | 2.26 | 0 | −2.11 | |
| Car | 14.39 | 13.43 | 14.65 | 15.43 | 17.88 | 19.61 | 19.50 | 1 | 0.13 | 1.96 |
| No car | 85.61 | 86.57 | 85.35 | 84.57 | 82.12 | 80.39 | 80.50 | 0 | −0.39 | |
| Motorbike | 0.66 | 0.32 | 0.36 | 0.66 | 0.47 | 0.82 | 0.51 | 1 | 0.02 | 2.12 |
| No motorbike | 99.34 | 99.68 | 99.64 | 99.34 | 99.53 | 99.18 | 99.49 | 0 | −0.01 | |
| Bicycle | 13.21 | 10.32 | 10.04 | 8.41 | 9.98 | 9.96 | 5.76 | 1 | 0.05 | 0.94 |
| No bicycle | 86.79 | 89.68 | 89.96 | 91.59 | 90.02 | 90.04 | 94.24 | 0 | −0.10 | |
| Livestock | ||||||||||
| Animal drawn cart | 3.28 | 2.40 | 1.89 | 1.92 | 2.12 | 1.73 | 1.28 | 1 | 0.03 | 1.23 |
| No animal drawn cart | 96.72 | 97.60 | 98.11 | 98.08 | 97.88 | 98.27 | 98.72 | 0 | −0.03 | |
| No cows | 84.91 | 87.19 | 87.67 | 88.04 | 88.39 | 87.42 | 87.88 | 0 | −0.10 | −0.19 |
| 1–3 cows | 6.05 | 5.13 | 4.03 | 3.33 | 3.34 | 3.55 | 3.10 | 1 | 0.04 | 0.72 |
| 4–10 cows | 5.81 | 5.37 | 5.60 | 5.48 | 5.32 | 5.75 | 5.58 | 2 | 0.07 | 1.47 |
| More than 10 cows | 2.70 | 1.71 | 2.00 | 2.63 | 2.31 | 2.75 | 2.80 | 3 | 0.05 | 1.91 |
| Unknown number of cows | 0.53 | 0.59 | 0.70 | 0.52 | 0.64 | 0.53 | 0.64 | 4 | 0.03 | 1.88 |
| No goats | 87.48 | 89.79 | 90.20 | 90.70 | 91.86 | 91.66 | 92.24 | 0 | −0.04 | −0.05 |
| 1–3 goats | 7.64 | 4.38 | 3.94 | 3.94 | 4.04 | 4.08 | 3.60 | 1 | 0.02 | 0.28 |
| 4–10 goats | 4.28 | 4.81 | 4.53 | 4.06 | 3.36 | 3.39 | 3.38 | 2 | 0.03 | 0.61 |
| More than 10 goats | 0.48 | 0.83 | 1.05 | 1.13 | 0.57 | 0.77 | 0.56 | 3 | 0.01 | 0.82 |
| Unknown number of goats | 0.12 | 0.18 | 0.27 | 0.18 | 0.16 | 0.10 | 0.22 | 4 | 0.01 | 1.13 |
| No chickens | 37.58 | 45.33 | 60.27 | 61.01 | 58.11 | 52.03 | 60.62 | 0 | −0.04 | −0.19 |
| 1–10 chickens | 33.34 | 35.95 | 29.21 | 21.35 | 18.88 | 20.79 | 18.63 | 1 | −0.01 | −0.21 |
| 11–40 chickens | 20.24 | 13.76 | 7.95 | 12.40 | 15.16 | 21.29 | 12.85 | 2 | 0.05 | 0.73 |
| More than 40 chickens | 1.03 | 0.37 | 0.33 | 1.32 | 1.14 | 1.63 | 0.88 | 3 | 0.02 | 1.08 |
| Unknown number of chickens | 7.81 | 4.60 | 2.24 | 3.94 | 6.70 | 4.26 | 7.02 | 4 | 0.03 | 0.66 |
| No pigs | 95.74 | 97.31 | 97.41 | 97.73 | 98.04 | 97.94 | 98.29 | 0 | −0.03 | −0.02 |
| 1–3 pigs | 3.73 | 2.20 | 2.02 | 1.55 | 1.32 | 1.33 | 0.96 | 1 | 0.02 | 0.50 |
| 4–10 pigs | 0.46 | 0.40 | 0.43 | 0.55 | 0.50 | 0.59 | 0.55 | 2 | 0.02 | 1.74 |
| More than 10 pigs | 0.05 | 0.07 | 0.10 | 0.12 | 0.09 | 0.13 | 0.15 | 3 | 0.01 | 2.41 |
| Unknown number of pigs | 0.02 | 0.02 | 0.04 | 0.06 | 0.05 | 0.01 | 0.04 | 4 | 0.01 | 1.81 |
Fig. 1Pairwise comparisons of asset index values
Movement of households between quintiles of absolute, PCA and MCA indices
| Indices being compared | Correlation coefficient | Percent of households moving between quintiles | Kappa statistic | ||
|---|---|---|---|---|---|
| Same quintile | One quintile | Two quintiles | |||
| Absolute and PCA | 0.9561 | 71.28 | 28.11 | 0.60 | 0.6410 |
| Absolute and MCA | 0.9668 | 74.73 | 25.03 | 0.24 | 0.6841 |
| PCA and MCA | 0.9835 | 83.05 | 16.93 | 0.02 | 0.7881 |
Fig. 2Kernel density estimates of the distribution of SES in the villages of Agincourt HDSS, South Africa, 2001–2013
Fig. 3Changes in the relatative distribution of SES in the villages of Agincourt HDSS, South Africa, 2001–2013 based on absolute index
Fig. 4Changes in the relatative distribution of SES in the villages of Agincourt HDSS, South Africa, 2001–2013 based on PCA index
Fig. 5Changes in the relatative distribution of SES in the villages of Agincourt HDSS, South Africa, 2001–2013 based on MCA index
Median polarization indices
| Lower CI | Estimate | Upper CI |
| |
|---|---|---|---|---|
|
| ||||
| 2005 distribution compared to 2001 distribution | ||||
| Median | −0.193 | −0.178 | −0.163 | <0.001 |
| Lower | −0.136 | −0.106 | −0.076 | <0.001 |
| Upper | −0.279 | −0.250 | −0.221 | <0.001 |
| 2009 distribution compared to 2001distribution | ||||
| Median | −0.203 | −0.189 | −0.174 | <0.001 |
| Lower | −0.101 | −0.072 | −0.043 | <0.001 |
| Upper | −0.331 | −0.303 | −0.274 | <0.001 |
| 2013 distribution compared to 2001distribution | ||||
| Median | −0.224 | −0.209 | −0.194 | <0.001 |
| Lower | −0.159 | −0.129 | −0.099 | <0.001 |
| Upper | −0.318 | −0.289 | −0.260 | <0.001 |
|
| ||||
| 2005 distribution compared to 2001distribution | ||||
| Median | −0.201 | −0.186 | −0.171 | <0.001 |
| Lower | −0.127 | −0.097 | −0.067 | <0.001 |
| Upper | −0.304 | −0.275 | −0.246 | <0.001 |
| 2009 distribution compared to 2001distribution | ||||
| Median | −0.346 | −0.332 | −0.318 | <0.001 |
| Lower | −0.247 | −0.218 | −0.189 | <0.001 |
| Upper | −0.472 | −0.446 | −0.420 | <0.001 |
| 2013 distribution compared to 2001distribution | ||||
| Median | −0.389 | −0.375 | −0.361 | <0.001 |
| Lower | −0.326 | −0.297 | −0.269 | <0.001 |
| Upper | −0.479 | −0.452 | −0.426 | <0.001 |
|
| ||||
| 2005 distribution compared to 2001distribution | ||||
| Median | −0.148 | −0.133 | −0.118 | <0.001 |
| Lower | −0.072 | −0.042 | −0.011 | <0.001 |
| Upper | −0.254 | −0.225 | −0.195 | <0.001 |
| 2009 distribution compared to 2001distribution | ||||
| Median | −0.242 | −0.227 | −0.213 | <0.001 |
| Lower | −0.114 | −0.084 | −0.055 | <0.001 |
| Upper | −0.398 | −0.370 | −0.343 | <0.001 |
| 2013 distribution compared to 2001distribution | ||||
| Median | −0.271 | −0.256 | −0.242 | <0.001 |
| Lower | −0.207 | −0.177 | −0.147 | <0.001 |
| Upper | −0.364 | −0.336 | −0.307 | <0.001 |
Fig. 6Kernel density estimates of the distribution of SES in the villages of Agincourt HDSS, South Africa, 2001–2013 by ethnicity based on absolute index
Fig. 7Ethnic differentials in the distribution of SES in the villages of Agincourt HDSS, South Africa, 2001–2013 based on absolute index
Median polarization indices by ethnicity
| Lower CI | Estimate | Upper CI |
| |
|---|---|---|---|---|
| 2001 | ||||
| Median | 0.025 | 0.049 | 0.073 | <0.001 |
| Lower | 0.090 | 0.136 | 0.182 | <0.001 |
| Upper | −0.089 | −0.039 | 0.012 | 0.066 |
| 2005 | ||||
| Median | −0.134 | −0.109 | −0.085 | <0.001 |
| Lower | −0.148 | −0.099 | −0.051 | <0.001 |
| Upper | −0.168 | −0.119 | −0.071 | <0.001 |
| 2009 | ||||
| Median | −0.125 | −0.102 | −0.080 | <0.001 |
| Lower | −0.125 | −0.080 | −0.035 | <0.001 |
| Upper | −0.169 | −0.124 | −0.080 | <0.001 |
| 2013 | ||||
| Median | −0.072 | −0.048 | −0.025 | <0.001 |
| Lower | −0.073 | −0.027 | 0.020 | 0.128 |
| Upper | −0.117 | −0.070 | −0.023 | 0.002 |
The analysis is based on the Absolute index
Fig. 8Relative distributions of ethnic differentials in the distribution of SES in the villages of Agincourt HDSS, South Africa, 2001–2013 based on absolute index