Concern about HIV and AIDS among older people in the slums of Nairobi, Kenya


Chepngeno-Langat, Gloria, Falkingham, Jane, Madise, Nyovani and Evandrou, Maria (2012) Concern about HIV and AIDS among older people in the slums of Nairobi, Kenya. Risk Analysis (doi:10.1111/j.1539-6924.2011.01765.x).

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Description/Abstract

The article explores the way that social networks and personal experiences affect perceived HIV-related concerns among people aged 50 years or older living in a low resource neighborhood with high HIV prevalence in Nairobi, Kenya. Multiple logistic regression is used to model the association between the reporting of an HIV-related concern and individual-level characteristics, personal experiences, and social interaction. The main concerns regarding HIV reported by older people in the study included caring for orphaned children (65%), caring for people with AIDS (48%), and losing material and social support from adult children (36%). Interestingly, 38% of respondents voiced concerns about HIV infection among older people. Respondents who had been individually affected by HIV and AIDS, who were part of a wide social network, or who participated in community activities were frequently more likely to report a concern. The findings highlight the significance of the role of social interaction and social networks in the diffusion of information and knowledge. These findings have implications for HIV and AIDS policy and programs, highlighting the potential for social networks and community-level interventions to educate and increase awareness about HIV and AIDS among older people. Community leaders can make good peer educators and communication agents for HIV/AIDS campaigns. Additionally, the recognized high level of personal vulnerability to HIV infection among older people suggests the need for targeted sexual behavior change programs among this often neglected group.

Item Type: Article
ISSNs: 0272-4332 (print)
1539-6924 (electronic)
Keywords: hiv/aids, older people, social interaction, sub-saharan africa, urban
Subjects: H Social Sciences > HN Social history and conditions. Social problems. Social reform
R Medicine > RA Public aspects of medicine
Divisions: Faculty of Social and Human Sciences > Social Sciences > Ageing / Gerontology
ePrint ID: 210924
Date Deposited: 13 Feb 2012 14:47
Last Modified: 14 Apr 2014 11:10
Research Funder: ESRC
Projects:
Centre for Population Change: Understanding Population Change in the 21st Century
Funded by: ESRC (RES-625-28-0001)
Led by: Jane Cecelia Falkingham
1 January 2009 to 31 December 2013
URI: http://eprints.soton.ac.uk/id/eprint/210924

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