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An investigation of factors associated with the health and well-being of HIV-infected or HIV-affected older people in rural South Africa

An investigation of factors associated with the health and well-being of HIV-infected or HIV-affected older people in rural South Africa
An investigation of factors associated with the health and well-being of HIV-infected or HIV-affected older people in rural South Africa
Background
Despite the severe impact of HIV in sub-Saharan Africa, the health of older people aged 50+ is often overlooked owing to the dearth of data on the direct and indirect effects of HIV on older people's health status and well-being. The aim of this study was to examine correlates of health and well-being of HIV-infected older people relative to HIV-affected people in rural South Africa, defined as participants with an HIV-infected or death of an adult child due to HIV-related cause.
Methods
Data were collected within the Africa Centre surveillance area using instruments adapted from the World Health Organization (WHO) Study on global AGEing and adult health (SAGE). A stratified random sample of 422 people aged 50+ participated. We compared the health correlates of HIV-infected to HIV-affected participants using ordered logistic regressions. Health status was measured using three instruments: disability index, quality of life and composite health score.
Results
Median age of the sample was 60 years (range 50-94). Women HIV-infected (aOR 0.15, 95% confidence interval (CI) 0.08-0.29) and HIV-affected (aOR 0.20, 95% CI 0.08-0.50), were significantly less likely than men to be in good functional ability. Women's adjusted odds of being in good overall health state were similarly lower than men's; while income and household wealth status were stronger correlates of quality of life. HIV-infected participants reported better functional ability, quality of life and overall health state than HIV-affected participants. Discussion and Conclusions The enhanced healthcare received as part of anti-retroviral treatment as well as the considerable resources devoted to HIV care appear to benefit the overall well-being of HIV-infected older people; whereas similar resources have not been devoted to the general health needs of HIV uninfected older people. Given increasing numbers of older people, policy and programme interventions are urgently needed to holistically meet the health and well-being needs of older people beyond the HIV-related care system.
1471-2458
259
Nyirenda, Makandwe
b273a917-750f-4125-8cb8-599a432e6168
Chatterji, Somnath
a285ff42-8a0c-4136-a89a-3f64f364b6ea
Falkingham, Jane
8df36615-1547-4a6d-ad55-aa9496e85519
Mutevedzi, Portia
bfe83cfc-d356-4083-aee2-2207fdaff19e
Hosegood, Victoria
c59a89d5-5edc-42dd-b282-f44458fd2993
Evandrou, Maria
cd2210ea-9625-44d7-b0f4-fc0721a25d28
Kowal, Paul
8e394653-90a8-41d6-b15f-2023ecfa5c2a
Newell, Marie-Louise
87caf679-14d9-405d-b5b3-e00ae33728e3
Nyirenda, Makandwe
b273a917-750f-4125-8cb8-599a432e6168
Chatterji, Somnath
a285ff42-8a0c-4136-a89a-3f64f364b6ea
Falkingham, Jane
8df36615-1547-4a6d-ad55-aa9496e85519
Mutevedzi, Portia
bfe83cfc-d356-4083-aee2-2207fdaff19e
Hosegood, Victoria
c59a89d5-5edc-42dd-b282-f44458fd2993
Evandrou, Maria
cd2210ea-9625-44d7-b0f4-fc0721a25d28
Kowal, Paul
8e394653-90a8-41d6-b15f-2023ecfa5c2a
Newell, Marie-Louise
87caf679-14d9-405d-b5b3-e00ae33728e3

Nyirenda, Makandwe, Chatterji, Somnath, Falkingham, Jane, Mutevedzi, Portia, Hosegood, Victoria, Evandrou, Maria, Kowal, Paul and Newell, Marie-Louise (2012) An investigation of factors associated with the health and well-being of HIV-infected or HIV-affected older people in rural South Africa. BMC Public Health, 12 (1), 259. (doi:10.1186/1471-2458-12-259).

Record type: Article

Abstract

Background
Despite the severe impact of HIV in sub-Saharan Africa, the health of older people aged 50+ is often overlooked owing to the dearth of data on the direct and indirect effects of HIV on older people's health status and well-being. The aim of this study was to examine correlates of health and well-being of HIV-infected older people relative to HIV-affected people in rural South Africa, defined as participants with an HIV-infected or death of an adult child due to HIV-related cause.
Methods
Data were collected within the Africa Centre surveillance area using instruments adapted from the World Health Organization (WHO) Study on global AGEing and adult health (SAGE). A stratified random sample of 422 people aged 50+ participated. We compared the health correlates of HIV-infected to HIV-affected participants using ordered logistic regressions. Health status was measured using three instruments: disability index, quality of life and composite health score.
Results
Median age of the sample was 60 years (range 50-94). Women HIV-infected (aOR 0.15, 95% confidence interval (CI) 0.08-0.29) and HIV-affected (aOR 0.20, 95% CI 0.08-0.50), were significantly less likely than men to be in good functional ability. Women's adjusted odds of being in good overall health state were similarly lower than men's; while income and household wealth status were stronger correlates of quality of life. HIV-infected participants reported better functional ability, quality of life and overall health state than HIV-affected participants. Discussion and Conclusions The enhanced healthcare received as part of anti-retroviral treatment as well as the considerable resources devoted to HIV care appear to benefit the overall well-being of HIV-infected older people; whereas similar resources have not been devoted to the general health needs of HIV uninfected older people. Given increasing numbers of older people, policy and programme interventions are urgently needed to holistically meet the health and well-being needs of older people beyond the HIV-related care system.

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More information

Published date: 2 April 2012
Organisations: Social Statistics & Demography, Gerontology

Identifiers

Local EPrints ID: 339155
URI: https://eprints.soton.ac.uk/id/eprint/339155
ISSN: 1471-2458
PURE UUID: 21f135f3-8fc5-46d5-be14-44f862431ab9
ORCID for Jane Falkingham: ORCID iD orcid.org/0000-0002-7135-5875
ORCID for Victoria Hosegood: ORCID iD orcid.org/0000-0002-2244-2518

Catalogue record

Date deposited: 24 May 2012 12:58
Last modified: 17 Jul 2019 00:58

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