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HIV prevalence and sexual behaviour at older ages in rural Malawi

HIV prevalence and sexual behaviour at older ages in rural Malawi
HIV prevalence and sexual behaviour at older ages in rural Malawi
Research on HIV infection and sexual behaviour in sub-Saharan Africa typically focuses on individuals aged 15–49 years under the assumption that both become less relevant for older individuals. We test this assumption using data from rural Malawi to compare sexual behaviour and HIV infection for individuals aged 15–49 with individuals aged 50–64 and 65 and over years.
Although general declines with age were observed, levels of sexual activity and HIV remained considerable: 26.7% and 73.8% of women and men aged 65þ reported having sex in the last year, respectively; men’s average number of sexual partners remained above one; and HIV prevalence is significantly higher for men aged 50–64 (8.9%) than men aged 15–49 (4.1%). We conclude that older populations are relevant to studies of sexual behaviour and HIV risk. Their importance is likely to increase as access to antiretrovirals in Africa increases. We recommend inclusion of adults aged over 49 years in African HIV/AIDS research and prevention efforts.

490-496
Freeman, Emily
3c954c6a-f31e-4030-904c-1bd07b7c3d5c
Anglewicz, Philip
3e9e9e60-95a7-4bea-ab27-0025775e5de4
Freeman, Emily
3c954c6a-f31e-4030-904c-1bd07b7c3d5c
Anglewicz, Philip
3e9e9e60-95a7-4bea-ab27-0025775e5de4

Freeman, Emily and Anglewicz, Philip (2012) HIV prevalence and sexual behaviour at older ages in rural Malawi. International Journal of STD & AIDS, 23 (7), 490-496. (doi:10.1258/ijsa.2011.011340). (PMID:22844003)

Record type: Article

Abstract

Research on HIV infection and sexual behaviour in sub-Saharan Africa typically focuses on individuals aged 15–49 years under the assumption that both become less relevant for older individuals. We test this assumption using data from rural Malawi to compare sexual behaviour and HIV infection for individuals aged 15–49 with individuals aged 50–64 and 65 and over years.
Although general declines with age were observed, levels of sexual activity and HIV remained considerable: 26.7% and 73.8% of women and men aged 65þ reported having sex in the last year, respectively; men’s average number of sexual partners remained above one; and HIV prevalence is significantly higher for men aged 50–64 (8.9%) than men aged 15–49 (4.1%). We conclude that older populations are relevant to studies of sexual behaviour and HIV risk. Their importance is likely to increase as access to antiretrovirals in Africa increases. We recommend inclusion of adults aged over 49 years in African HIV/AIDS research and prevention efforts.

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Freeman Anglewicz IJSA 2012.pdf - Version of Record
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Published date: June 2012
Organisations: Gerontology

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Local EPrints ID: 345279
URI: http://eprints.soton.ac.uk/id/eprint/345279
PURE UUID: 527508bd-0d47-4be8-852d-9ab7f805bf6f

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Date deposited: 15 Nov 2012 15:16
Last modified: 14 Mar 2024 12:23

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Contributors

Author: Emily Freeman
Author: Philip Anglewicz

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