Skip to content
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Menu
Home
About Us
Resources
Profiles Metrics
Authors Directory
Institutions Directory
Top Authors
Top Institutions
Top Sponsors
AI Digest
Contact Us
Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
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, Volume 12, No. 1, Article 259, Year 2012
Notification
URL copied to clipboard!
Description
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 peoples 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. Womens adjusted odds of being in good overall health state were similarly lower than mens; 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. © 2012 Nyirenda et al; licensee BioMed Central Ltd.
Authors & Co-Authors
Nyirenda, Makandwe
South Africa, Durban
University of Kwazulu-natal
United Kingdom, Southampton
University of Southampton
Chatterji, Somnath
Switzerland, Geneva
Organisation Mondiale de la Santé
Falkingham, Jane Cecelia
United Kingdom, Southampton
University of Southampton
Mutevedzi, Portia Chipo
South Africa, Durban
University of Kwazulu-natal
Hosegood, Victoria
South Africa, Durban
University of Kwazulu-natal
United Kingdom, Southampton
University of Southampton
Evandrou, Maria
United Kingdom, Southampton
University of Southampton
Kowal, Paul
Switzerland, Geneva
Organisation Mondiale de la Santé
Newell, Marie Louise
South Africa, Durban
University of Kwazulu-natal
United Kingdom, London
Ucl Great Ormond Street Institute of Child Health
Statistics
Citations: 88
Authors: 8
Affiliations: 4
Identifiers
Doi:
10.1186/1471-2458-12-259
e-ISSN:
14712458
Research Areas
Disability
Health System And Policy
Infectious Diseases
Maternal And Child Health
Study Locations
South Africa
Participants Gender
Male
Female