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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Prevalence of HIV among those 15 and older in rural South Africa
AIDS Care - Psychological and Socio-Medical Aspects of AIDS/HIV, Volume 25, No. 9, Year 2013
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Description
A greater knowledge of the burden of HIV in rural areas of Southern Africa is needed, especially among older adults. We conducted a cross-sectional biomarker survey in the rural South African Agincourt Health and Socio-demographic Surveillance site in 2010-2011 and estimated HIV prevalence and risk factors. Using an age-sex stratified random sample of ages 15+, a total of 5037 (65.7%) of a possible 7662 individuals were located and 4362 (86.6%) consented to HIV testing. HIV prevalence was high (19.4%) and characterized by a large gender gap (10.6% for men and 23.9% for women). Rates peaked at 45.3% among men and 46.1% among women-both at ages 35-39. Compared with a similar study in the rural KwaZulu-Natal Province, South Africa, peak prevalence occurred at later ages, and HIV prevalence was higher among older adults-with rates above 15% for men and 10% for women through to age 70. High prevalence continues to characterize Southern Africa, and recent evidence confirms that older adults cannot be excluded from policy considerations. The high prevalence among older adults suggests likely HIV infection at older ages. Prevention activities need to expand to older adults to reduce new infections. Treatment will be complicated by increased risk of noncommunicable diseases and by increasing numbers of older people living with HIV. © 2013 © 2013 The Author(s). Published by Routledge.
Authors & Co-Authors
Gómez-Olivé, Francesc Xavier
South Africa, Johannesburg
Wits School of Public Health
Angotti, Nicole
South Africa, Johannesburg
Wits School of Public Health
United States, Boulder
University of Colorado Boulder
Houle, Brian C.
United States, Boulder
University of Colorado Boulder
Klipstein-Grobusch, Kerstin
South Africa, Johannesburg
Wits School of Public Health
Netherlands, Utrecht
University Medical Center Utrecht
Kabudula, Chodziwadziwa Whiteson
South Africa, Johannesburg
Wits School of Public Health
Menken, Jane A.
South Africa, Johannesburg
Wits School of Public Health
United States, Boulder
University of Colorado Boulder
Williams, Jill R.
South Africa, Johannesburg
Wits School of Public Health
United States, Boulder
University of Colorado Boulder
Tollman, Stephen Meir
South Africa, Johannesburg
Wits School of Public Health
Sweden, Umea
Umeå Universitet
Ghana, Accra
Indepth Network
Clark, Samuel J.
South Africa, Johannesburg
Wits School of Public Health
Ghana, Accra
Indepth Network
United States, Seattle
University of Washington
Statistics
Citations: 55
Authors: 9
Affiliations: 6
Identifiers
Doi:
10.1080/09540121.2012.750710
ISSN:
09540121
e-ISSN:
13600451
Research Areas
Health System And Policy
Infectious Diseases
Noncommunicable Diseases
Study Design
Cross Sectional Study
Study Approach
Quantitative
Study Locations
South Africa
Participants Gender
Male
Female