Socio-demographic inequalities in HIV testing behaviour and HIV prevalence among older adults in rural Tanzania, 2013.
Identifieur interne : 000226 ( Main/Exploration ); précédent : 000225; suivant : 000227Socio-demographic inequalities in HIV testing behaviour and HIV prevalence among older adults in rural Tanzania, 2013.
Auteurs : Angelina Mtowa [Tanzanie] ; Annette A M. Gerritsen [Afrique du Sud] ; Sally Mtenga [Tanzanie] ; Mary Mwangome [Tanzanie] ; Eveline Geubbels [Tanzanie]Source :
- AIDS care [ 1360-0451 ] ; 2017.
Abstract
Most HIV research in Sub-Saharan Africa (SSA) ignores persons aged 50 years and above, though a few studies have reported a high HIV prevalence among older people. This study aimed to estimate socio-demographic inequalities in HIV testing behaviour and HIV prevalence among adults aged 50+ years, living in Ifakara town, Tanzania. This cross-sectional study used data from the baseline measurement of the Ifakara MZIMA cohort study in 2012/13. Consenting participants were interviewed and tested for HIV. Associations between HIV testing behaviour and HIV prevalence with socio-demographic indicators were explored with multivariable logistic regression. Among the 1643 adults 50+ years included in the study, HIV prevalence and the HIV testing rate (ever tested) were 6% and 11.4% respectively. The HIV testing rate was lower for older people (aOR = 0.19 (95% CI 0.09-0.41 for 75+ versus 50-54 years); higher for those separated/divorced/widowed than those married (aOR = 1.46; 1.02-2.10); higher for "other Christians" than Muslims (aOR = 1.95; 1.06-3.58); and higher for primary (aOR = 1.54; 1.01-2.33) and secondary (aOR = 3.47; 2.11-5.70) school graduates than those without education. HIV prevalence was lower for older people (aOR = 0.27; 0.11-0.66 for 75+ versus 50-54); and for Catholics compared to Muslims (aOR = 0.54; 0.34-0.85). The high HIV prevalence among older adults and the low HIV testing behaviour call for more efforts on HIV prevention, treatment and care.
DOI: 10.1080/09540121.2017.1308462
PubMed: 28545331
Affiliations:
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This study aimed to estimate socio-demographic inequalities in HIV testing behaviour and HIV prevalence among adults aged 50+ years, living in Ifakara town, Tanzania. This cross-sectional study used data from the baseline measurement of the Ifakara MZIMA cohort study in 2012/13. Consenting participants were interviewed and tested for HIV. Associations between HIV testing behaviour and HIV prevalence with socio-demographic indicators were explored with multivariable logistic regression. Among the 1643 adults 50+ years included in the study, HIV prevalence and the HIV testing rate (ever tested) were 6% and 11.4% respectively. The HIV testing rate was lower for older people (aOR = 0.19 (95% CI 0.09-0.41 for 75+ versus 50-54 years); higher for those separated/divorced/widowed than those married (aOR = 1.46; 1.02-2.10); higher for "other Christians" than Muslims (aOR = 1.95; 1.06-3.58); and higher for primary (aOR = 1.54; 1.01-2.33) and secondary (aOR = 3.47; 2.11-5.70) school graduates than those without education. HIV prevalence was lower for older people (aOR = 0.27; 0.11-0.66 for 75+ versus 50-54); and for Catholics compared to Muslims (aOR = 0.54; 0.34-0.85). The high HIV prevalence among older adults and the low HIV testing behaviour call for more efforts on HIV prevention, treatment and care.</div></front></TEI><affiliations><list><country><li>Afrique du Sud</li><li>Tanzanie</li></country></list><tree><country name="Tanzanie"><noRegion><name sortKey="Mtowa, Angelina" sort="Mtowa, Angelina" uniqKey="Mtowa A" first="Angelina" last="Mtowa">Angelina Mtowa</name></noRegion><name sortKey="Geubbels, Eveline" sort="Geubbels, Eveline" uniqKey="Geubbels E" first="Eveline" last="Geubbels">Eveline Geubbels</name><name sortKey="Mtenga, Sally" sort="Mtenga, Sally" uniqKey="Mtenga S" first="Sally" last="Mtenga">Sally Mtenga</name><name sortKey="Mwangome, Mary" sort="Mwangome, Mary" uniqKey="Mwangome M" first="Mary" last="Mwangome">Mary Mwangome</name></country><country name="Afrique du Sud"><noRegion><name sortKey="Gerritsen, Annette A M" sort="Gerritsen, Annette A M" uniqKey="Gerritsen A" first="Annette A M" last="Gerritsen">Annette A M. Gerritsen</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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