Older Adults Accessing HIV Care and Treatment and Adherence in the IeDEA Central Africa Cohort
- PMID: 22400105
- PMCID: PMC3286903
- DOI: 10.1155/2012/725713
Older Adults Accessing HIV Care and Treatment and Adherence in the IeDEA Central Africa Cohort
Abstract
Background. Very little is known about older adults accessing HIV care in sub-Saharan Africa. Materials and Methods. Data were obtained from 18,839 HIV-positive adults at 10 treatment programs in Burundi, Cameroon, and the Democratic Republic of Congo. We compared characteristics of those aged 50+ with those aged 18-49 using chi-square tests. Logistic regression was used to determine if age was associated with medication adherence. Results. 15% of adults were 50+ years. Those aged 50+ were more evenly distributed between women and men (56% versus 44%) as compared to those aged 18-49 (71% versus 29%) and were more likely to be hypertensive (8% versus 3%) (P < 0.05). Those aged 50+ were more likely to be adherent to their medications than those aged 18-49 (P < 0.001). Adults who were not heavy drinkers reported better adherence as compared to those who reported drinking three or more alcoholic beverages per day (P < 0.001). Conclusions. Older adults differed from their younger counterparts in terms of medication adherence, sociodemographic, behavioral, and clinical characteristics.
References
-
- 2006 Report on the global AIDS epidemic. (2006). Geneva: Joint United Nations Programme on HIV/AIDS.
-
- Centers for Disease Control and Prevention. HIV/AIDS among persons aged 50 and older: CDC HIV/AIDS facts. 2008. http://www.cdc.gov/hiv/topics/over50/resources/factsheets/pdf/over50.pdf.
-
- Mills EJ, Rammohan A, Awofeso N. Ageing faster with AIDS in Africa. The Lancet. 2011;377(9772):1131–1133. - PubMed
-
- Centers for Disease Control and Prevention. Behavioral risk factor surveillance system survey data 2000. Atlanta, GA, USA: Centers for Disease Control and Prevention, U.S. Department of Health and Human Services, 2003.
-
- Vance DE, Childs G, Moneyham L, Mckie-Bell P. Successful aging with HIV: a brief overview for nursing. Journal of Gerontological Nursing. 2009;35(9):19–25. - PubMed
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