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Socio-Behavioural Barriers to Viral Suppression in the Older Adult Population in Rural South Africa.
- Source :
-
AIDS and behavior [AIDS Behav] 2024 Jul; Vol. 28 (7), pp. 2307-2313. Date of Electronic Publication: 2024 Apr 15. - Publication Year :
- 2024
-
Abstract
- South Africa has the largest share of people living with HIV in the world and this population is ageing. The social context in which people seek HIV care is often ignored. Apart from clinical interventions, socio-behavioural factors impact successful HIV care outcomes for older adults living with HIV. We use cross-sectional data linked with demographic household surveillance data, consisting of HIV positive adults aged above 40, to identify socio-behavioural predictors of a detectable viral load. Older adults were more likely to have a detectable viral load if they did not disclose their HIV positive status to close family members (aOR 2.56, 95% CI 1.89-3.46), resided in the poorest households (aOR 1.98, 95% CI 1.23-3.18), or were not taking medications other than ART (aOR 1.83, 95% CI 1.02-1.99) likely to have a detectable. Clinical interventions in HIV care must be supported by understanding the socio-behavioural barriers that occur outside the health facility. The importance of community health care workers in bridging this gap may offer more optimum outcomes for older adults ageing with HIV.<br /> (© 2024. The Author(s).)
- Subjects :
- Humans
South Africa epidemiology
Female
Male
Cross-Sectional Studies
Middle Aged
Adult
Aged
Socioeconomic Factors
Anti-HIV Agents therapeutic use
Health Services Accessibility
Medication Adherence statistics & numerical data
Medication Adherence psychology
HIV Infections psychology
HIV Infections epidemiology
HIV Infections drug therapy
Rural Population
Viral Load
Subjects
Details
- Language :
- English
- ISSN :
- 1573-3254
- Volume :
- 28
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- AIDS and behavior
- Publication Type :
- Academic Journal
- Accession number :
- 38619653
- Full Text :
- https://doi.org/10.1007/s10461-024-04328-9