Socio-Behavioural Barriers to Viral Suppression in the Older Adult Population in Rural South Africa.

Autor: Chinogurei C; Centre of Infectious Disease Epidemiology and Research, School of Public Health, University of Cape Town, Cape Town, South Africa. chido.chinogurei@uct.ac.za., Manne-Goehler J; Division of Infectious Diseases, Brigham and Women's Hospital, Harvard Medical School, Boston, USA., Kahn K; MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.; INDEPTH Network, Accra, Ghana., Kabudula CW; MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.; INDEPTH Network, Accra, Ghana., Cornell M; Centre of Infectious Disease Epidemiology and Research, School of Public Health, University of Cape Town, Cape Town, South Africa., Rohr JK; Center for Population and Development Studies, Harvard University, Cambridge, MA, USA.
Jazyk: angličtina
Zdroj: AIDS and behavior [AIDS Behav] 2024 Jul; Vol. 28 (7), pp. 2307-2313. Date of Electronic Publication: 2024 Apr 15.
DOI: 10.1007/s10461-024-04328-9
Abstrakt: 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.
(© 2024. The Author(s).)
Databáze: MEDLINE
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