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HIV prevalence and related behaviours of older people in Botswana ­ secondary analysis of the Botswana AIDS Impact Survey (BAIS) IV
Matlho, Kabo; Randell, Madeleine; Lebelonyane, Refelwetswe; Kefas, Joseph; Tim, Driscoll; Negin, Joel.
  • Matlho, Kabo; s.af
  • Randell, Madeleine; s.af
  • Lebelonyane, Refelwetswe; s.af
  • Kefas, Joseph; s.af
  • Tim, Driscoll; s.af
  • Negin, Joel; s.af
Afr. j. AIDS res. (Online) ; 18(1): 18-26, 2018.
Article in English | AIM | ID: biblio-1256653
Responsible library: CG1.1
ABSTRACT
The focus of HIV interventions in Botswana, a country with the second highest prevalence of HIV in the world, remains targeted at those aged 15­49 years despite a growing cohort of older people living with the disease ­ driven largely by the successful roll-out of antiretroviral therapy (ART). Primarily utilising the Botswana AIDS Impact Survey IV, we set out to examine HIV related characteristics and behaviours of this often ignored older cohort (50­64 years) relative to younger (25­49 years) adults. Analysis revealed that more than 80% of older people living with HIV were on ART. HIV prevalence among this older cohort was 24.6% in 2013 compared to 35.1% among the younger cohort, p < 0.0001. Prevalence in older adults was higher among older males (27.8%) than females (21.9%), p = 0.02. Furthermore, 58.9% of older adults acknowledged being sexually active, with 59.0% of these admitting to inconsistent condom use during sexual intercourse. In addition to this low condom usage, older men (6.0%) were significantly more likely to be unaware of their HIV-positive status than older women (3.0%), p = 0.002. While HIV prevalence showed a dramatic increase among older men over time (17.2% in 2004, to 23.4% in 2008, to 27.8% in 2013), the trend was flatter among older women (16.3% in 2004, to 22.4% in 2008, to 21.9% in 2013). These trends are likely attributable to a large increase in ART coverage and uptake. Going forward, more targeted interventions acknowledging the ageing epidemic are important to consider
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Index: AIM (Africa) Main subject: Sexual Behavior / Botswana / Aged / HIV Infections / Antiretroviral Therapy, Highly Active Type of study: Prevalence study / Risk factors Country/Region as subject: Africa Language: English Journal: Afr. j. AIDS res. (Online) Year: 2018 Type: Article

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Index: AIM (Africa) Main subject: Sexual Behavior / Botswana / Aged / HIV Infections / Antiretroviral Therapy, Highly Active Type of study: Prevalence study / Risk factors Country/Region as subject: Africa Language: English Journal: Afr. j. AIDS res. (Online) Year: 2018 Type: Article