You Have to Withstand That Because You Have Come for What You Have Come for
Barriers and facilitators to antiretroviral treatment access among older South Africans living with HIV
Bibliographic Data
Nationwide rollout of antiretroviral treatment (ART) is increasing the number of older persons living with HIV (OPLWH) in South Africa. Yet, little is known about how the sociological aspects of ageing - stigma, finances and family dynamics - impact access to ART. Qualitative interviews with 23 persons aged 50-plus living near Cape Town highlight the barriers and facilitators to the acceptability, affordability and availability of ART access among OPLWH. Key age-related barriers included perceived shame of sexuality and disclosing HIV status to others, perceived disrespect by clinical staff, affording transportation to clinics and pre-existing co-morbidities. Key age-related facilitators included family moral and financial support, particularly from children and grandchildren, and access to social grants. Importantly, many barriers and facilitators had feedback loops, for example social grants reduced transportation barriers to clinics when ageing and poor health limited mobility. As the population living with HIV ages, it is critical to assess the ways ageing, as a social process, impacts ART access and to address these to improve older persons' HIV care
Environmental health · Family medicine · Human immunodeficiency virus (HIV) · Population · Population ageing · Psychiatry · Qualitative research · Shame · Social stigma · Sociology · Stigma (botany) · HIV-related health complications and treatments · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine · Psychology · Social Psychology · Gerontology
Psychological resilience and social support as determinants of HIV-related stress in older adults living with HIV in China
A Focus on Aging, HIV/Aids, and Neurocognitive Challenges
A Conceptual Model for Strengthening Family Capabilities Through a Process of Care
Social Support for Improved ART Adherence and Retention in Care among Older People Living with HIV in Urban South Africa
How Midwestern College students protected their families in the first year of Covid-19
“I am still human and worth a life
Interventions to reduce HIV-related stigma among older people living with HIV in sub-Saharan Africa
“As an older person my thoughts do not focus on one thing”
Understanding advances in treatment and care of people living with and alongside HIV
From Conceptualizing to Measuring HIV Stigma
Stigma and its public health implications
Improving access
Familial Roles and Social Transformations
Stigma
Pensions and the Health of Older People in South Africa
Sexual behavior and HIV risk across the life course in rural South Africa
The end of Aids? HIV and the new landscape of illness in rural South Africa
When you take pills you must eat’
Structural barriers to ART adherence in Southern Africa
Who Benefits—Or Does not—From South Africa’s Old Age Pension? Evidence from Characteristics of Rural Pensioners and Non-Pensioners
I attend at Vanguard and I attend here as well”
Why increasing availability of ART is not enough
A Virus and Nothing Else’
The Relationship of HIV-related Stigma and Health Care Outcomes in the US Deep South
Old age” as a social location
Female-headed households contending with Aids-related hardship in rural South Africa
Addressing access barriers to health services
Understanding the vulnerability of older adults
They ‘don't cure old age’
Receipt of emotional support among rural South African adults
The Impact of Universal Access to Antiretroviral Therapy on HIV Stigma in Botswana
Cluster-Randomized Controlled Trial of an HIV/Sexually Transmitted Infection Risk-Reduction Intervention for South African Men
Growing Older With HIV/Aids
The Concept of Access
Time, Human Agency, and Social Change
On the Significance of Age in Sociology
A peer adherence support intervention to improve the antiretroviral treatment outcomes of HIV patients in South Africa
Intergenerational Transfers in the Era of HIV/Aids
| Unique citing works | 9 |
|---|---|
| Citations per year | 1,8 |
| Citation span | 2021 - 2025 (5) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 9 |