Older people living with HIV in Uganda

Understanding their experience and needs

Dados Bibliográficos

ID15456777
AutoresMonica Kuteesa (0000-0003-4296-1398, Uganda Virus Research Institute, autor correspondente), Janet Seeley (0000-0002-0583-5272, University of London), Robert G Cumming (0000-0002-0261-6103, The University of Sydney), Joel Negin (0000-0002-2016-311X, The University of Sydney)
Ano2012
Volume11
Fascículo4
Páginas295-305
Data de publicação2012-12-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAfrican Journal of AIDS Research (JOURNAL)
Identificadores do periódicoISSN: 1608-5906 • E-ISSN: 1727-9445
EditoraTaylor & Francis (PUBLISHER • GB)
DOI10.2989/16085906.2012.754829
PMID25860188
OpenAlexW2014021405
IdiomaEN
Citações recebidas21
Referências citadas28

Older adults ageing with HIV in Africa have been largely neglected, despite the distinctive healthcare needs of this population. This article examines the medical care experiences of older Ugandans living with HIV. Data were collected from 40 HIV-positive adults, aged 50 years or older, attending two clinics in Uganda. Individual in-depth interviews were conducted with 16 adults and four focus groups were conducted with a total of 24 adults. Observations of clinic interactions were also recorded. Mean age of the participants was 65 years (range 50 to 80 years), and 50% were females. Interview transcripts were analysed using thematic content analysis. Although most issues raised were not qualitatively different for older individuals versus younger ones, from the analysis, nine major themes emerged, revealing healthcare needs distinctive to older people living with HIV: 1) stigma (43%); 2) difficulty disclosing (8%); 3) delayed diagnosis and care-seeking (55%); 4) access to care (80%); 5) quality of patient-provider relationship (75%); 6) adherence support (25%); 7) serodiscordance (20%); 8) continuity of care (14%); and, 9) end-of-life issues (13%) and other issues (20%). Most participants attributed a double burden of stigma - from HIV and old age - as a major factor affecting access to healthcare for HIV. Most of the participants expressed anxiety about securing healthcare in the future and concern about the lack of social services. Many participants had problems with transportation and food that compromised their adherence to antiretroviral therapy. HIV-prevention, treatment and care programmes should seek to meet the special needs of older people through focused and innovative approaches. Further research with larger samples is needed to explore the impact of these healthcare needs on the quality of life of older people living with HIV

Environmental health · Family medicine · Focus group · Health care · Human immunodeficiency virus (HIV · Population · Psychiatry · Qualitative research · Quality of life (healthcare · Social stigma · Stigma (botany · Thematic analysis · HIV-related health complications and treatments · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Nursing · Gerontology