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Socio-demographic inequalities in HIV testing behaviour and HIV prevalence among older adults in rural Tanzania, 2013

Bibliographic Data

ID19443795
AuthorsAngelina Mtowa (0000-0002-2986-7295, Ifakara Health Institute, Dar es Salaam, Tanzania, corresponding author), Annette Gerritsen (0000-0002-9724-8621, Umkhuseli Innovation and Research Management), Annette A M Gerritsen (Epi Result, Pietermaritzburg, South Africa), Sally Mtenga (0000-0001-6100-7562, Ifakara Health Institute, Dar es Salaam, Tanzania), Mary Mwangome (0000-0002-4675-3943, Ifakara Health Institute, Dar es Salaam, Tanzania), Eveline Geubbels (0000-0002-9702-5460, Ifakara Health Institute, Dar es Salaam, Tanzania)
Year2017
Volume29
Issue9
Pages1162-1168
Publication date2017-09-02
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2017.1308462
PMID28545331
OpenAlexW2620331796
LanguageEN
Citations received4
References cited31

Most HIV research in Sub-Saharan Africa (SSA) ignores persons aged 50 years and above, though a few studies have reported a high HIV prevalence among older people. This study aimed to estimate socio-demographic inequalities in HIV testing behaviour and HIV prevalence among adults aged 50+ years, living in Ifakara town, Tanzania. This cross-sectional study used data from the baseline measurement of the Ifakara MZIMA cohort study in 2012/13. Consenting participants were interviewed and tested for HIV. Associations between HIV testing behaviour and HIV prevalence with socio-demographic indicators were explored with multivariable logistic regression. Among the 1643 adults 50+ years included in the study, HIV prevalence and the HIV testing rate (ever tested) were 6% and 11.4% respectively. The HIV testing rate was lower for older people (aOR = 0.19 (95% CI 0.09-0.41 for 75+ versus 50-54 years); higher for those separated/divorced/widowed than those married (aOR = 1.46; 1.02-2.10); higher for "other Christians" than Muslims (aOR = 1.95; 1.06-3.58); and higher for primary (aOR = 1.54; 1.01-2.33) and secondary (aOR = 3.47; 2.11-5.70) school graduates than those without education. HIV prevalence was lower for older people (aOR = 0.27; 0.11-0.66 for 75+ versus 50-54); and for Catholics compared to Muslims (aOR = 0.54; 0.34-0.85). The high HIV prevalence among older adults and the low HIV testing behaviour call for more efforts on HIV prevention, treatment and care

Environmental health · Inequality · Socioeconomics · Sociology · Tanzania · Adolescent Sexual and Reproductive Health · Demography · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine · Virology

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Citations per year0.67
Citation span2020 - 2021 (2)
Highly citedNo

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