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HIV Attitudes, Awareness and Testing Among Older Adults in Africa

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In Africa, older adults aged 50 and older are still sexually active and play a critical role as caregivers, yet little is known about their attitudes towards HIV and awareness of services. In this study, surveys were conducted in nine African sites. A multilevel model was fitted to evaluate the relationship between age and outcome variables. The study reveals that people aged 50 years and older have lower levels of HIV-related knowledge and awareness than those aged 25–49. Older adults were less likely to have been tested for HIV and women aged 50 and older showed particularly low levels of awareness.

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  1. Mills EJ, Rammohan A, Awofeso N. Ageing faster with AIDS in Africa. Lancet. 2010;377:1131–3.

    Article  PubMed  Google Scholar 

  2. Negin J, Cumming RG. HIV infection in older adults in sub-Saharan Africa: extrapolating prevalence from existing data. Bull World Health Organ. 2010;88:847–53.

    Article  PubMed  Google Scholar 

  3. Boon H, Ruiter RAC, James S, Van Den Borne B, Williams E, Reddy P. The impact of a community-based pilot health education intervention for older people as caregivers of orphaned and sick children as a result of HIV and AIDS in South Africa. J Cross Cult Gerontol. 2009;24(4):373–89.

    Article  PubMed  Google Scholar 

  4. Kipp WE, Alibhai A, Saunders D, Konde-Lule J, Ruhunda A. Public knowledge and attitudes toward HIV/AIDS and antiretroviral therapy in Kabarole district, western Uganda. AIDS Care. 2009;21(1):118–24.

    Article  PubMed  Google Scholar 

  5. Savasta AM. HIV: associated transmission risks in older adults—an integrative review of the literature. J Assoc Nurses AIDS Care. 2004;15(1):50–9.

    Article  PubMed  Google Scholar 

  6. Im-em W, Vanlandingham M, Knodel J, Saengtienchai C. HIV/AIDS-related knowledge and attitudes: a comparison of older persons and young adults in Thailand. AIDS Educ Prev. 2002;14(3):246–62.

    Article  PubMed  Google Scholar 

  7. Measure DHS. Demographic and health surveys [Internet]. Calverton: ICF Macro; 2010. Accessed 6 Oct 2010.

  8. Sanchez P, Palm C, Sachs JD, et al. The African millennium villages. Proc Natl Acad Sci USA. 2007;104:16775–80.

    Article  PubMed  CAS  Google Scholar 

  9. Rutstein SO, Rojas G. Guide to DHS statistics Calverton, MD: ORC Macro; 2006.

  10. National Population Commission (NPC) (Nigeria) and ICF Macro. Nigeria demographic and health survey 2008. Abuja, Nigeria: National Population Commission and ICF Macro; 2009.

    Google Scholar 

  11. National AIDS and STD Control Program. Kenya AIDS indicator survey 2007 final report. Nairobi, Kenya: Ministry of Health; 2009.

  12. Goujard C, Bernard N, Sohier N, et al. Impact of a patient education program on adherence to HIV medication. J Acquir Immuno Defic Syndr. 2003;34:191–4.

    Article  Google Scholar 

  13. Bezner Kerr R, Dakishoni L, Shumba L, Msachi R, Chirwa M. “We grandmothers know plenty”: breastfeeding, complementary feeding and the multifaceted role of grandmothers in Malawi. Soc Sci Med. 2008;66(5):1095–105.

    Article  PubMed  Google Scholar 

  14. Shisana O, Rehle T, Simbayi LC, et al. South African national HIV prevalence, incidence, behaviour and communication survey 2008: a turning tide among teenagers?. Cape Town: HSRC Press; 2009.

    Google Scholar 

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The authors would like to thank Alex Radunsky, Maria Muniz and Cheryl Palm of the Earth Institute for their assistance with data preparation and support. Funding for the Millennium Villages was provided by the Lenfest, Blaustein, Sara McCune, Stephen Lewis/MACAID, and Yara Foundations and the Government of Japan through the United Nations Development Programme’s Human Security Trust Fund.

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Correspondence to Joel Negin.

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Negin, J., Nemser, B., Cumming, R. et al. HIV Attitudes, Awareness and Testing Among Older Adults in Africa. AIDS Behav 16, 63–68 (2012).

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