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Growing Old in the Era of AIDS: Perspectives and Experiences of Older Men and Women in South Africa

  • Chantal Munthree
  • Pranitha Maharaj
Chapter
Part of the International Perspectives on Aging book series (Int. Perspect. Aging, volume 4)

Abstract

Despite the serious implications that HIV/AIDS is likely to have for older people in South Africa, little empirical work has focused directly on them. However, growing evidence suggests that older people are increasingly impacted by the AIDS pandemic. This study uses qualitative and quantitative methods to provide insights into the perspectives and behaviour of older people in KwaZulu-Natal, South Africa. It looks more specifically at the multiple impacts of the HIV/AIDS pandemic on the lives of older men and women. The results show that few older men and women feel at medium or high risk of HIV infection. Older men and women perceive themselves at risk of HIV infection because of their caregiving activities. Almost 17 % of respondents report that they have ever cared for someone with HIV/AIDS with the percentage somewhat higher in rural areas than urban areas. The consequences on the health of older people are substantial with many reporting experiencing physical exhaustion and emotional stress as a result of their caregiving responsibilities.

Keywords

Focus Group Discussion Informal Caregiver Main Caregiver Rural Respondent African Township 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Aliber, M., de Swardt, C., du Toit, A., Mbhele, T., & Mthethwa, T. (2005). Trends and policy challenges in the rural economy. Cape Town: HSRC.Google Scholar
  2. Anderson, K. G., Beutel, A. M., & Maughan-Brown, B. (2007). HIV risk perceptions and first sexual intercourse among youth in Cape Town South Africa. International Family Planning Perspectives, 33(3), 98–105.CrossRefGoogle Scholar
  3. Best, K. (2004). HIV/AIDS does not spare older people. Network, 22(1), 26–28.Google Scholar
  4. Caldwell, J., & Caldwell, P. (1993). The South African fertility decline. Population and Development Review, 19(2), 225–262.CrossRefGoogle Scholar
  5. Camlin, C., & Chimbwete, C. (2003). Does knowing someone with AIDS affect condom use? An analysis from South Africa. AIDS Education and Prevention, 15(3), 231–244.CrossRefGoogle Scholar
  6. Catania, J. A., Chitwood, D. D., Gibson, D. R., & Coates, T. (1990). Methodological problems in AIDS behavioural research: influences on measurement error and participation bias in studies of sexual behaviour. Psychological Bulletin, 108, 339–362.CrossRefGoogle Scholar
  7. Chazan, M. (2008). Seven ‘deadly’ assumptions: unravelling the implications of HIV/AIDS among grandmothers in South Africa and beyond. Aging and Society, 28, 935–958.CrossRefGoogle Scholar
  8. Department of Health. (2008a). National HIV and Syphilis sero-prevalence survey of women attending public antenatal clinics in South Africa—2007. Pretoria: Department of Health.Google Scholar
  9. Department of Health. (2008b). Republic of South Africa: Progress report on declaration of commitment on HIV and AIDS. Prepared for United Nations General Assembly Special Session on HIV and AIDS. Pretoria: Department of Health.Google Scholar
  10. Hall, A., Selby, J., & Vanclay, F. M. (1982). Sexual ageism. Australian Journal on Aging, 1, 29–34.CrossRefGoogle Scholar
  11. HelpAge International. (2003). HIV/AIDS and aging: A briefing paper. London: HelpAge International.Google Scholar
  12. HelpAge International. (2004). Age and security: Summary report—how social pensions can deliver effective aid to poor older people and their families. London: HelpAge International.Google Scholar
  13. HelpAge International. (2006). Baseline information from Africa regional HIV and AIDS project. London: HelpAge International.Google Scholar
  14. Hosegood, V., Vanneste, A. M., & Timaeus, I. (2004). Levels and causes of adult mortality in rural South Africa: the impact of AIDS. AIDS Care, 18, 663–671.Google Scholar
  15. Joubert, J. D., & Bradshaw, D. (2006). Population ageing and health challenges in South Africa. In K. Steyn, J. Fourie, & N. Temple (Eds.), Chronic diseases of lifestyle in South Africa: 1995–2005. Technical Report. Cape Town: South African Medical Research Council.Google Scholar
  16. Knodel, J., Van Landingham, M., Saengtienchai, C., & Im-em, W. (2001). Older people and AIDS: quantitative evidence of the impact in Thailand. Social Science and Medicine, 52(9), 1313–1327.CrossRefGoogle Scholar
  17. Knodel, J., Watkins, S., & Van Landingham, M. (2002). AIDS and older persons: An international perspective. Michigan: University of Michigan, Population Studies Center at the Institute of Social Research.Google Scholar
  18. Legido-Quigley, H. (2003).The South African old age pension: Exploring the role on poverty alleviation in households affected by HIV/AIDS. Paper presented at the 4th international research conference on social security, Antwerp, Belgium. 5–7 May.Google Scholar
  19. Leibbrandt, M., Woolard, I., Finn, A., & Argent, J. (2010). Trends in South African income distribution and poverty since the Fall of Apartheid. OECD Social, Employment and Migration Working Paper, No. 101. Paris, France: OECD.CrossRefGoogle Scholar
  20. Macintyre, K., Rutenberg, N., Brwon, L., & Karim, A. (2004). Understanding perceptions of HIV risk among adolescents in KwaZulu-Natal. AIDS and Behaviour, 8(3), 237–250.CrossRefGoogle Scholar
  21. Madhavan, S. (2004). Fosterage patterns in the age of AIDS: continuity and change. Social Science and Medicine, 58(7), 1443–1454.CrossRefGoogle Scholar
  22. Maharaj, P., & Roberts, B. (2006). Tripping Up: AIDS, Pharmaceuticals and Intellectual Property in South Africa. In C. Grown, E. Braunstein, & A. Malhotra (Eds.), Trading women’s health and rights trade liberalisation and reproductive health in developing economies. London: Zed Books.Google Scholar
  23. Mall, F. (2005). The impact of HIV/AIDS on older people. Humanitarian Exchange Magazine, 5, 29–31.Google Scholar
  24. May, J. (2003). Chronic poverty and older people in South Africa. CPRC Working Paper Number 25. Manchester, UK: University of Manchester.Google Scholar
  25. Moore, A. R., & Henry, D. (2005). Experiences of older informal caregivers to people living with HIV/AIDS in Lome, Togo. Aging International, 30(2), 147–166.CrossRefGoogle Scholar
  26. Nhongo, T. (2004). The changing role of older people in African households and the impact of aging on African family structures. Johannesburg: Help Age International.Google Scholar
  27. Ntozi, J., & Nakayama, S. (2001). AIDS in Uganda: How has the household coped with the pandemic? In O. Orubuloye, J. C. Caldwell, & J. P. M. Ntozi (Eds.), The continuing HIV/AID pandemic in Africa, responses and coping strategies. Canberra: Health Transition Centre, Australian National University.Google Scholar
  28. Saengtienchai, C., & Knodel, J. (2001). Parents providing care to adult sons and daughters with HIV/AIDS in Thailand. UNAIDS best practice collection. Geneva: UNAIDS.Google Scholar
  29. Shisana, O., Rehle, T., Simbayi, L., Parker, W., Zuma, K., Bhana, A., Connolly, C., Jooste, S., & Pillay, V. (2005). South African National HIV prevalence, HIV incidence, behaviour and communication survey, 2005. Cape Town: Human Science Research Council.Google Scholar
  30. Simmons, R., & Elias, C. (1994). The study of client-provider interactions: a review of methodological issues. Studies in Family Planning, 25(1), 1–16.CrossRefGoogle Scholar
  31. Ssengonzi, R. (2007). The plight of older persons as caregivers to people infected/affected by HIV/AIDS: evidence from Uganda. Journal of Cross Cultural Gerontology, 22, 339–353.CrossRefGoogle Scholar
  32. Statistics South Africa. (2011). Mid-year population estimates. Pretoria: Statistics South Africa.Google Scholar
  33. Steinberg, M., Johnson, S., Schierhout, G., & Ndegwa, D. (2002). Hitting home: How households cope with the impact of the HIV/AIDS pandemic: A survey of households affected by HIV/AIDS in South Africa. Washington: The Henry J. Kaiser Family Foundation.Google Scholar
  34. U.S. Centers for Disease Control and Prevention. (1998). AIDS among persons aged ≥50 years. United States, 1991–1996. MMWR, 47(2), 21–27.Google Scholar
  35. UNAIDS. (2002). AIDS and older populations. New York: United Nations.Google Scholar
  36. UNAIDS. (2004). UNAIDS pandemic update: Fact sheet—Africa. New York: UNAIDS.Google Scholar
  37. UNAIDS. (2008). Report on the global AIDS pandemic 2008. Geneva: Joint United Nations Programme on HIV/AID.Google Scholar
  38. UNDP. (2003). South Africa human development report: The challenge to sustainable development: Unlocking people’s creativity. Pretoria: UNDP.Google Scholar
  39. Upton, R. (2003). ‘Women have no tribe’ Connecting carework, gender and migration in an era of HIV/AIDS in Botswana. Gender and Society, 17(2), 314–322.CrossRefGoogle Scholar
  40. Weingaertner-Kohlscheen, C. (2003). Towards integrated solid waste management in low-income housing areas in Durban, South Africa. Stockholm: Universitetsservice.Google Scholar
  41. Whiteside, A., & Sunter, C. (2000). AIDS: The challenge for South Africa. Johannesburg: Human and Rousseau.Google Scholar
  42. Williams, N., Knodel, J., Kim, S. K., Puch, S., & Saengtienchai, C. (2008). Overlooked potential: older age parents in the era of ART. AIDS Care, 20(10), 1169–1176.CrossRefGoogle Scholar
  43. Williams, A., & Tumwekwase, G. (2001). Multiple impacts of the HIV/AIDS pandemic on the aged in rural Uganda. Journal of Cross-Cultural Gerontology, 16, 221–236.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.School of Built Environment and Development StudiesUniversity of KwaZulu-NatalDurbanSouth Africa

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