Antiretroviral therapy coverage associated with increased co-residence between older and working-age adults in Africa.
AIDS
; 32(14): 2051-2057, 2018 09 10.
Article
en En
| MEDLINE
| ID: mdl-29894389
OBJECTIVES: To determine whether national antiretroviral therapy (ART) coverage is associated with changes in the living arrangements of older adults. DESIGN: Retrospective analysis using 103 nationally representative surveys from 28 African countries between 1991 and 2015. METHODS: The sample consisted of individuals aged at least 60 years. We investigated how three measures of living arrangements of older adults have changed with ART coverage: the number of older individuals living without working-age adults, the number of older individuals living with only dependent children (i.e. 'missing generation' households), and the number of working-age adults per household where an older individual lives. RESULTS: Our sample consisted of 297â331 older adults. An increase in ART coverage of 1% was associated with a 0.7 percentage point reduction (Pâ<â0.001) in the probability of an older adult living without working-age adult and a 0.2 percentage point reduction (Pâ=â0.005) in the probability of an older adult living in a 'missing generation' household. Increases in ART coverage were also associated with more working-age adults in households with at least one older adult. In our study countries, representing 75% (749 million) of the sub-Saharan population, an additional 103â000-358â000 older adults could be living with working-age adults as a result of increased ART coverage (1%). CONCLUSION: The scale-up of ART has likely led to substantial increases in co-residence between older and working-age adults in Africa. Returns to investments in HIV treatment will be too low, if the social benefits from these changes in living arrangements of older adults are not taken into account.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Características de la Residencia
/
Terapia Antirretroviral Altamente Activa
/
Antirretrovirales
/
Utilización de Medicamentos
Tipo de estudio:
Observational_studies
Límite:
Adolescent
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Adult
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Aged
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Aged80
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Female
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Humans
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Male
/
Middle aged
País/Región como asunto:
Africa
Idioma:
En
Revista:
AIDS
Asunto de la revista:
SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS)
Año:
2018
Tipo del documento:
Article
País de afiliación:
Alemania
Pais de publicación:
Reino Unido