ArticleJournal of acquired immune deficiency syndromes (1999)2017
Sexual Behaviors and HIV Status: A Population-Based Study Among Older Adults in Rural South Africa.
Article in Journal of acquired immune deficiency syndromes (1999), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 1 of them a synthesis that pooled it.
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Who cites it
51 citing papers in PubMed, 1 synthesis or guideline pooled it, 79 citations in OpenAlex.
- Sex Differences in HIV Testing among Older Adults in Sub-Saharan Africa: A Systematic Review.BioMed research international · 2021Pooled it
- Effect of a cash transfer intervention on memory decline and dementia probability in older adults in rural South Africa.Proceedings of the National Academy of Sciences of the United States of America · 2024Trial
- Factors associated with unawareness of HIV-positive status among individuals aged ≥ 15 years in Tanzania: Evidence from the Tanzania HIV Impact Survey 2022-2023.BMC public health · 2026Article
- Article
- HIV incidence among sexually active young males and females in Kisumu County, Western Kenya.PloS one · 2026Article
- Left behind? A longitudinal analysis of need for preexposure prophylaxis services among middle-aged and older adults in South Africa.AIDS (London, England) · 2025Article
- Comparison of sexual risk behaviors among Zambian adolescent girls and young women living with and without HIV.Reproductive health · 2025Article
- Estimating dementia prevalence using remote diagnoses and algorithmic modelling: a population-based study of a rural region in South Africa.The Lancet. Global health · 2024Article
- Voluntary medical male circumcision and educational gradient in relation to HIV infection among sexually active adult men in Eswatini: evidence from the national surveys in 2006-2007 and 2016.International health · 2024Article
- The Association Between HIV-Related Stigma and the Uptake of HIV Testing and ART Among Older Adults in Rural South Africa: Findings from the HAALSI Cohort Study.AIDS and behavior · 2024Article
- 'Sometimes it is not about men': Gendered and generational discourses of caregiving HIV transmission in a rural South African setting.Global public health · 2022Article
- Modeling the potential impact of pre-exposure prophylaxis for HIV among men who have sex with men in Cameroon.BMC infectious diseases · 2022Article
- Progress towards the UNAIDS 90-90-90 targets among persons aged 50 and older living with HIV in 13 African countries.Journal of the International AIDS Society · 2022Article
- Interventions to Increase HIV Testing Uptake in Global Settings.Current HIV/AIDS reports · 2022Review
- Uptake of HIV testing among aging adults in Agincourt, South Africa: perception of community, social network, and individual characteristics.African journal of AIDS research : AJAR · 2022Article
- Screening Adults for HIV Testing in the Outpatient Department: An Assessment of Tool Performance in Malawi.AIDS and behavior · 2022Article
- Women for science and science for women: Gaps, challenges and opportunities towards optimizing pre-exposure prophylaxis for HIV-1 prevention.Frontiers in immunology · 2022Review
- Older Adults Vastly Overestimate Both HIV Acquisition Risk and HIV Prevalence in Rural South Africa.Archives of sexual behavior · 2021Article
- Alcohol Consumption and Sexual Risk Behavior in an Aging Population in Rural South Africa.AIDS and behavior · 2021Article
- Do Older Adults with HIV Have Distinctive Personal Networks? Stigma, Network Activation, and the Role of Disclosure in South Africa.AIDS and behavior · 2021Article
Corrections and comments
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Authors and funding
11 authors at 7 institutions in 6 countries.
Funding
Abstract
objectiveTo identify the unmet needs for HIV prevention among older adults in rural South Africa.
methodsWe analyzed data from a population-based sample of 5059 men and women aged 40 years and older from the study Health and Aging in Africa: Longitudinal Studies of INDEPTH Communities (HAALSI), which was carried out in the Agincourt health and sociodemographic surveillance system in the Mpumalanga province of South Africa. We estimated the prevalence of HIV (laboratory-confirmed and self-reported) and key sexual behaviors by age and sex. We compared sexual behavior profiles across HIV status categories with and without age-sex standardization.
resultsHIV prevalence was very high among HAALSI participants (23%, 95% confidence interval [CI]: 21 to 24), with no sex differences. Recent sexual activity was common (56%, 95% CI: 55 to 58) across all HIV status categories. Condom use was low among HIV-negative adults (15%, 95% CI: 14 to 17), higher among HIV-positive adults who were unaware of their HIV status (27%, 95% CI: 22 to 33), and dramatically higher among HIV-positive adults who were aware of their status (75%, 95% CI: 70 to 80). Casual sex and multiple partnerships were reported at moderate levels, with slightly higher estimates among HIV-positive compared to HIV-negative adults. Differences by HIV status remained after age-sex standardization.
conclusionsOlder HIV-positive adults in an HIV hyperendemic community of rural South Africa report sexual behaviors consistent with high HIV transmission risk. Older HIV-negative adults report sexual behaviors consistent with high HIV acquisition risk. Prevention initiatives tailored to the particular prevention needs of older adults are urgently needed to reduce HIV risk in this and similar communities in sub-Saharan Africa.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.