ArticleAIDS (London, England)2018
Antiretroviral therapy coverage associated with increased co-residence between older and working-age adults in Africa.
Article in AIDS (London, England), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
What it found
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Healthy Aging Adult South Africa report card: a systematic review of the evidence between 2013 and 2020 for middle-aged South African men and women.Cardiovascular journal of AfricaPooled it
- "I am adhering to HIV treatment so that I can live to support her": A qualitative study of upward intergenerational support in South Africa.Journal of global health · 2024Article
- Intergenerational spillover effects of antiretroviral therapy in sub-Saharan Africa: a scoping review and future directions for research.BMJ global health · 2023Article
- Causal effect of children's secondary education on parental health outcomes: findings from a natural experiment in Botswana.BMJ open · 2021Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesTo determine whether national antiretroviral therapy (ART) coverage is associated with changes in the living arrangements of older adults.
designRetrospective analysis using 103 nationally representative surveys from 28 African countries between 1991 and 2015.
methodsThe 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.
resultsOur sample consisted of 297 331 older adults. An increase in ART coverage of 1% was associated with a 0.7 percentage point reduction (P < 0.001) in the probability of an older adult living without working-age adult and a 0.2 percentage point reduction (P = 0.005) 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 103 000-358 000 older adults could be living with working-age adults as a result of increased ART coverage (1%).
conclusionThe 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.
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