ArticleInternational journal for equity in health2018
"I attend at Vanguard and I attend here as well": barriers to accessing healthcare services among older South Africans with HIV and non-communicable diseases.
Article in International journal for equity in health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 51 citations in OpenAlex.
- Ageing with HIV: Medicine Optimisation Challenges and Support Needs for Older People Living with HIV: A Systematic Review.Drugs & aging · 2023Pooled it
- A systematic review of engagement in care and health care utilization among older adults living with HIV and non-communicable diseases.AIDS care · 2022Pooled it
- Prevention of cardiovascular disease among people living with HIV in sub-Saharan Africa.Progress in cardiovascular diseasesPooled it
- Acceptability, feasibility and appropriateness of integrating HPV self-sampling for cervical cancer screening into voluntary family planning services in Malawi.BMC public health · 2025Trial
- Ethical issues in caring for older persons in Sub-Saharan Africa: a scoping review.BMC medical ethics · 2026Article
- Organization and Integration of Care in the HIV-Non-Communicable Disease Syndemic: A Rapid Scoping Review.International journal of environmental research and public health · 2026Article
- Ethical Issues in Caring for Older Persons in Sub-Saharan Africa: A Scoping Review.Research square · 2026Article
- Trauma exposure as a predictor of general health outcomes and trauma-related beliefs among older adults living in an adverse environment.Aging & mental health · 2025Article
- Healthcare workers' perception of quality of care rendered to people living with HIV and non-communicable diseases at an urban district hospital in KwaZulu Natal, South Africa: a mixed mode study.BMC health services research · 2025Article
- Perceived quality of life and associated lifestyle practices among older people living with HIV in Uganda. A cross-sectional study.Virusdisease · 2025Article
- Article
- Primary health care challenges: insights from older people with multimorbidity in Malawi - a qualitative study.BMC public health · 2024Article
- Lived experiences of people living with HIV and hypertension or diabetes access to care in Ethiopia: a phenomenological study.BMJ open · 2024Article
- Perceptions of women enrolled in a cardiovascular disease screening and prevention in HIV study.South African family practice : official journal of the South African Academy of Family Practice/Primary Care · 2023Article
- The impact of persistent precarity on patients' capacity to manage their treatment burden: A comparative qualitative study between urban and rural patients with multimorbidity in South Africa.Frontiers in medicine · 2023Article
- Navigating Life With HIV as an Older Adult on the Kenyan Coast: Perceived Health Challenges Seen Through the Biopsychosocial Model.International journal of public health · 2023Article
- Social Support for Improved ART Adherence and Retention in Care among Older People Living with HIV in Urban South Africa: A Complex Balance between Disclosure and Stigma.International journal of environmental research and public health · 2022Article
- Who is at Risk? Social Support, Relationship Dissolution, and Illness in a Rural Context.Sociological inquiry · 2022Article
- Financial burden associated with attendance at a public hospital emergency department in Johannesburg.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2022Article
- Health behaviours and beliefs among Malawian adults taking antihypertensive medication and antiretroviral therapy: A qualitative study.Global public health · 2022Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHIV and non-communicable disease (NCD) are syndemic within sub-Saharan Africa especially among older persons. The two epidemics interact with one another within a context of poverty, inequality and inequitable access to healthcare resulting in an increase in those aged 50 and older living with HIV and experiencing an NCD co-morbidity. We explore the challenges of navigating healthcare for older persons living with HIV and NCD co-morbidity.
methodsIn-depth semi-structured interviews were conducted with a small sample of older persons living with HIV (OPLWH). The perspectives of key informants were also sought to triangulate the evidence of OPLWH. The research took place in two communities on the outskirts of Cape Town, South Africa. All interviews were conducted by a trained interviewer and transcribed and translated for analysis. Thematic content analysis guided data analysis.
resultsOPLWH experienced an HIV-NCD syndemic. Our respondents sought care and accessed treatment for both HIV and other chronic (and acute) conditions, though these services were provided at different health facilities or by different health providers. Through the syndemic theory, it is possible to observe that OPLWH and NCDs face a number of physical and structural barriers to accessing the healthcare system. These barriers are compounded by separate appointments and spaces for each condition. These difficulties can exacerbate the impact of their ill-health and perpetuate structural vulnerabilities. Despite policy changes towards integrated care, this is not the experience of OPLWH in these communities.
conclusionsThe population living with HIV is aging increasing the likelihood that those living with HIV will also be living with other chronic conditions including NCDs. Thus, it is essential that health policy address this basic need to integrate HIV and NCD care.
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Registered trials
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.