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HIV/AIDS and the health of older people in the slums of Nairobi, Kenya: results from a cross sectional survey

By Catherine Kyobutungi, Alex C. Ezeh, Eliya Zulu and Jane Falkingham


Background: the proportion of older people is increasing worldwide. Globally, it is estimated that older people (those 60 years or older) constitute more than 11% of the population. As the HIV/AIDS pandemic rages in sub-Saharan Africa (SSA), its impact on older people needs closer attention given the increased economic and social roles older people have taken on as a result of increased mortality among adults in the productive age groups. Few studies have looked at older people and their health in SSA or indeed the impact of HIV/AIDS on their health. This study aims to assess the effect of being directly or indirectly affected by HIV/AIDS on the health of older people in two Nairobi slums.<br/>Methods: data were collected from residents of the Nairobi Urban Health and Demographic Surveillance area aged 50 years and above on 1st October 2006. Health status was assessed using the short SAGE (Study on Global AGEing and Adult Health) form and two outcome measures – self-rated health and a composite health score – were generated. To assess HIV/AIDS affected status, respondents were asked: Have you personally been affected by HIV/AIDS? If yes, a follow up question: "How have you been personally affected by HIV/AIDS?" was asked. Ordinallogistic regression was used in models with self-rated health and linear regression in models with the health score.<br/>Results: about 18% of respondents reported being affected by HIV/AIDS in at least one way, although less than 1% reported being infected with HIV. Nearly 60% of respondents reported being in good health, 27% in fair health and 14% in poor health. The overall mean health score was 70.6 (SD: 13.9) with females reporting worse health outcomes than males.<br/>Respondents directly or indirectly affected by HIV/AIDS reported worse health outcomes than those not affected: mean health score: 68.5 and 71.1 respectively (t = 3.21, p = 0.0007), and an adjusted odds ratio of reporting poor health of 1.42 (95%CI: 1.12–1.80).<br/>Conclusion: poor health outcomes among older people affected by HIV/AIDS highlight the need for policies that target them in the fight against HIV/AIDS if they are to play their envisaged care giving and other traditional role

Topics: HT, RA0421, DT
Year: 2009
OAI identifier:
Provided by: e-Prints Soton

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  4. (2002). Centre: Population and Health Dynamics in Nairobi Informal Settlements. Nairobi, African Population and Health Research Centre;
  5. (1972). Correlates of the post-partum taboo: a cross-cultural study. Current Anthropology doi
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  7. (2008). et al.: HIV-1 infected patients older than 50 years. PISCIS cohort study. doi
  8. (2005). Ezeh AC: A qualitative assessment of social support in urban poor settings of Nairobi. doi
  9. (1993). Gender and inequalities in health in later life. Soc Sci Med doi
  10. (1999). Gender differences in health in later life: the new paradox? Soc Sci Med doi
  11. (2005). Growing older with HIV: a study of health, social and economic circumstances for people living with HIV in Australia over the age of 50 years. AIDS Patient Care STDS doi
  12. (2001). Higginson IJ: Are quality of life measures patient centred? BMJ
  13. (2007). HIV/AIDS and family support systems: A situation analysis of people living with HIV/AIDS in Lagos State. doi
  14. (2008). Holodniy M: HIV infection in the elderly. Clin Interv Aging
  15. (2007). of Economic and Social Affairs: World Population Ageing doi
  16. (2001). Older people and AIDS: quantitative evidence of the impact in Thailand. Soc Sci Med doi
  17. (2008). on the Brink 2004. A Joint Report of New Orphan Estimates and a Framework for Action.
  18. (2006). Organisation: Definition of an older or elderly person.
  19. Organisation: Impact of AIDS on older people in Africa: Zimbabwe Case Study.
  20. (2006). Organisation: WHO Study on global AGEing and adult health (SAGE). SAGE Survey Instruments doi
  21. Orphanhood and childcare patterns in sub-Saharan Africa: an analysis of national surveys from 40 countries. AIDS 2004, 18(Suppl 2):S55-S65. doi
  22. (2006). PEPFAR: Africa's Orphaned and Vulnerable Generations: Children affected by AIDS
  23. (2001). PG: Measuring quality of life: Is quality of life determined by expectations or experience? BMJ doi
  24. (2005). Reeve BB: Item response theory and its applications to patient-reported outcomes measurement. Eval Health Prof doi
  25. (2008). Saengtienchai C: Overlooked potential: older-age parents in the era of ART. AIDS Care doi
  26. (1999). Social inequalities in health: are there gender differences? Soc Sci Med doi
  27. (2008). The burden of disease profile of residents of Nairobi's slums: Results from a Demographic Surveillance System. Popul Health Metr doi
  28. (2009). The impact of HIV/AIDS on the living arrangements and well-being of elderly caregivers in rural Uganda. AIDS Care doi
  29. (2007). The plight of older persons as caregivers to people infected/affected by HIV/AIDS: evidence from Uganda. J Cross Cult Gerontol doi
  30. (1989). The Social Context of AIDS in sub-Saharan Africa. Population and Development Review doi
  31. (2006). World Health Organisation; doi

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