A Multi-Dimensional Characterization of Aging and Wellbeing Among HIV-Positive Adults in Malawi

There is relatively little research on aging with HIV and wellbeing in sub-Saharan Africa. A cross-sectional survey was implemented in Malawi; eligible respondents were ≥ 30 years old and on ART for ≥ 2 years. Univariate and multiple regression analyses were stratified by age (younger adults: aged 30-49; older adults: aged ≥ 50) and gender. The median age was 51 years (total sample n = 134). Viral suppression was less common among older respondents (83.7% versus 93.0% among younger respondents) although not significant in adjusted models. Despite exhibiting worse physical and cognitive functioning (any physical functioning challenge: aOR 5.35, p = 0.02; cognitive functioning score difference: - 0.89 points, p = 0.04), older adults reported less interpersonal violence and fewer depressive symptoms (mild depression: aOR 0.23 p = 0.002; major depression: aOR 0.16, p = 0.004); in gender-stratified models, these relationships were significant only for females. More research is needed to disentangle the interplay between aging, gender and HIV in high-burden contexts and develop interventions to support comprehensive wellbeing in this population

The Roggeveldberge - Notes on a botanically hot area on a cold corner of the southern Great Escarpment, South Africa

AbstractDespite the Roggeveldberge comprising the montane heart of the celebrated Hantam–Roggeveld Centre of Plant Endemism (HRC), this section of the southern Great Escarpment in South Africa is botanically poorly known. A detailed physical, historical and phytogeographical overview of the Roggeveldberge is thus presented, and a checklist of 513 plant taxa is provided as a contribution towards a more complete flora for the Roggeveld–Komsberg Escarpment. The HRC is considered in detail, including various delimitations, and all species purported to be endemic to the HRC are reviewed and separated into actual endemics, near-endemics and species incorrectly considered as endemic