PDF(Pubmed)
Abstract：
South Africa has the largest share of people living with HIV in the world and this population is ageing. The social context in which people seek HIV care is often ignored. Apart from clinical interventions, socio-behavioural factors impact successful HIV care outcomes for older adults living with HIV. We use cross-sectional data linked with demographic household surveillance data, consisting of HIV positive adults aged above 40, to identify socio-behavioural predictors of a detectable viral load. Older adults were more likely to have a detectable viral load if they did not disclose their HIV positive status to close family members (aOR 2.56, 95% CI 1.89-3.46), resided in the poorest households (aOR 1.98, 95% CI 1.23-3.18), or were not taking medications other than ART (aOR 1.83, 95% CI 1.02-1.99) likely to have a detectable. Clinical interventions in HIV care must be supported by understanding the socio-behavioural barriers that occur outside the health facility. The importance of community health care workers in bridging this gap may offer more optimum outcomes for older adults ageing with HIV.
摘要：
南非是世界上艾滋病毒感染者的最大比例，而且这一人口正在老龄化。人们寻求艾滋病毒护理的社会背景往往被忽视。除了临床干预，社会行为因素影响HIV感染老年人成功的HIV护理结果.我们使用与人口统计家庭监测数据相关的横截面数据，由40岁以上的HIV阳性成年人组成，以确定可检测病毒载量的社会行为预测因子。老年人更有可能有一个可检测的病毒载量，如果他们没有透露他们的艾滋病毒阳性状态给亲密的家庭成员（aOR2.56，95％CI1.89-3.46），居住在最贫穷的家庭(aOR1.98，95%CI1.23-3.18)，或未服用ART以外的药物（aOR1.83，95%CI1.02-1.99）可能具有可检测性。艾滋病毒护理的临床干预措施必须通过了解医疗机构以外发生的社会行为障碍来支持。社区卫生保健工作者在弥合这一差距方面的重要性可能会为感染艾滋病毒的老年人提供更多的最佳结果。
