Older Adults Accessing HIV Care and Treatment and Adherence in the IeDEA Central Africa Cohort

Background. Very little is known about older adults accessing HIV care in sub-Saharan Africa. Materials and Methods. Data were obtained from 18,839 HIV-positive adults at 10 treatment programs in Burundi, Cameroon, and the Democratic Republic of Congo. We compared characteristics of those aged 50+ w...

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Main Authors: Jamie Newman, Jeniffer Iriondo-Perez, Jennifer Hemingway-Foday, Anna Freeman, Wilfred Akam, Ashu Balimba, Lucien Kalenga, Marcel Mbaya, Brigitte Mfangam Molu, Henri Mukumbi, Théodore Niyongabo, Joseph Atibu, Innocent Azinyue, Modeste Kiumbu
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:AIDS Research and Treatment
Online Access:http://dx.doi.org/10.1155/2012/725713
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author Jamie Newman
Jeniffer Iriondo-Perez
Jennifer Hemingway-Foday
Anna Freeman
Wilfred Akam
Ashu Balimba
Lucien Kalenga
Marcel Mbaya
Brigitte Mfangam Molu
Henri Mukumbi
Théodore Niyongabo
Joseph Atibu
Innocent Azinyue
Modeste Kiumbu
author_facet Jamie Newman
Jeniffer Iriondo-Perez
Jennifer Hemingway-Foday
Anna Freeman
Wilfred Akam
Ashu Balimba
Lucien Kalenga
Marcel Mbaya
Brigitte Mfangam Molu
Henri Mukumbi
Théodore Niyongabo
Joseph Atibu
Innocent Azinyue
Modeste Kiumbu
author_sort Jamie Newman
collection DOAJ
description Background. Very little is known about older adults accessing HIV care in sub-Saharan Africa. Materials and Methods. Data were obtained from 18,839 HIV-positive adults at 10 treatment programs in Burundi, Cameroon, and the Democratic Republic of Congo. We compared characteristics of those aged 50+ with those aged 18–49 using chi-square tests. Logistic regression was used to determine if age was associated with medication adherence. Results. 15% of adults were 50+ years. Those aged 50+ were more evenly distributed between women and men (56% versus 44%) as compared to those aged 18–49 (71% versus 29%) and were more likely to be hypertensive (8% versus 3%) (P<0.05). Those aged 50+ were more likely to be adherent to their medications than those aged 18–49 (P<0.001). Adults who were not heavy drinkers reported better adherence as compared to those who reported drinking three or more alcoholic beverages per day (P<0.001). Conclusions. Older adults differed from their younger counterparts in terms of medication adherence, sociodemographic, behavioral, and clinical characteristics.
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spelling doaj-art-1cc0d855fd85485e82eaf294bb5e769a2025-02-03T05:50:29ZengWileyAIDS Research and Treatment2090-12402090-12592012-01-01201210.1155/2012/725713725713Older Adults Accessing HIV Care and Treatment and Adherence in the IeDEA Central Africa CohortJamie Newman0Jeniffer Iriondo-Perez1Jennifer Hemingway-Foday2Anna Freeman3Wilfred Akam4Ashu Balimba5Lucien Kalenga6Marcel Mbaya7Brigitte Mfangam Molu8Henri Mukumbi9Théodore Niyongabo10Joseph Atibu11Innocent Azinyue12Modeste Kiumbu13Statistics and Epidemiology, RTI International, Research Triangle Park, NC 27709-2194, USAStatistics and Epidemiology, RTI International, Research Triangle Park, NC 27709-2194, USAStatistics and Epidemiology, RTI International, Research Triangle Park, NC 27709-2194, USAStatistics and Epidemiology, RTI International, Research Triangle Park, NC 27709-2194, USALimbe Provincial Hospital, Limbe, CameroonHôpital Militaire de Yaoundé, Yaoundé, CameroonAMO-Congo, Lubumbashi, Democratic Republic of CongoAMO-Congo, Matadi, Democratic Republic of CongoHôpital Général de Yaoundé, Yaoundé, CameroonAMO-Congo, Kinshasa, Democratic Republic of CongoCentre Hospitalo-Universitaire de Kamenge, Bujumbura, BurundiEcole de Santé Publique, Kinshasa, Democratic Republic of CongoVindata Solutions, Yaoundé, CameroonEcole de Santé Publique, Kinshasa, Democratic Republic of CongoBackground. Very little is known about older adults accessing HIV care in sub-Saharan Africa. Materials and Methods. Data were obtained from 18,839 HIV-positive adults at 10 treatment programs in Burundi, Cameroon, and the Democratic Republic of Congo. We compared characteristics of those aged 50+ with those aged 18–49 using chi-square tests. Logistic regression was used to determine if age was associated with medication adherence. Results. 15% of adults were 50+ years. Those aged 50+ were more evenly distributed between women and men (56% versus 44%) as compared to those aged 18–49 (71% versus 29%) and were more likely to be hypertensive (8% versus 3%) (P<0.05). Those aged 50+ were more likely to be adherent to their medications than those aged 18–49 (P<0.001). Adults who were not heavy drinkers reported better adherence as compared to those who reported drinking three or more alcoholic beverages per day (P<0.001). Conclusions. Older adults differed from their younger counterparts in terms of medication adherence, sociodemographic, behavioral, and clinical characteristics.http://dx.doi.org/10.1155/2012/725713
spellingShingle Jamie Newman
Jeniffer Iriondo-Perez
Jennifer Hemingway-Foday
Anna Freeman
Wilfred Akam
Ashu Balimba
Lucien Kalenga
Marcel Mbaya
Brigitte Mfangam Molu
Henri Mukumbi
Théodore Niyongabo
Joseph Atibu
Innocent Azinyue
Modeste Kiumbu
Older Adults Accessing HIV Care and Treatment and Adherence in the IeDEA Central Africa Cohort
AIDS Research and Treatment
title Older Adults Accessing HIV Care and Treatment and Adherence in the IeDEA Central Africa Cohort
title_full Older Adults Accessing HIV Care and Treatment and Adherence in the IeDEA Central Africa Cohort
title_fullStr Older Adults Accessing HIV Care and Treatment and Adherence in the IeDEA Central Africa Cohort
title_full_unstemmed Older Adults Accessing HIV Care and Treatment and Adherence in the IeDEA Central Africa Cohort
title_short Older Adults Accessing HIV Care and Treatment and Adherence in the IeDEA Central Africa Cohort
title_sort older adults accessing hiv care and treatment and adherence in the iedea central africa cohort
url http://dx.doi.org/10.1155/2012/725713
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