A critical review of intervention and policy effects on the health of older people in sub-Saharan Africa

Lloyd‐Sherlock, Peter; Amoakoh-Coleman, Mary

doi:10.1016/j.socscimed.2020.112887

Cited by 10 publications

(14 citation statements)

References 39 publications

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“…We were able to identify very few studies (five) that looked at HIV testing among older adults in SSA, and out of the few studies we did find that addressed sex differences in HIV testing among this population, only one study set out to answer this research question as their main focus while others focused on sex differences as a subpoint in their overall paper. The lack of studies conducted on our research question corroborates the existing findings that there is very little HIV data focused on older adults in SSA [ 2 , 4 , 8 , 16 ] despite the region being home to the five countries with the highest number of older adults with HIV [ 14 ]. The lack of data and research may be the result of HIV responses being targeted to younger people while neglecting older adults [ 20 , 33 – 35 ].…”

Section: Discussionsupporting

confidence: 86%

“…The lack of sex and age disaggregated information among older adults is problematic in SSA [2,[17][18][19][20][21], given that this type of data is essential to better understand HIV service utilization and preferences that can help develop appropriate evidence-based responses and policies to ensure health access equality for older adults in this region. The aim of this systematic review is to identify and collect all available data both from qualitative and quantitative studies that examined sex differences in HIV testing among older adults in SSA.…”

Section: Introductionmentioning

confidence: 99%

“…Human Immunodeficiency Syndrome (HIV) remains a leading cause of morbidity and mortality in sub-Saharan Africa (SSA) [ 1 , 2 ]. Globally, according to the United Nations Programme on HIV and AIDS ( UNAIDS ) 2021 epidemiological report, 37.6 million people are living with HIV in 2020, over two-thirds of whom are in SSA [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, there are currently few studies that have examined HIV infection in older adults, and the few that do exist have been conducted in high-income countries [ 14 , 16 ]. Most studies consider older people as a single category, typically including all adults aged 50 and over [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

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Sex Differences in HIV Testing among Older Adults in Sub-Saharan Africa: A Systematic Review

Gebremeskel

Gunawardena

Omonaiye

et al. 2021

BioMed Research International

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Background. Despite being sexually active and engaging in risky sexual behaviours similar to young adults, older adults (50 years or older) are less likely to receive HIV testing, and disaggregated data are still scarce about HIV prevention and treatment in this vulnerable population in sub-Saharan Africa (SSA). This systematic review is aimed at examining sex differences in HIV testing and counseling (HTC) among older adults in SSA. Methods. A systematic search of four databases, namely, MEDLINE (Ovid), EMBASE (Ovid), Web of Science, and Global Health, was conducted from 2000 to January 2020. The primary outcome of interest for this study was gender differences in HTC among older adults in SSA. Observational studies including cross-sectional, retrospective, and prospective cohort studies were included. Eligible studies must have reported sex differences in HIV testing uptake in a standard HTC service among older adults in SSA. Results. From the database search, 4143 articles were identified. Five studies were ultimately included in the final review. Of the 1189 participants, 606 (51.1%) and 580 (48.9%) were female and male, respectively. The review findings suggested that both men and women preferred HTC providers that are the same sex as them with women additionally preferring a provider who is also of a similar age. Men and women differed in their pathways to getting tested for HIV. The review documented mixed results with regard to the associations between sex of older adults and uptake of HTC. Older adult HTC uptake data are limited in scope and coverage in sub-Saharan Africa. Conclusion. This review revealed shortage of evidence to evaluate optimum HTC utilization among older adults. Few studies examined sex differences in HIV testing among older adults in the region. There is a need for stakeholders working in the area of HIV prevention and treatment to focus on older adult health utilization evidence organization, disaggregated by age and sex. Hence, high-quality research designs are needed on the topic in order to generate good quality evidence for targeted interventions to improve HTC among older adults in sub-Saharan Africa.

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Section: Discussionsupporting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Sex Differences in HIV Testing among Older Adults in Sub-Saharan Africa: A Systematic Review

Gebremeskel

Gunawardena

Omonaiye

et al. 2021

BioMed Research International

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“…Scoping reviews are a more suitable approach when the purpose is to identify knowledge gaps, scope a body of literature, clarify concepts, identify the types of evidence available and used in a given field, and to examine how research is conducted on a particular topic ( 33 ). Critical reviews, for their part, move beyond the description of research findings to undertake additional analysis and critical reflection, usually with the aim of making a conceptual contribution to the literature ( 34 , 35 ).…”

Section: Approach and Methodsmentioning

confidence: 99%

Urban Family Planning in Low- and Middle-Income Countries: A Critical Scoping Review

Duminy

Cleland

Harpham

et al. 2021

Front. Glob. Womens Health

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Health agendas for low- and middle-income countries (LMICs) should embrace and afford greater priority to urban family planning to help achieve a number of the global Sustainable Development Goals. The urgency of doing so is heightened by emerging evidence of urban fertility stalls and reversals in some sub-Saharan African contexts as well as the significance of natural increase over migration in driving rapid urban growth. Moreover, there is new evidence from evaluations of large programmatic interventions focused on urban family planning that suggest ways to inform future programmes and policies that are adapted to local contexts. We present the key dimensions and challenges of urban growth in LMICs, offer a critical scoping review of recent research findings on urban family planning and fertility dynamics, and highlight priorities for future research.

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

Moucheraud¹,

Paul-Schultz

Mphande³

et al. 2020

AIDS Behav

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A critical review of intervention and policy effects on the health of older people in sub-Saharan Africa

Cited by 10 publications

References 39 publications

Sex Differences in HIV Testing among Older Adults in Sub-Saharan Africa: A Systematic Review

Sex Differences in HIV Testing among Older Adults in Sub-Saharan Africa: A Systematic Review

Urban Family Planning in Low- and Middle-Income Countries: A Critical Scoping Review

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

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