HIV behavioural interventions targeted towards older adults: a systematic review

Negin, Joel; Rozea, Aneuryn; Martiniuk, Alexandra

doi:10.1186/1471-2458-14-507

Cited by 43 publications

(43 citation statements)

References 64 publications

(78 reference statements)

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“…47,48 Specific programs ensuring universal HIV testing, rapid linkage of HIV-positive people to care, and supported HIV treatment retention and adherence should also be considered. 17,49 Among HIV-negative older adults, it will be important to consider how established interventions, such as medical male circumcision 50 and condom promotion, and novel interventions, such as preexposure prophylaxis, 18 can be designed and delivered in ways that best meet the needs of older adults. 46,49 In general, it is likely that to reach older adults with HIV prevention messages, interventions will need to explore disseminating messages through different channels than have been successfully used for younger age groups (ie, social media and social venues).…”

Section: Discussionmentioning

confidence: 99%

Sexual Behaviors and HIV Status: A Population-Based Study Among Older Adults in Rural South Africa

Rosenberg

Gómez‐Olivé

Rohr

et al. 2017

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Objective To identify whether older adults in rural South Africa have unmet needs for HIV prevention. Methods We analyzed data from a population-based sample of 5059 men and women aged 40 and older from Health and Aging in Africa: Longitudinal Studies of INDEPTH Communities (HAALSI) undertaken in the Agincourt sub-district of Mpumalanga Province, underpinned by the Agincourt health and socio-demographic surveillance system. We estimated the prevalence of HIV (laboratory-confirmed and self-reported) and key sexual behaviors by age and sex. We compared sexual behavior profiles across HIV status categories with and without age-sex-standardization. Results HIV prevalence was very high among HAALSI participants (23%, 95% CI: 21, 24), with no sex differences. Recent sexual activity was common (56%, 95% CI: 55, 58) across all HIV status categories. Condom use was low among HIV− adults (15%, 95% CI: 14, 17), higher among HIV+ adults unaware of their status (27%, 95% CI: 22, 33), and dramatically higher among HIV+ adults aware of their status (75%, 95% CI: 70, 80). Casual sex and multiple partnerships were reported at moderate levels, with slightly higher estimates among HIV+ compared to HIV− adults. Differences by HIV status remained after age-sex-standardization. Conclusions Older HIV+ adults in an HIV hyperendemic community of rural South Africa report sexual behaviors consistent with HIV transmission risk. Older HIV− adults report sexual behaviors consistent with HIV acquisition risk. Prevention initiatives tailored to the particular prevention needs of older adults are urgently needed to reduce HIV risk in this and similar communities in sub-Saharan Africa.

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Section: Discussionmentioning

confidence: 99%

Sexual Behaviors and HIV Status: A Population-Based Study Among Older Adults in Rural South Africa

Rosenberg

Gómez‐Olivé

Rohr

et al. 2017

JAIDS Journal of Acquired Immune Deficiency Syndromes

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“…Studies have shown that increasing the knowledge of HIV can significantly reduce the risk of HIV transmission (15, 18, 23). The potential of behavioral intervention in curbing HIV-risk behaviors has been underscored by many researchers (21, 24, 25). A major challenge for behavioral intervention is that it cannot address the underlying condition of poverty, which is an important risk factor for poor health, low literacy, and overall socioeconomic well-being (26, 27).…”

Section: Introductionmentioning

confidence: 99%

Extent of Knowledge about HIV and Its Determinants among Men in Bangladesh

Yaya

Bishwajit

Danhoundo

et al. 2016

Front. Public Health

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BackgroundBangladesh is currently a low human immunodeficiency virus (HIV) prevalent country. However, the risk factors are widespread and the number of at-risk population is also rising, which warrants special policy attention. The risks of transmission were shown to be correlated with the level of HIV knowledge of individuals. In this study, we aimed to explore the level and influencing factors of HIV knowledge among adult men in Bangladesh.MethodologyData for the present study were collected from the sixth round of Bangladesh Demographic and Health Survey. Participants were 3305 men between 15 and 54 years of age regardless of HIV status. The primary outcome variable was the HIV knowledge score, which was calculated by responses to questions regarding general concepts and the mode of transmission of HIV. Association between the HIV knowledge score and the explanatory variables were analyzed by binary logistic regression methods.ResultThe mean HIV knowledge score was 7.2 (SD 1.3). Results indicate that being an urban resident [p < 0.001; odds ratios (OR) = 0.56, 95% confidence intervals (CI) = 0.48–0.64], having secondary/higher educational level (p < 0.001 OR = 0.56, 95%CI = 0.48–0.64), reading newspaper [p = 0.006; OR = 0.76, 95%CI = 0.62–0.92], and communication with community health workers (CHWs) (p = 0.05; OR = 0.77, 95%CI = 0.60–10.00) were significantly associated with a high (equal or above mean value) HIV knowledge level.ConclusionThe level of HIV knowledge among Bangladeshi men is low. Leveraging HIV awareness programs targeting adult men to prevent future expansion of the epidemic should be a high priority. Revitalization and restructuring of the education sector and strengthening CHW’s engagement to improve knowledge about HIV transmission among men could generate beneficial returns for HIV prevention programs.

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“…This increase in HIV diagnoses in older females could be partly due to older women being less concerned with the risks of pregnancy and, therefore maybe more likely to engage in unprotected sex (22, [26][27][28]. The observed increase in annually reported HIV diagnoses may also be attributed in part to previous positive HIV diagnoses, where a person may be tested and reported as a new diagnosis more than once due to inter-provincial migration or migration into Canada after a HIV diagnosis outside of Canada.…”

Section: Discussionmentioning

confidence: 99%

Newly diagnosed cases of HIV in those aged 50 years and older and those less than 50: 2008–2017

Haddad

Robert

Popovic

et al. 2019

CCDR

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Background: Canada's population is aging, with nearly forty percent of Canadians aged 50 years or more. As the population ages, unique challenges related to health are becoming evident, including increasing rates of sexually transmitted and bloodborne infections. Understanding the epidemiology of HIV in older adults is important to guide prevention and control programs. Objective: To assess trends in newly diagnosed cases of HIV in Canada among those aged 50 years and older (≥50 years) and those aged less than 50 (<50 years), and to compare their basic demographic characteristics and exposure categories for the period of 2008 to 2017. Methods: National surveillance of HIV is conducted by the Public Health Agency of Canada through voluntary submission of data by provincial/territorial public health authorities. Descriptive analyses were conducted on reported cases of HIV between January 1, 2008, to December 31, 2017 to compare the demographic profiles and exposure category for the two age groups. Results: Between 2008 and 2017, the proportion of newly diagnosed HIV cases among those ≥50 years increased from 15.1% to 22.8%. The HIV diagnosis rates for both older males and older females increased over time, with a relatively higher increase for females. A higher proportion of newly diagnosed HIV cases were male in the older group (81.2%) compared to the younger group (74.6%). Among both older and younger males, the most common exposure category for HIV was being gay, bisexual and other men who have sex with men (gbMSM), followed by heterosexual contact and injection drug use; however, the relative proportions varied by age with the gbMSM category being higher in the <50 group. Conclusion: In Canada, over 20% of all newly diagnosed cases of HIV are now in people 50 years of age and older. HIV testing and prevention initiatives, historically aimed at younger populations, may not have the same impact for older populations. These data can be used to inform future public health actions designed to address HIV in older populations.

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HIV behavioural interventions targeted towards older adults: a systematic review

Cited by 43 publications

References 64 publications

Sexual Behaviors and HIV Status: A Population-Based Study Among Older Adults in Rural South Africa

Sexual Behaviors and HIV Status: A Population-Based Study Among Older Adults in Rural South Africa

Extent of Knowledge about HIV and Its Determinants among Men in Bangladesh

Newly diagnosed cases of HIV in those aged 50 years and older and those less than 50: 2008–2017

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