2018
DOI: 10.1371/journal.pone.0196158
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“I was referred from the other side”: Gender and HIV testing among older South Africans living with HIV

Abstract: South Africa has a Universal Test and Treat (UTT) policy in place to ensure that everyone tests for HIV and can access treatment if they test positive. The aim of this study is to document the pathways that older South Africans who are living with HIV take to access testing and treatment in this context. Despite the aging of the HIV epidemic in South Africa and clear evidence that testing older persons (over age 50) is necessary, very little is known about the circumstances under which older persons test for H… Show more

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Cited by 35 publications
(52 citation statements)
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“…This trend among older men may also contribute to new infections in younger women in southern Africa where intergenerational relationships have been considered a key driver of the HIV epidemic (8). For older women, who no longer need antenatal or family planning services, access to and uptake of HIV testing declines considerably (9). Declining concerns about unwanted pregnancy, together with minimal public awareness of changes in the demographics of the HIV epidemic (10,11), may lead to greater willingness to engage in condomless sex with existing or new partners of unknown HIV status (12)(13)(14).…”
Section: Subject Areasmentioning
confidence: 99%
See 1 more Smart Citation
“…This trend among older men may also contribute to new infections in younger women in southern Africa where intergenerational relationships have been considered a key driver of the HIV epidemic (8). For older women, who no longer need antenatal or family planning services, access to and uptake of HIV testing declines considerably (9). Declining concerns about unwanted pregnancy, together with minimal public awareness of changes in the demographics of the HIV epidemic (10,11), may lead to greater willingness to engage in condomless sex with existing or new partners of unknown HIV status (12)(13)(14).…”
Section: Subject Areasmentioning
confidence: 99%
“…Despite increasing HIV prevalence and incidence, risk perception and perceived susceptibility to HIV is believed to be low in older age groups (9,15,16). Age-targeted health education and behaviour change campaigns in southern Africa remain focused on adolescents and young people (15-24 years) and have yet to be adapted for older groups.…”
Section: Subject Areasmentioning
confidence: 99%
“…Urban site. Because previous qualitative research suggested it would be challenging to find older people living with HIV, especially over aged 65 years and male [41], we used snowball sampling starting with individuals connected to social and health service organizations in which we had connections. We selected 18 respondents aged 48-73, including 5 men and 13 women.…”
Section: Recruitmentmentioning
confidence: 99%
“…Qualitative studies have examined testing norms and barriers and facilitators of testing. However, except for our own previous work [41,42], the studies primarily have been with younger populations [43,44].…”
Section: Introductionmentioning
confidence: 99%
“…Women in polygamous marriages may lose stature and resources as they age. Around the world, women over 50 who do not have HIV are often not considered “at risk” to acquire HIV, are tested less frequently than men, and are less likely to seek PrEP . Yet, 22,000 women over 50 newly acquired HIV in southern and eastern Africa in 2018 alone .…”
mentioning
confidence: 99%