<p>Prevalence of HIV/AIDS Among Elderly People and Associated Factors in Habru Woreda, Amhara Region, Northeast Ethiopia</p>

Abstract

Introduction: Sub-Saharan African countries are the most affected region by HIV/AIDS. Data from Demographic and Health Survey (DHS) indicated that in Ethiopia older adults who are HIV positive were 2.1% which accounted 17.7% from all HIV positive people aged ≥15. Scarce data are available regarding the prevalence of HIV and associated factors among elderly peoples in Habru district. Objective: To assess the prevalence of HIV and associated factors among older people ≥50 years' age in the study area. Methods: A community-based cross-sectional study was employed. A multi-stage simple random sampling technique was employed and a total of 1689 study subjects were involved. Data were collected by trained health professionals and analyzed using descriptive and analytical statistics. Binary and multivariate logistic regressions were used to identify factors associated with the prevalence of HIV. P-value ≤0.05 was considered statistically significant. Results: Total of 1689 participants were involved and tested for HIV sero-status of which 51.1% were females and the mean age was 62.4±12.34 years. The prevalence for HIV+ was 6.2%. From the multivariate regression model, significant association between prevalence and condom use at last sexual intercourse [AOR= 11.099; 95% CI (2.357,52.268)], condom use at high-risk sexual intercourse [AOR=0.088; 95% CI (0.020, 0.398)], marital status [AOR= 0.409; 95% CI (0.252,0.666)], religion [AOR= 0.431; 95% CI (0.241, 773)], types of previous work [AOR= 0.301; 95% CI (0.117, 0.770)], older people self-perception to risk of HIV infection [AOR= 3.731; 95% CI (2.280, 6.104)], care for HIV infected and noninfected grand children [AOR= 0.434; 95% CI (0.235, 800)], presence of care and support program [AOR= 6.128; 95% CI (1.532, 24.514)] was noticed. Conclusion: The prevalence of HIV in Habru was higher (6.2%) than the national level (2.1%) and efforts should be concentrated on designing new HIV intervention programs targeting older people aged ≥50years.

Evaluation of HIV Viral Load Surveillance System in Adama Public Health Research, and Referral Laboratory Centre, Oromia Region, Ethiopia

“…A previous similar study conducted in Ethiopia (23) showed that adults are at high risk for contracting HIV/ADIS. In contrast, a study conducted in the Habru district in the Amhara region, Ethiopia (21), indicated that older people are more likely to be infected.…”

“…Several prior studies have been conducted in other places and Ethiopia to investigate HIV by age (21), sex disparities (22)(23)(24)(25), VL surveillance evaluation(26-29), VL suppression coverage status (7,10,(30)(31)(32)(33)(34)(35), factors that contribute to no VS (23,(36)(37)(38)(39)(40)(41)(42)(43)(44)(45), HIV VL program bene ts (22,32,(46)(47)(48)(49)(50), the prevalence of HIV, treatment gaps, and geographical location (9,13,(51)(52)(53). However, few of these studies have focused on evaluating the ability of laboratory-based surveillance systems to predict HIV viral load suppression by 2030.…”

Advance Care Planning Among Elderly Acquired Immunodeficiency Syndrome Patients

“…This highlights yet another high-risk group infected with human immunodeficiency virus (HIV). 1,2 In 2017, for the first time in China, the older adults, together with migrant workers who may be sexually active, young students, overseas labor workers, and monitored drug users in treatment programs, were included in the key groups surrounding AIDS prevention and control. 3 Depending on the route of AIDS transmission, elderly AIDS patients often feel internal shame for violating traditional moral values.…”

“…The number of reported AIDS cases among people 50 years and older has been increasing annually, with the aging of the global population. This highlights yet another high-risk group infected with human immunodeficiency virus (HIV) 1,2 . In 2017, for the first time in China, the older adults, together with migrant workers who may be sexually active, young students, overseas labor workers, and monitored drug users in treatment programs, were included in the key groups surrounding AIDS prevention and control 3 .…”