Analysis - South Africa continues to have a high prevalence of HIV among all age groups. About 8.2 million people or 13.7% of the population live with HIV, one of the highest rates in the world.
By Jen Manne-Goehler, Francesc Xavier Gomez-Olive Casas, Julia Rohr, Kathleen Kahn, Nomsa Mahlalela and Till Bärnighausenliving with HIV are currently on chronic treatment. Widespread access to antiretroviral therapies since 2008 has led to millions of peopleMost HIV prevention and treatment programmes and policies in South Africa remain focused on adolescents and young adults. A growing group of middle-aged and older adults with HIV, or at high risk, are being left behind.
This project, a collaboration between the University of the Witwatersrand and Harvard University, has followed a cohort of over 5,000 adults older than 40 in the Agincourt region in north-east South Africa for more than 10 years. The majority of research excludes, or ignores, age as a variable. Understanding HIV-related stigma in older adults remains crucial and can inform interventions to support their mental health and overall well-being.suggests that social stigma poses a significant barrier to testing behaviour among older adults. A quarter of our respondents reported social stigma related to HIV infection.
To further highlight the critical importance of viral suppression for healthy ageing, the Haalsa team explored the impact of viral suppression on: a 45-year-old man without HIV could expect to live about another 27 years; a man with virally suppressed HIV could expect to live 24 years. One with unsuppressed HIV could expect to live 17 years.
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