@article{594a5c3a97cd40c3b54a3f4f6170b7c0,
title = "HIV after 40 in rural South Africa: A life course approach to HIV vulnerability among middle aged and older adults",
abstract = "South Africa has the highest number of people living with HIV in the world (over 6 million) as well as a rapidly aging population, with 15% of the population aged 50 and over. High HIV prevalence in rural former apartheid homeland areas suggests substantial aging with HIV and acquisition of HIV at older ages. We develop a life course approach to HIV vulnerability, highlighting the rise and fall of risk and protection as people age, as well as the role of contextual density in shaping HIV vulnerability. Using this approach, we draw on an innovative multi-method data set collected within the Agincourt Health and Demographic Surveillance System in South Africa, combining survey data with 60 nested life history interviews and 9 community focus group interviews. We examine HIV risk and protective factors among adults aged 40-80, as well as how and why these factors vary among people at older ages.",
keywords = "Aging, Global health, HIV/AIDS, Life course, South Africa",
author = "Mojola, {Sanyu A.} and Jill Williams and Nicole Angotti and G{\'o}mez-Oliv{\'e}, {F. Xavier}",
note = "Funding Information: We thank all the respondents who participated in this study. We also thank the HIV after 40 field team, along with Vusumuzi Goodwill Dlamini and Laurie Hawkins for research assistance, as well as the anonymous reviewers for helpful feedback on the manuscript. We are grateful for funding support from: University of Colorado Innovative Seed Grant; National Institutes of Health – R24 AG032112-05 Partnership for Social Science AIDS Research in South Africa's Era of ART Rollout (PI Jane Menken); SPARC Prestigious Postdoctoral Fellowship, University of the Witwatersrand; CU Population Center Rapid Response Grant; CU Population Center Pilot Project Grant; MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt) ; William and Flora Hewlett Foundation – # 2009-4069 African Population Studies Research and Training Program (PI Jane Menken). This work has also benefited from research, administrative, and computing support from the Eunice Kennedy Shriver National Institute of Child Health and Human Development –funded University of Colorado Population Center R24HD066613 . Publisher Copyright: {\textcopyright} 2015 Elsevier Ltd.",
year = "2015",
month = oct,
day = "1",
doi = "10.1016/j.socscimed.2015.08.023",
language = "English (US)",
volume = "143",
pages = "204--212",
journal = "Social Science and Medicine",
issn = "0277-9536",
publisher = "Elsevier Limited",
}