HIV after 40 in rural South Africa: A life course approach to HIV vulnerability among middle aged and older adults

Sanyu A. Mojola, Jill Williams, Nicole Angotti, F. Xavier Gómez-Olivé

Research output: Contribution to journalArticle

19 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)204-212
Number of pages9
JournalSocial Science and Medicine
Volume143
DOIs
StatePublished - Oct 1 2015

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • History and Philosophy of Science

Keywords

  • Aging
  • Global health
  • HIV/AIDS
  • Life course
  • South Africa

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