title: Older Adults Accessing HIV Care and Treatment and Adherence in the IeDEA Central Africa Cohort.
abstract: Background. Very little is known about older adults accessing HIV care in sub-Saharan Africa. Materials and Methods. Data were obtained from 18,839 HIV-positive adults at 10 treatment programs in Burundi, Cameroon, and the Democratic Republic of Congo. We compared characteristics of those aged 50+ with those aged 18-49 using chi-square tests. Logistic regression was used to determine if age was associated with medication adherence. Results. 15% of adults were 50+ years. Those aged 50+ were more evenly distributed between women and men (56% versus 44%) as compared to those aged 18-49 (71% versus 29%) and were more likely to be hypertensive (8% versus 3%) (P < 0.05). Those aged 50+ were more likely to be adherent to their medications than those aged 18-49 (P < 0.001). Adults who were not heavy drinkers reported better adherence as compared to those who reported drinking three or more alcoholic beverages per day (P < 0.001). Conclusions. Older adults differed from their younger counterparts in terms of medication adherence, sociodemographic, behavioral, and clinical characteristics.
authors.affiliation: Statistics and Epidemiology, RTI International, Research Triangle Park, NC 27709-2194, USA.
authors.forename: Jamie
authors.initials: J
authors.lastname: Newman
authors.forename: Jeniffer
authors.initials: J
authors.lastname: Iriondo-Perez
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hemingway-Foday
authors.forename: Anna
authors.initials: A
authors.lastname: Freeman
authors.forename: Wilfred
authors.initials: W
authors.lastname: Akam
authors.forename: Ashu
authors.initials: A
authors.lastname: Balimba
authors.forename: Lucien
authors.initials: L
authors.lastname: Kalenga
authors.forename: Marcel
authors.initials: M
authors.lastname: Mbaya
authors.forename: Brigitte
authors.initials: B
authors.lastname: Mfangam Molu
authors.forename: Henri
authors.initials: H
authors.lastname: Mukumbi
authors.forename: Théodore
authors.initials: T
authors.lastname: Niyongabo
authors.forename: Joseph
authors.initials: J
authors.lastname: Atibu
authors.forename: Innocent
authors.initials: I
authors.lastname: Azinyue
authors.forename: Modeste
authors.initials: M
authors.lastname: Kiumbu