title: Transitions in caregiving and health dynamics of caregivers for people with AIDS: a prospective study of caregivers in Nairobi Slums, Kenya.
abstract: OBJECTIVE
  A cohort of older people living in a low-resource setting in Nairobi is followed to understand the transitions in caregiving status and trajectories in health over a 3-year period.
  
  
  METHODS
  Three categories of older people comprising 65 AIDS caregivers, 102 Other caregivers and 1,322 noncaregivers identified at baseline were assessed at end-line based on two self-reported health outcome measures, a functionality score and having a severe health problem.
  
  
  RESULTS
  A majority of caregivers were still providing care at the end of the study, and or had taken on new care recipients. Compared with noncaregivers, AIDS caregivers reported poor health, with men more likely to report poor health than women. New caregivers also reported poorer health compared with noncaregivers.
  
  
  CONCLUSIONS
  The results indicate improvement in health over time among male caregivers supporting the adaptation model. We recommend timely programs to support caregivers particularly at the onset of caregiving.
authors.affiliation: Faculty of Social and Human Sciences, University of Southampton, Southampton, UK. tete@soton.ac.uk
authors.forename: Gloria
authors.initials: G
authors.lastname: Chepngeno-Langat
authors.forename: Maria
authors.initials: M
authors.lastname: Evandrou
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000628:therapy*; D000223:Adaptation, Psychological; D000368:Aged; D017028:Caregivers / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D007630:Kenya; D008297:Male; D008875:Middle Aged; D011204:Poverty Areas; D011446:Prospective Studies; D036301:Qualitative Research; D013997:Time Factors
keywords: HIV programs; caregiving impact; sub-Saharan Africa