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.
authors.affiliation: Department of Sociology, University of Colorado Boulder, USA; Institute of Behavioral Science, University of Colorado Boulder, USA. Electronic address: sanyu.mojola@colorado.edu.
authors.forename: Sanyu A
authors.initials: SA
authors.lastname: Mojola
authors.affiliation: Institute of Behavioral Science, University of Colorado Boulder, USA; MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, South Africa.
authors.forename: Jill
authors.initials: J
authors.lastname: Williams
authors.affiliation: Institute of Behavioral Science, University of Colorado Boulder, USA; MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, South Africa; Department of Sociology and Center on Health, Risk and Society, American University, USA.
authors.forename: Nicole
authors.initials: N
authors.lastname: Angotti
authors.affiliation: MRC/Wits Rural Public Health and Health Transitions Research Unit (Agincourt), School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, South Africa.
authors.forename: F Xavier
authors.initials: FX
authors.lastname: Gómez-Olivé
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D015658:HIV Infections / Q000453:epidemiology*; D006801:Humans; D008016:Life Change Events; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012424:Rural Population; D012737:Sex Factors; D012725:Sexual Behavior; D013019:South Africa / Q000453:epidemiology; D011795:Surveys and Questionnaires
keywords: Aging; Global health; HIV/AIDS; Life course; South Africa