title: Timing of Most Recent Health Care Visit by Older People Living With and Without HIV.
abstract: The objective of this article is to document factors associated with the recency of health-care service utilization by people aged 50 years and over living with and without HIV in Uganda. A survey was conducted with 510 Ugandans aged 50 and older, living with and without HIV. The survey included information on sociodemographic characteristics, health state, self-reported chronic conditions, and timing of most recent visit to a health-care facility (time since last visit [TSLV]). We use ordinal logistic regression to identify independent factors associated TSLV. Independent factors associated with TSLV (>6 months) include age, OR = 2.40 [95% CI 1.08-5.37] for those aged 80 years and above, urban respondents, OR = 0.6 [95%CI 0.38-0.94], HIV-positive respondents, OR = 0.33 [95%CI 0.18-0.59], and better health. To understand the meaning of these finding, further investigation should examine (a) how best to define and measure older persons' health-care service needs and (b) older persons' decision-making processes around the timing of their access to health-care facilities.
authors.affiliation: 1 MRC/UVRI, Uganda Research Unit on AIDS, Entebbe, Uganda.|2 Department of Health Sciences, University of Missouri, Columbia, USA.
authors.forename: Joseph O
authors.initials: JO
authors.lastname: Mugisha
authors.affiliation: 2 Department of Health Sciences, University of Missouri, Columbia, USA.
authors.forename: Enid J
authors.initials: EJ
authors.lastname: Schatz
authors.affiliation: 3 School of Public Health, University of Sydney, Sydney, Australia.
authors.forename: Joel
authors.initials: J
authors.lastname: Negin
authors.affiliation: 1 MRC/UVRI, Uganda Research Unit on AIDS, Entebbe, Uganda.
authors.forename: Paul
authors.initials: P
authors.lastname: Mwaniki
authors.affiliation: 4 World Health Organization Study on global AGEing and adult health, Geneva, Switzerland.|5 Research Centre for Generational Health and Ageing, University of Newcastle, NSW, Australia.
authors.forename: Paul
authors.initials: P
authors.lastname: Kowal
authors.affiliation: 1 MRC/UVRI, Uganda Research Unit on AIDS, Entebbe, Uganda.|6 London School of Hygiene and Tropical Medicine, London, UK.
authors.forename: Janet
authors.initials: J
authors.lastname: Seeley
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D015658:HIV Infections / Q000453:epidemiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D013997:Time Factors; D014454:Uganda / Q000453:epidemiology
keywords: African elders; aging population and health care; formal care; health; older adults