Older Adults Accessing HIV Care and Treatment and Adherence in the IeDEA Central Africa Cohort

Abstract EN

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.