Abstract
Abstract
Background
There is limited research on HIV testing among older persons in Uganda. The aim of this study was to investigate the socio-demographic determinants of recent HIV testing among older persons in selected rural districts in Uganda.
Methods
A cross-sectional survey of 649 older men and women age 50 years and older, from central (Masaka district) and western (Hoima district) Uganda was conducted. Frequency distributions, chi-square tests and multivariable logistic regressions were used to examine the association between recent HIV testing and selected explanatory variables.
Results
Nearly six in ten (58%) of older persons had primary education. About 60% of the respondents were in union and 13% of them had two or more spouses. Half of the older people (51%) had sex in the last twelve months. A quarter (25%) of older persons gave or received gifts in exchange for sex in their lifetime. Nearly a third (29%) reported sexually transmitted infections in the last 12 months. Prevalence of lifetime HIV testing was 82% and recent (last 12 months) HIV testing was 53%. HIV testing in the last 12 months was associated with age (OR = 0.50; 95% CI: 0.31–0.79), self-reported sexually transmitted infections (OR = 1.59; 95% CI: 1.00–2.30), male circumcision (OR = 1.71; 95% CI: 1.0–2.93), and sexual activity in the last 12 months (OR = 2.89; 95% CI: 1.83–4.57).
Conclusion
Recent HIV testing among older persons was associated with younger age, self-reported STIs, male circumcision, and sexual activity among older persons in rural Uganda. HIV testing interventions need to target older persons who are 70 years and older, who were less likely to test.
Funder
Makerere University
African Population and Health Research Center
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
Reference59 articles.
1. UNECA: The state of older persons in Africa - 2007. In: Regional review and appraisal of the Madrid International Plan of Action on Ageing. United Nations Economic Commision for Africa; 2007.
2. MoGLSD: National Policy for Older Persons: Ageing with Security and Dignity In. Kampala, Uganda: Ministry of Gender, Labour and Social Development; 2009.
3. UBOS: Uganda National Household Survey 2009–2010. Socio-economic module. Abridged report. In. Kampala, Uganda: Uganda Bureau of Statistics; 2010.
4. Definition of an older or elderly person: Proposed Working Definition of an Older Person in Africa for the MDS Project [http://www.who.int/healthinfo/survey/ageingdefnolder/en/].
5. Kyobutungi C, Ezeh A, Zulu E, Falkingham J. HIV/AIDS and the health of older people in the slums of Nairobi, Kenya: results from a cross sectional survey. BMC Public Health. 2009;9(1):153.