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. 2021 Feb;25(2):571-581.
doi: 10.1007/s10461-020-03020-y.

A Multi-Dimensional Characterization of Aging and Wellbeing Among HIV-Positive Adults in Malawi

Corrina Moucheraud  1 , Jenna Paul-Schultz  2 , Misheck Mphande  3 , Ben Allan Banda  3 , Hitler Sigauke  3 , Verwoed Kumwenda  3 , Kathryn Dovel  2 , Risa M Hoffman  2
Affiliations

A Multi-Dimensional Characterization of Aging and Wellbeing Among HIV-Positive Adults in Malawi

Corrina Moucheraud et al. AIDS Behav. 2021 Feb.

Abstract

There is relatively little research on aging with HIV and wellbeing in sub-Saharan Africa. A cross-sectional survey was implemented in Malawi; eligible respondents were ≥ 30 years old and on ART for ≥ 2 years. Univariate and multiple regression analyses were stratified by age (younger adults: aged 30-49; older adults: aged ≥ 50) and gender. The median age was 51 years (total sample n = 134). Viral suppression was less common among older respondents (83.7% versus 93.0% among younger respondents) although not significant in adjusted models. Despite exhibiting worse physical and cognitive functioning (any physical functioning challenge: aOR 5.35, p = 0.02; cognitive functioning score difference: - 0.89 points, p = 0.04), older adults reported less interpersonal violence and fewer depressive symptoms (mild depression: aOR 0.23 p = 0.002; major depression: aOR 0.16, p = 0.004); in gender-stratified models, these relationships were significant only for females. More research is needed to disentangle the interplay between aging, gender and HIV in high-burden contexts and develop interventions to support comprehensive wellbeing in this population.

Keywords: Aging; HIV; Malawi; Wellbeing.

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