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'You Have to Withstand That Because You Have Come for What You Have Come for': Barriers and facilitators to antiretroviral treatment access among older South Africans living with HIV.
Schatz, Enid; Knight, Lucia; Mukumbang, Ferdinand C; Teti, Michelle; Myroniuk, Tyler W.
Afiliación
  • Schatz E; Department of Public Health, School of Health Professions, University of Missouri, Columbia, MO, USA.
  • Knight L; MRC/Wits Rural Public Health and Health Transitions Research Unit(Agincourt, Faculty of Health Sciences, School of Public Health, University of the Witwatersrand, Johannesburg, South Africa.
  • Mukumbang FC; Division of Social and Behavioural Sciences, Faculty of Health Sciences, School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa.
  • Teti M; Faculty of Community and Health Sciences, School of Public Health, University of the Western Cape, Cape Town, South Africa.
  • Myroniuk TW; Department of Global Health, The Global Center for Integrated Health of Women, Adolescents, and Children (Global WACh, University of Washington, Seattle, WA, USA.
Sociol Health Illn ; 43(3): 624-641, 2021 03.
Article en En | MEDLINE | ID: mdl-33682928
Nationwide rollout of antiretroviral treatment (ART) is increasing the number of older persons living with HIV (OPLWH) in South Africa. Yet, little is known about how the sociological aspects of ageing - stigma, finances and family dynamics - impact access to ART. Qualitative interviews with 23 persons aged 50-plus living near Cape Town highlight the barriers and facilitators to the acceptability, affordability and availability of ART access among OPLWH. Key age-related barriers included perceived shame of sexuality and disclosing HIV status to others, perceived disrespect by clinical staff, affording transportation to clinics and pre-existing co-morbidities. Key age-related facilitators included family moral and financial support, particularly from children and grandchildren, and access to social grants. Importantly, many barriers and facilitators had feedback loops, for example social grants reduced transportation barriers to clinics when ageing and poor health limited mobility. As the population living with HIV ages, it is critical to assess the ways ageing, as a social process, impacts ART access and to address these to improve older persons' HIV care.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Antirretrovirales Tipo de estudio: Qualitative_research Límite: Aged / Aged80 / Child / Humans País/Región como asunto: Africa Idioma: En Revista: Sociol Health Illn Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
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XML
PubMed Links
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Infecciones por VIH / Antirretrovirales Tipo de estudio: Qualitative_research Límite: Aged / Aged80 / Child / Humans País/Región como asunto: Africa Idioma: En Revista: Sociol Health Illn Año: 2021 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido