HIV prevalence and sexual behaviour at older ages in rural Malawi

E. Freeman, Philip Anglewicz

Research output: Contribution to journalArticle

Abstract

Research on HIV infection and sexual behaviour in sub-Saharan Africa typically focuses on individuals aged 15-49 years under the assumption that both become less relevant for older individuals. We test this assumption using data from rural Malawi to compare sexual behaviour and HIV infection for individuals aged 15-49 with individuals aged 50-64 and 65 and over years. Although general declines with age were observed, levels of sexual activity and HIV remained considerable: 26.7% and 73.8% of women and men aged 65{thorn} reported having sex in the last year, respectively; men's average number of sexual partners remained above one; and HIV prevalence is significantly higher for men aged 50-64 (8.9%) than men aged 15-49 (4.1%). We conclude that older populations are relevant to studies of sexual behaviour and HIV risk. Their importance is likely to increase as access to antiretrovirals in Africa increases. We recommend inclusion of adults aged over 49 years in African HIV/AIDS research and prevention efforts.

Original languageEnglish (US)
Pages (from-to)490-496
Number of pages7
JournalInternational Journal of STD and AIDS
Volume23
Issue number7
DOIs
StatePublished - Jul 1 2012
Externally publishedYes

Fingerprint

Malawi
Sexual Behavior
HIV
HIV Infections
Africa South of the Sahara
Sexual Partners
Research
Acquired Immunodeficiency Syndrome
Population

Keywords

  • Africa
  • HIV
  • Malawi
  • Older age
  • Prevalence
  • Sexual risk behaviour

ASJC Scopus subject areas

  • Dermatology
  • Public Health, Environmental and Occupational Health
  • Pharmacology (medical)
  • Infectious Diseases

Cite this

HIV prevalence and sexual behaviour at older ages in rural Malawi. / Freeman, E.; Anglewicz, Philip.

In: International Journal of STD and AIDS, Vol. 23, No. 7, 01.07.2012, p. 490-496.

Research output: Contribution to journalArticle

@article{618a84c33d3d487492a6490698088cb0,
title = "HIV prevalence and sexual behaviour at older ages in rural Malawi",
abstract = "Research on HIV infection and sexual behaviour in sub-Saharan Africa typically focuses on individuals aged 15-49 years under the assumption that both become less relevant for older individuals. We test this assumption using data from rural Malawi to compare sexual behaviour and HIV infection for individuals aged 15-49 with individuals aged 50-64 and 65 and over years. Although general declines with age were observed, levels of sexual activity and HIV remained considerable: 26.7{\%} and 73.8{\%} of women and men aged 65{thorn} reported having sex in the last year, respectively; men's average number of sexual partners remained above one; and HIV prevalence is significantly higher for men aged 50-64 (8.9{\%}) than men aged 15-49 (4.1{\%}). We conclude that older populations are relevant to studies of sexual behaviour and HIV risk. Their importance is likely to increase as access to antiretrovirals in Africa increases. We recommend inclusion of adults aged over 49 years in African HIV/AIDS research and prevention efforts.",
keywords = "Africa, HIV, Malawi, Older age, Prevalence, Sexual risk behaviour",
author = "E. Freeman and Philip Anglewicz",
year = "2012",
month = "7",
day = "1",
doi = "10.1258/ijsa.2011.011340",
language = "English (US)",
volume = "23",
pages = "490--496",
journal = "International Journal of STD and AIDS",
issn = "0956-4624",
publisher = "SAGE Publications Ltd",
number = "7",

}

TY - JOUR

T1 - HIV prevalence and sexual behaviour at older ages in rural Malawi

AU - Freeman, E.

AU - Anglewicz, Philip

PY - 2012/7/1

Y1 - 2012/7/1

N2 - Research on HIV infection and sexual behaviour in sub-Saharan Africa typically focuses on individuals aged 15-49 years under the assumption that both become less relevant for older individuals. We test this assumption using data from rural Malawi to compare sexual behaviour and HIV infection for individuals aged 15-49 with individuals aged 50-64 and 65 and over years. Although general declines with age were observed, levels of sexual activity and HIV remained considerable: 26.7% and 73.8% of women and men aged 65{thorn} reported having sex in the last year, respectively; men's average number of sexual partners remained above one; and HIV prevalence is significantly higher for men aged 50-64 (8.9%) than men aged 15-49 (4.1%). We conclude that older populations are relevant to studies of sexual behaviour and HIV risk. Their importance is likely to increase as access to antiretrovirals in Africa increases. We recommend inclusion of adults aged over 49 years in African HIV/AIDS research and prevention efforts.

AB - Research on HIV infection and sexual behaviour in sub-Saharan Africa typically focuses on individuals aged 15-49 years under the assumption that both become less relevant for older individuals. We test this assumption using data from rural Malawi to compare sexual behaviour and HIV infection for individuals aged 15-49 with individuals aged 50-64 and 65 and over years. Although general declines with age were observed, levels of sexual activity and HIV remained considerable: 26.7% and 73.8% of women and men aged 65{thorn} reported having sex in the last year, respectively; men's average number of sexual partners remained above one; and HIV prevalence is significantly higher for men aged 50-64 (8.9%) than men aged 15-49 (4.1%). We conclude that older populations are relevant to studies of sexual behaviour and HIV risk. Their importance is likely to increase as access to antiretrovirals in Africa increases. We recommend inclusion of adults aged over 49 years in African HIV/AIDS research and prevention efforts.

KW - Africa

KW - HIV

KW - Malawi

KW - Older age

KW - Prevalence

KW - Sexual risk behaviour

UR - http://www.scopus.com/inward/record.url?scp=84864433522&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84864433522&partnerID=8YFLogxK

U2 - 10.1258/ijsa.2011.011340

DO - 10.1258/ijsa.2011.011340

M3 - Article

C2 - 22844003

AN - SCOPUS:84864433522

VL - 23

SP - 490

EP - 496

JO - International Journal of STD and AIDS

JF - International Journal of STD and AIDS

SN - 0956-4624

IS - 7

ER -