| AIDS and declining support for dependent elderly people in Africa: retrospective analysis using demographic and health surveys. | |
| | |
MedLine Citation:
|
PMID: 20554660 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVES: To determine the relation between the HIV/AIDS epidemic and support for dependent elderly people in Africa. DESIGN: Retrospective analysis using data from Demographic and Health Surveys. SETTING: 22 African countries between 1991 and 2006. PARTICIPANTS: 123,176 individuals over the age of 60. MAIN OUTCOME MEASURES: We investigated how three measures of the living arrangements of older people have been affected by the HIV/AIDS epidemic: the number of older individuals living alone (that is, the number of unattended elderly people); the number of older individuals living with only dependent children under the age of 10 (that is, in missing generation households); and the number of adults age 18-59 (that is, prime age adults) per household where an older person lives. RESULTS: An increase in annual AIDS mortality of one death per 1000 people was associated with a 1.5% increase in the proportion of older individuals living alone (95% CI 1.2% to 1.9%) and a 0.4% increase in the number of older individuals living in missing generation households (95% CI 0.3% to 0.6%). Increases in AIDS mortality were also associated with fewer prime age adults in households with at least one older person and at least one prime age adult (P<0.001). These findings suggest that in our study countries, which encompass 70% of the sub-Saharan population, the HIV/AIDS epidemic could be responsible for 582,200-917,000 older individuals living alone without prime age adults and 141,000-323,100 older individuals being the sole caregivers for young children. CONCLUSIONS: Africa's HIV/AIDS epidemic might be responsible for a large number of older people losing their support and having to care for young children. This population has previously been under-recognised. Efforts to reduce HIV/AIDS deaths could have large "spillover" benefits for elderly people in Africa. |
| | |
Authors:
|
Tim Kautz; Eran Bendavid; Jay Bhattacharya; Grant Miller |
Publication Detail:
|
Type: Journal Article; Research Support, N.I.H., Extramural Date: 2010-06-16 |
Journal Detail:
|
Title: BMJ (Clinical research ed.) Volume: 340 ISSN: 1756-1833 ISO Abbreviation: BMJ Publication Date: 2010 |
Date Detail:
|
Created Date: 2010-06-17 Completed Date: 2010-07-01 Revised Date: 2012-03-06 |
Medline Journal Info:
|
Nlm Unique ID: 8900488 Medline TA: BMJ Country: England |
Other Details:
|
Languages: eng Pagination: c2841 Citation Subset: AIM; IM |
Affiliation:
|
Department of Economics, University of Chicago, Chicago, IL 60637, USA. tkautz@uchicago.edu |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Adult Africa / epidemiology Aged Family Characteristics Female HIV Infections / mortality, rehabilitation* Health Surveys Humans Male Middle Aged Residence Characteristics Retrospective Studies Social Support* Socioeconomic Factors Young Adult |
| Grant Support | |
ID/Acronym/Agency:
|
K01-AI084582/AI/NIAID NIH HHS; K01-HD053504/HD/NICHD NIH HHS; K02-AG024237/AG/NIA NIH HHS; P30-AG017253/AG/NIA NIH HHS; T32-HS000028/HS/AHRQ HHS |
| Comments/Corrections | |
Comment In:
|
BMJ. 2010;341:c4169
[PMID:
20685789
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Genotypic and phenotypic spectrum of pyridoxine-dependent epilepsy (ALDH7A1 deficiency).
Next Document: Adoption and non-adoption of a shared electronic summary record in England: a mixed-method case stud...