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HIV after 40 in rural South Africa: A life course approach to HIV vulnerability among middle aged and older adults

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  • Mojola, Sanyu A.
  • Williams, Jill
  • Angotti, Nicole
  • Gómez-Olivé, F. Xavier

Abstract

South Africa has the highest number of people living with HIV in the world (over 6 million) as well as a rapidly aging population, with 15% of the population aged 50 and over. High HIV prevalence in rural former apartheid homeland areas suggests substantial aging with HIV and acquisition of HIV at older ages. We develop a life course approach to HIV vulnerability, highlighting the rise and fall of risk and protection as people age, as well as the role of contextual density in shaping HIV vulnerability. Using this approach, we draw on an innovative multi-method data set collected within the Agincourt Health and Demographic Surveillance System in South Africa, combining survey data with 60 nested life history interviews and 9 community focus group interviews. We examine HIV risk and protective factors among adults aged 40–80, as well as how and why these factors vary among people at older ages.

Suggested Citation

  • Mojola, Sanyu A. & Williams, Jill & Angotti, Nicole & Gómez-Olivé, F. Xavier, 2015. "HIV after 40 in rural South Africa: A life course approach to HIV vulnerability among middle aged and older adults," Social Science & Medicine, Elsevier, vol. 143(C), pages 204-212.
    • Handle: RePEc:eee:socmed:v:143:y:2015:i:c:p:204-212
    DOI: 10.1016/j.socscimed.2015.08.023
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    References listed on IDEAS

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    Cited by:

    1. Harling, Guy & Kobayashi, Lindsay C. & Farrell, Meagan T. & Wagner, Ryan G. & Tollman, Stephen & Berkman, Lisa, 2020. "Social contact, social support, and cognitive health in a population-based study of middle-aged and older men and women in rural South Africa," Social Science & Medicine, Elsevier, vol. 260(C).
    2. Sanyu A. Mojola & Erin Ice & Enid Schatz & Nicole Angotti & Brian Houle & F. Xavier Gómez‐Olivé, 2022. "The Meaning of Health in Rural South Africa: Gender, the Life Course, and the Socioepidemiological Context," Population and Development Review, The Population Council, Inc., vol. 48(4), pages 1061-1095, December.

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