Publications

HIV & Aging

Aging with HIV in Sub-Saharan Africa: Health and Psychosocial Perspectives

2022
Brennan-Ing, M., Porter, K. E., Kaufman, J. E., MacPhail, C., & Seeley, J. (Eds.). (2022). Aging with HIV in sub-Saharan Africa: Health and psychosocial perspectives. Springer Cham. https://doi.org/10.1007/978-3-030-96368-2

Mark Brennan-Ing, Jennie Kaufman and Ruth Finkelstein

With the development of effective antiretroviral therapies (ART) in the mid-1990s, HIV became a treatable although serious condition, and people who are adherent to HIV medications can attain normal or near-normal life expectancies. Because of the success of ART, people 50 and older now make up a majority of people with HIV in high-income countries and other places where ART is accessible. The aging of the HIV epidemic is a global trend that is also being observed in low- and middle-income countries, including countries in sub-Saharan Africa, where the greatest number of older people with HIV reside (3.7 million).

While globally over half of older adults with HIV are in sub-Saharan Africa, we have little information about the circumstances, needs, and resiliencies of this population, which limits our ability to craft effective policy and programmatic responses to aging with HIV in this region. At present, our understanding of HIV and aging is dominated by information from the U.S. and Western Europe, where the epidemiology of HIV and the infrastructure to provide social care are markedly different than in sub-Saharan Africa. Aging with HIV in Sub-Saharan Africa addresses this gap in our knowledge by providing current research and perspectives on a range of health and psychosocial topics concerning these older adults from across this region. This volume provides a unique and timely overview of growing older with HIV in a sub-Saharan African context, covering such topics as epidemiology, health and functioning, and social support, as well as policy and program implications to support those growing older with HIV.

Chapters include:

Sexual Health and Behavior Among Older Adults with HIV in Sub-Saharan Africa
Mark Brennan-Ing, Jennifer E. Kaufman, Kristen E. Porter, Catherine MacPhail, Janet Seeley, Stephen E. Karpiak, Francois Venter, Victor Minichiello, Monica O. Kuteesa & Joel Negin

A Detailed Analysis of the Social Support Networks of Older Adults with HIV in Uganda and South Africa
Mark Brennan-Ing, Jennifer E. Kaufman, Kristen E. Porter, Catherine MacPhail, Janet Seeley, Stephen E. Karpiak, Francois Venter, Victor Minichiello, Monica O. Kuteesa & Joel Negin

Beyond Policy Fixes to a New Politics of Care: The Case of Older People Living with HIV in Sub-Saharan Africa
Ruth K. Finkelstein, Gregg S. Gonsalves, Mark Brennan-Ing