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Antiretroviral therapy coverage associated with increased co-residence between older and working-age adults in Africa
Authors: Jan-Walter De Neve, Omar Karlsson, Lelani Coetzee, Henning Schröder, S.V. Subramanian, Till Bärnighausen, and Sebastian Vollmer
Source: AIDS, 32(14): 2051-2057; DOI: 10.1097/QAD.0000000000001917
Topic(s): Aging
Country: Africa
  Multiple African Countries
Published: SEP 2018
Abstract: OBJECTIVES: To determine whether national antiretroviral therapy (ART) coverage is associated with changes in the living arrangements of older adults. DESIGN: Retrospective analysis using 103 nationally representative surveys from 28 African countries between 1991 and 2015. METHODS: The sample consisted of individuals aged at least 60 years. We investigated how three measures of living arrangements of older adults have changed with ART coverage: the number of older individuals living without working-age adults, the number of older individuals living with only dependent children (i.e. 'missing generation' households), and the number of working-age adults per household where an older individual lives. RESULTS: Our sample consisted of 297?331 older adults. An increase in ART coverage of 1% was associated with a 0.7 percentage point reduction (P?