Clinical Study

Older Adults Accessing HIV Care and Treatment and Adherence in the IeDEA Central Africa Cohort

Table 1

Characteristics of 18,839a HIV+ adults in IeDEA Central Africa database presented by age (18–49 years, 50+ years) and by country (DRC, Cameroon, Burundi).

Characteristic18–49 years (%)50+ years (%)DRC (%)Cameroon (%)Burundi (%)

Sex*15,9792,81210,6055,8342,352
 Male4,573 (28.6)1,243 (44.2)3,348 (31.6)1,749 (30.0)719 (30.6)
 Female11,406 (71.4)1,569 (55.8)7,257 (68.4)4,085 (70.0)1,633 (69.4)

Marital status *15,6622,78110,2525,8352,356
 Single4,002 (25.6)138 (5.0)1,694 (16.5)2,053 (35.2)393 (16.7)
 Divorced1,345 (8.6)311 (11.2)1,110 (10.8)316 (5.4)230 (9.8)
 Widowed2,807 (17.9)1,120 (40.3)2,469 (24.1)916 (15.7)542 (23.0)
 Living together-not married1,622 (10.4)74 (2.7)732 (7.1)624 (10.7)340 (14.4)
 Monogamous marriage5,407 (34.5)1,009 (36.3)3,841 (37.5)1,751 (30.0)824 (35.0)
 Polygamous marriage479 (3.1)129 (4.6)406 (4.0)175 (3.0)27 (1.1)

Education*15,9992,80810,6165,8352,356
 None1,110 (6.9)385 (13.7)371 (3.5)253 (4.3)871 (37.0)
 Primary school6,915 (43.2)959 (34.2)4,450 (41.9)3,006 (51.5)418 (17.7)
 Secondary school6,260 (39.1)1,134 (40.4)4,447 (41.9)1,935 (33.2)1,012 (43.0)
 University1,714 (10.7)330 (11.8)1,348 (12.7)641 (11.0)55 (2.3)

Socioeconomic indicators
 Paid profession6,727 (42.1)1,187 (42.2)4,127 (38.9)2,984 (51.1)803 (34.1)
 Electricity in the home12,623 (78.9)2,204 (78.3)8,419 (79.3)5,417 (92.8)991 (42.1)
 Running water in the home9,686 (60.5)1,733 (61.6)6,568 (61.8)3,967 (68.0)884 (37.5)

Entry into HIV care*15,9182,79610,5225,8352,357
 PMTCT381 (2.4)7 (0.3)69 (0.7)246 (4.2)73 (3.1)
 TB clinic495 (3.1)65 (2.3)262 (2.5)277 (4.7)21 (0.9)
 STI clinic330 (2.1)75 (2.7)59 (0.6)341 (5.8)5 (0.2)
 VCT8,902 (55.9)1,523 (54.5)6,164 (58.6)2,343 (40.2)1,918 (81.4)
 No previous care4,032 (25.3)778 (27.8)3,292 (31.3)1,447 (24.8)71 (3.0)
 Other1,778 (11.2)348 (12.4)676 (6.4)1,181 (20.2)269 (11.4)

Clinical stage (WHO) at enrollment into IeDEA database*15,9002,80010,5305,8192,351
 12,387 (15.0)303 (10.8)989 (9.4)915 (15.7)787 (33.5)
 23,348 (21.1)658 (23.5)2,469 (23.4)1,136 (19.5)401 (17.1)
 38,603 (54.1)1,588 (56.7)6,443 (61.2)2,911 (50.0)836 (35.6)
 41,562 (9.8)251 (9.0)629 (6.0)857 (14.7)327 (13.9)

CD4 count at enrollment into IeDEA database*6,7371,1211,7234,8621,273
 <2002,982 (44.3)413 (36.8)706 (41.0)2,310 (47.5)379 (29.8)
 200–3501,921 (28.5)353 (31.5)502 (29.1)1,405 (28.9)367 (28.8)
 >3501,834 (27.2)355 (31.7)515 (29.9)1,147 (23.6)527 (41.4)

Length of time on ARVs*8,9121,6445,5253,7371,304
 <6 months1,467 (16.5)239 (14.5)1,324 (24.0)297 (7.9)85 (6.5)
 6–24 months2,404 (27.0)388 (23.6)1,436 (26.0)1,007 (26.9)346 (26.5)
 >24 months5,041 (56.6)1,017 (61.9)2,765 (50.0)2,433 (65.1)873 (66.9)

Comorbidity history
 History of TB3,237 (20.2)538 (19.1)2,553 (24.1)669 (11.5)553 (23.5)
 History of diabetes*213 (1.3)71 (2.5)194 (1.8)68 (1.2)22 (0.9)
 History of high blood pressure*501 (3.1)234 (8.3)492 (4.6)163 (2.8)80 (3.4)

Has had a casual sex partner in last 6 months*2,673 (16.7)232 (8.2)1,082 (10.2)1,569 (26.9)254 (10.8)

Sex partner (regular or casual) who has recently died*4,360 (27.2)1,188 (42.1)2,703 (25.4)1,955 (33.5)890 (37.8)

Condom use with regular partner*2,968 (18.5)311 (11.0)985 (9.3)1,648 (28.2)646 (27.4)

Heavy drinking (on average 3+ drinks/day)*3,369 (21.1)636 (22.7)2,207 (20.9)1,389 (23.8)409 (17.4)

HIV test result disclosure
 Partner/spouse*5,255 (32.8)771 (27.4)2,755 (25.9)2,093 (35.9)1,178 (50.0)
 Friend*908 (5.7)113 (4.0)277 (2.6)406 (7.0)338 (14.3)
 Family member9,116 (56.9)1,618 (57.4)5,693 (53.5)3,959 (67.8)1,082 (45.9)
 Health worker881 (5.5)169 (6.0)254 (2.4)776 (13.3)20 (0.8)
 Someone living in the home311 (1.9)68 (2.4)308 (2.9)39 (0.7)32 (1.4)
 Referral made for disclosure counseling528 (3.3)61 (2.2)115 (1.1)471 (8.1)3 (0.1)

aVariables do not add to total number of adults in the database (18,839) due to missing data.
*Significant differences found between adults 18–49 years and adults 50+ years distributions ( ).
Significant differences found between DRC, Cameroon, and Burundi distributions ( ).