Intergenerational Intervention: Employing Youth to Promote Aging Healthy with HIV in Rural South Africa

代际干预：利用青年促进南非农村地区感染艾滋病毒的健康老龄化

• 批准号: 10619234
• 负责人: Nicole C Angotti
• 金额: $ 17.27万
• 依托单位: AMERICAN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-02-01 至 2025-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10619234
• 关键词: Acquired Immunodeficiency Syndrome; Address; Adult; Affect; Africa; Africa South of the Sahara; African; Age; Aging; Caring; Chronic; Chronic Disease; Communities; Cross-Sectional Studies; Data; Dimensions; Disease; Early Intervention; Elderly; Epidemic; Face; Family; Family Caregiver; Financial Contribution; Focus Groups; Funding; Gender; Generations; HIV; Health; Health Resources; Household; Household and Family; Human Resources; Interdisciplinary Study; Intervention; Interview; Labor Migrations; Leadership; Life; Life Cycle Stages; Link; Living Arrangement; Longitudinal Studies; Methods; Modeling; Older Population; Outcome; Parents; Pensions; Personal Satisfaction; Persons; Population; Province; Research; Resources; Respondent; Rural; Sampling; Services; Shapes; Site; Social isolation; Social support; South Africa; Spouses; Structure; Support System; Testing; Unemployment; United States National Institutes of Health; Viral; Youth; aged; aging in place; aging population; antiretroviral therapy; comorbidity; disability; evidence base; experience; improved; informant; innovation; intergenerational; longitudinal analysis; member; mortality; multiple chronic conditions; programs; randomized trial; response; rural South Africa; satisfaction; social capital; social determinants; success; therapy design; therapy development; trial design; young adult

PROJECT SUMMARY: South Africa’s rapidly growing population of older adults living with HIV (OPLHV) have suboptimal HIV-related outcomes, as they face a concomitant rise in levels of disability and chronic disease on top of a lack of HIV care and treatment interventions explicitly targeting older populations. With few alternatives to family-based care, most older Africans age in place, but with the “hollowed out” middle generation and high rates of labor migration, there is need to look elsewhere to seek the multi-dimensional support needed to age healthily. The proposed project aims to explore how an innovative intergenerational intervention could improve approaches to the management of HIV and related co-morbidities among OPLHV while offering opportunity to the younger generation in South Africa, where youth unemployment is a national concern, by employing youth to assist OPLHV in their communities. To shape early intervention development, the proposed formative and sequential mixed methods study aims to: 1) Identify the determinants of social support associated with aging healthy with HIV by gender and across the later life course—including ART management, management of multimorbidities, and life satisfaction—and how that support is moderated by household structure and composition, through longitudinal analysis of existing quantitative data from the NIH-funded study, Health and Aging in Africa: Longitudinal Studies of an INDEPTH Community; and 2) Elucidate how social support gaps can be strategically filled intergenerationally and inform a feasible intervention. This aim will be met using qualitative data with key intervention stakeholders, including a) in-depth interviews with older adults and their household member(s); b) semi-structured interviews with key informants from the community; and c) focus group discussions with youth. This project responds to the need to prepare for the growing population of adults aging with HIV and related co-morbidities while increasing the evidence base to support the design of interventions for OPLHV in diverse settings and subpopulations.

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