Neglected older women and men: Exploring age and gender as structural drivers of HIV among people aged over 60 in Uganda
Date
2013
Journal Title
Journal ISSN
Volume Title
Publisher
African Journal of AIDS Research
Abstract
This study explored how women’s and men’s gendered experiences from childhood to old age have shaped their
vulnerability in relation to HIV both in terms of their individual risk of HIV and their access to and experiences of
HIV services. It was a small scale-scale study conducted in urban and rural sites in Uganda between October 2011
and March 2012. The study used qualitative methods: in-depth interviews (with 31 participants) and focus group
discussions (FGDs) with older women (2) and men (2) in urban and rural sites and 7 key informant interviews (KIIs)
with stakeholders from government and non-government agencies working on HIV issues. Women’s position, the
cultural management of sex and gender and contextual stigma related to HIV and to old age inter-relate to produce
particular areas of vulnerability to the HIV epidemic among older women and men. Women report the compounding
factor of gender-based violence marking many of their sexual relationships throughout their lives, including in older
age. Both women and men report extremely fragile livelihoods in their old age. Older people are exposed to HIV
through multiple and intersecting drivers of risk and represent an often neglected population within health systems.
Research and interventions need to go beyond only conceptualising older people as ‘carers’ to better address their
gendered vulnerabilities to HIV in relation to all aspects of policy and programming.
Description
Keywords
older people, Uganda, HIV, gender, age, structural drivers
Citation
Esther Richards, Flavia Zalwango, Janet Seeley, Francien Scholten & Sally Theobald (2013) Neglected older women and men: Exploring age and gender as structural drivers of HIV among people aged over 60 in Uganda, African Journal of AIDS Research, 12:2, 71-78, DOI: 10.2989/16085906.2013.831361