{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,11]],"date-time":"2026-08-11T12:54:49Z","timestamp":1786452889685,"version":"build-2736575974"},"reference-count":58,"publisher":"Wiley","issue":"S4","license":[{"start":{"date-parts":[[2022,9,29]],"date-time":"2022-09-29T00:00:00Z","timestamp":1664409600000},"content-version":"vor","delay-in-days":28,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000049","name":"National Institute on Aging","doi-asserted-by":"publisher","award":["R01AG059504"],"award-info":[{"award-number":["R01AG059504"]}],"id":[{"id":"10.13039\/100000049","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Int AIDS Soc."],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>With improved HIV treatment availability in sub\u2010Saharan Africa, the population of older people with HIV (PWH) is growing. In this qualitative study, we intended to understand (1) the lived experiences of ageing people in rural Uganda, with and without HIV, (2) their fears and health priorities as they grow older.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted 36 semi\u2010structured interviews with individuals with and without HIV in Mbarara, Uganda from October 2019 to February 2020. Interview guide topics included priorities in older age, physical functioning in daily activities, social functioning, HIV\u2010related stigma and the impact of multimorbidity on health and independence. Interviews were conducted in Runyankole, transcribed, translated and inductively coded thematically by two researchers with tests for inter\u2010coder reliability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The respondents were purposively sampled to be evenly divided by sex and HIV serostatus. The median age of respondents was 57 (49\u201373). Two\u2010thirds were married or cohabitating, 94% had biological children and 75% cited farming as their primary livelihood. Overall, PWH considered themselves as healthy or healthier than people without HIV (PWOH). PWH rarely considered their HIV status a barrier to a healthy life, but some reported a constant sense of anxiety as it relates to their long\u2010term health. Irrespective of HIV status, nearly all respondents noted concerns about memory loss, physical pain, reductions in energy and the effect of these changes on their ability to complete physical tasks like small\u2010scale farming, and activities of daily living important to the quality of life, such as participating in community groups. Increasing reliance on others for social, physical and financial support was also a common theme. The most prevalent health concern among participants involved the threat of non\u2010communicable diseases and perceptions that physical functioning may diminish.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In rural Uganda, we found that PWH consider themselves to be healthy and do not anticipate a different ageing experience from PWOH. Common priorities shared by both groups included the desire for physical and financial independence, health maintenance and social support for daily functioning and social needs. Entities supporting geriatric care in Uganda would benefit from attention to concerns about functional limitations and reported needs as people age with and without HIV.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jia2.26000","type":"journal-article","created":{"date-parts":[[2022,9,30]],"date-time":"2022-09-30T03:40:19Z","timestamp":1664509219000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Priorities for health and wellbeing for older people with and without HIV in Uganda: a qualitative methods study"],"prefix":"10.1002","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0668-6798","authenticated-orcid":false,"given":"Zahra","family":"Reynolds","sequence":"first","affiliation":[{"name":"Medical Practice Evaluation Center Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Gilbert","sequence":"additional","affiliation":[{"name":"Medical Practice Evaluation Center Massachusetts General Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Sentongo","sequence":"additional","affiliation":[{"name":"Mbarara University of Science and Technology  Mbarara Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana\u2010Claire","family":"Meyer","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Medicine  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deanna","family":"Saylor","sequence":"additional","affiliation":[{"name":"Johns Hopkins University School of Medicine  Baltimore Maryland USA"},{"name":"University Teaching Hospital  Lusaka Zambia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7377-6094","authenticated-orcid":false,"given":"Samson","family":"Okello","sequence":"additional","affiliation":[{"name":"Mbarara University of Science and Technology  Mbarara Uganda"},{"name":"Gillings School of Global Public Health University of North Carolina  Chapel Hill North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noeline","family":"Nakasujja","sequence":"additional","affiliation":[{"name":"Makerere University  Kampala Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith","family":"Greene","sequence":"additional","affiliation":[{"name":"University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0583-5272","authenticated-orcid":false,"given":"Janet","family":"Seeley","sequence":"additional","affiliation":[{"name":"London School of Hygiene and Tropical Medicine  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6397-7917","authenticated-orcid":false,"given":"Alexander C.","family":"Tsai","sequence":"additional","affiliation":[{"name":"Medical Practice Evaluation Center Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Mbarara University of Science and Technology  Mbarara Uganda"},{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Asiimwe","sequence":"additional","affiliation":[{"name":"Mbarara University of Science and Technology  Mbarara Uganda"},{"name":"Kabwohe Clinical Research Centre  Kabwohe Uganda"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lien","family":"Quach","sequence":"additional","affiliation":[{"name":"Medical Practice Evaluation Center Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"University of Massachusetts  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brianne","family":"Olivieri\u2010Mui","sequence":"additional","affiliation":[{"name":"Northeastern University  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark J.","family":"Siedner","sequence":"additional","affiliation":[{"name":"Medical Practice Evaluation Center Massachusetts General Hospital  Boston Massachusetts USA"},{"name":"Mbarara University of Science and Technology  Mbarara Uganda"},{"name":"Harvard Medical School  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,9,29]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Aging in sub\u2010Saharan Africa: the changing demography of the region","author":"Velkoff VA","year":"2006"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61602-0"},{"key":"e_1_2_11_4_1","unstructured":"United National Department of Population and Economic Affairs. 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