{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T15:07:23Z","timestamp":1793200043002,"version":"4.5.0"},"reference-count":32,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,3,1]],"date-time":"2025-03-01T00:00:00Z","timestamp":1740787200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,1,21]],"date-time":"2025-01-21T00:00:00Z","timestamp":1737417600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001321","name":"National Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001321","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"NIH","doi-asserted-by":"publisher","award":["U54HG006938"],"award-info":[{"award-number":["U54HG006938"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100016962","name":"Department of Science and Innovation, South Africa","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100016962","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000051","name":"National Human Genome Research Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000051","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000066","name":"National Institute of Environmental Health Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000066","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["thelancet.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Lancet Healthy Longevity"],"published-print":{"date-parts":[[2025,3]]},"DOI":"10.1016\/j.lanhl.2025.100690","type":"journal-article","created":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T22:25:00Z","timestamp":1743027900000},"page":"100690","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":16,"title":["The prevalence, incidence, and sociodemographic risk factors of\u00a0HIV among older adults in sub-Saharan Africa (AWI-Gen): a\u00a0multicentre, longitudinal cohort study"],"prefix":"10.1016","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7370-7272","authenticated-orcid":false,"given":"Luicer A Ingasia","family":"Olubayo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theophilous","family":"Mathema","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chodziwadziwa","family":"Kabudula","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4994-0779","authenticated-orcid":false,"given":"Lisa K","family":"Micklesfield","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shukri F","family":"Mohamed","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaac","family":"Kisiangani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cairo B","family":"Ntimane","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Solomon S","family":"Choma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian","family":"Houle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Hazelhurst","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5766-1745","authenticated-orcid":false,"given":"Nigel","family":"Crowther","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Tollman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Furahini D","family":"Tluway","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michele","family":"Ramsay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F Xavier","family":"G\u00f3mez-Oliv\u00e9","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.lanhl.2025.100690_bib1","doi-asserted-by":"crossref","first-page":"e76","DOI":"10.1016\/S1473-3099(17)30482-6","article-title":"The WHO public health approach to HIV treatment and care: looking back and looking ahead","volume":"18","author":"Ford","year":"2018","journal-title":"Lancet Infect Dis"},{"key":"10.1016\/j.lanhl.2025.100690_bib3","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1053\/j.semdp.2017.04.002","article-title":"Aging with HIV in the ART era","volume":"34","author":"Kaplan-Lewis","year":"2017","journal-title":"Semin Diagn Pathol"},{"issue":"suppl 1","key":"10.1016\/j.lanhl.2025.100690_bib4","doi-asserted-by":"crossref","first-page":"S19","DOI":"10.1097\/QAD.0b013e3283558526","article-title":"The impact of antiretroviral treatment on the age composition of the HIV\u00a0epidemic\u00a0in sub-Saharan Africa","volume":"26","author":"Hontelez","year":"2012","journal-title":"AIDS"},{"issue":"suppl 1","key":"10.1016\/j.lanhl.2025.100690_bib5","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.1097\/QAD.0b013e3283560f54","article-title":"Aging with HIV in Africa: the challenges of living longer","volume":"26","author":"Negin","year":"2012","journal-title":"AIDS"},{"issue":"suppl 1","key":"10.1016\/j.lanhl.2025.100690_bib6","doi-asserted-by":"crossref","first-page":"S130","DOI":"10.1097\/QAI.0000000000000123","article-title":"Kenya AIDS Indicator Surveys 2007 and 2012: implications for public health policies for HIV prevention and treatment","volume":"66","author":"Maina","year":"2014","journal-title":"J Acquir Immune Defic Syndr"},{"key":"10.1016\/j.lanhl.2025.100690_bib7","series-title":"Kenya AIDS Indicator Survey 2012: final report","year":"2014"},{"key":"10.1016\/j.lanhl.2025.100690_bib8","doi-asserted-by":"crossref","first-page":"18","DOI":"10.2989\/16085906.2018.1552162","article-title":"HIV prevalence and related behaviours of older people in Botswana\u2013secondary analysis of the Botswana AIDS Impact Survey (BAIS) IV","volume":"18","author":"Matlho","year":"2019","journal-title":"Afr J\u00a0AIDS Res"},{"key":"10.1016\/j.lanhl.2025.100690_bib9","series-title":"The sixth south African national HIV prevalence, incidence and behaviour survey, 2022: a summary report","author":"Zuma","year":"2024"},{"key":"10.1016\/j.lanhl.2025.100690_bib10","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1186\/1471-2458-9-153","article-title":"HIV\/AIDS and the health of older people in the slums of Nairobi, Kenya: results from a cross sectional survey","volume":"9","author":"Kyobutungi","year":"2009","journal-title":"BMC Public Health"},{"key":"10.1016\/j.lanhl.2025.100690_bib11","doi-asserted-by":"crossref","first-page":"1435","DOI":"10.1080\/09540121.2018.1468008","article-title":"Sexual behavior and HIV risk across the life course in rural South Africa: trends and comparisons","volume":"30","author":"Houle","year":"2018","journal-title":"AIDS Care"},{"key":"10.1016\/j.lanhl.2025.100690_bib12","series-title":"Aging with HIV in sub-Saharan Africa: health and psychosocial perspectives","first-page":"55","article-title":"Sexual health and behavior among older adults with HIV in sub-Saharan Africa","author":"Brennan-Ing","year":"2022"},{"key":"10.1016\/j.lanhl.2025.100690_bib13","first-page":"709","article-title":"How to \u201clive a good life\u201d: aging and HIV testing in rural South Africa","volume":"31","author":"Schatz","year":"2019","journal-title":"J\u00a0Aging Health"},{"key":"10.1016\/j.lanhl.2025.100690_bib14","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0272405","article-title":"Achieving the 95 95 95 targets for all: a pathway to ending AIDS","volume":"17","author":"Frescura","year":"2022","journal-title":"PLoS One"},{"key":"10.1016\/j.lanhl.2025.100690_bib16","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0207005","article-title":"Global and regional trends of people living with HIV aged 50\u00a0and over: estimates and projections for 2000-2020","volume":"13","author":"Autenrieth","year":"2018","journal-title":"PLoS One"},{"key":"10.1016\/j.lanhl.2025.100690_bib17","article-title":"H3Africa AWI-Gen Collaborative Centre: a resource to study the interplay between genomic and environmental risk factors for cardiometabolic diseases in four sub-Saharan African countries","volume":"1","author":"Ramsay","year":"2016","journal-title":"Glob Health Epidemiol Genom"},{"key":"10.1016\/j.lanhl.2025.100690_bib18","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1093\/ije\/dyx247","article-title":"Cohort profile: health and ageing in Africa: a longitudinal study of an INDEPTH community in South Africa (HAALSI)","volume":"47","author":"G\u00f3mez-Oliv\u00e9","year":"2018","journal-title":"Int J\u00a0Epidemiol"},{"key":"10.1016\/j.lanhl.2025.100690_bib19","doi-asserted-by":"crossref","first-page":"1122","DOI":"10.1080\/09540121.2012.750710","article-title":"Prevalence of HIV among those 15\u00a0and older in rural South Africa","volume":"25","author":"G\u00f3mez-Oliv\u00e9","year":"2013","journal-title":"AIDS Care"},{"key":"10.1016\/j.lanhl.2025.100690_bib20","doi-asserted-by":"crossref","first-page":"34","DOI":"10.2174\/1874613601610010034","article-title":"HIV infection and AIDS in sub-Saharan Africa: current status, challenges and opportunities","volume":"10","author":"Kharsany","year":"2016","journal-title":"Open AIDS J"},{"key":"10.1016\/j.lanhl.2025.100690_bib21","doi-asserted-by":"crossref","first-page":"1104","DOI":"10.1007\/s10461-023-04222-w","article-title":"The association between HIV-related stigma and the uptake of HIV testing and ART among older adults in rural South Africa: findings from the HAALSI cohort study","volume":"28","author":"Mahlalela","year":"2024","journal-title":"AIDS Behav"},{"key":"10.1016\/j.lanhl.2025.100690_bib22","doi-asserted-by":"crossref","first-page":"e122","DOI":"10.1017\/S0950268818003497","article-title":"Modelling the epidemiologic impact of achieving UNAIDS fast-track 90-90-90 and 95-95-95 targets in South Africa","volume":"147","author":"Abuelezam","year":"2019","journal-title":"Epidemiol Infect"},{"key":"10.1016\/j.lanhl.2025.100690_bib23","doi-asserted-by":"crossref","first-page":"847","DOI":"10.2471\/BLT.10.076349","article-title":"HIV infection in older adults in sub-Saharan Africa: extrapolating prevalence from existing data","volume":"88","author":"Negin","year":"2010","journal-title":"Bull World Health Organ"},{"key":"10.1016\/j.lanhl.2025.100690_bib24","first-page":"411","article-title":"Prevalence of HIV\/AIDS among elderly people and associated factors in Habru Woreda, Amhara region, northeast Ethiopia","volume":"12","author":"Fentaye","year":"2020","journal-title":"HIV AIDS (Auckl)"},{"key":"10.1016\/j.lanhl.2025.100690_bib25","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1097\/QAI.0000000000002404","article-title":"Brief report: HIV incidence among older adults in a rural South African setting: 2010-2015","volume":"85","author":"G\u00f3mez-Oliv\u00e9","year":"2020","journal-title":"J\u00a0Acquir Immune Defic Syndr"},{"key":"10.1016\/j.lanhl.2025.100690_bib26","doi-asserted-by":"crossref","first-page":"65","DOI":"10.2989\/16085906.2018.1559209","article-title":"The influence of marital status on HIV infection in an HIV hyperendemic area of rural South Africa, 2000-2017","volume":"18","author":"Tlou","year":"2019","journal-title":"Afr J\u00a0AIDS Res"},{"issue":"suppl 1","key":"10.1016\/j.lanhl.2025.100690_bib27","doi-asserted-by":"crossref","first-page":"S55","DOI":"10.1097\/QAD.0b013e3283558459","article-title":"Prevalence of HIV and chronic comorbidities among older adults","volume":"26","author":"Negin","year":"2012","journal-title":"AIDS"},{"key":"10.1016\/j.lanhl.2025.100690_bib28","doi-asserted-by":"crossref","first-page":"e429","DOI":"10.1016\/S2352-3018(21)00069-2","article-title":"Age patterns of HIV incidence in eastern and southern Africa: a modelling analysis of observational population-based cohort studies","volume":"8","author":"Risher","year":"2021","journal-title":"Lancet HIV"},{"key":"10.1016\/j.lanhl.2025.100690_bib29","doi-asserted-by":"crossref","first-page":"605","DOI":"10.2471\/BLT.15.162933","article-title":"The importance of assessing self-reported HIV status in bio-behavioural surveys","volume":"94","author":"Johnston","year":"2016","journal-title":"Bull World Health Organ"},{"key":"10.1016\/j.lanhl.2025.100690_bib30","article-title":"Performance of self-reported HIV status in determining true HIV status among older adults in rural South Africa: a validation study","volume":"20","author":"Rohr","year":"2017","journal-title":"J\u00a0Int AIDS Soc"},{"key":"10.1016\/j.lanhl.2025.100690_bib31","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1521\/aeap.2007.19.6.489","article-title":"Mass media, stigma, and disclosure of HIV test results: multilevel analysis in the Eastern Cape, South Africa","volume":"19","author":"Hutchinson","year":"2007","journal-title":"AIDS Educ Prev"},{"key":"10.1016\/j.lanhl.2025.100690_bib32","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1097\/QAI.0000000000001026","article-title":"Attrition and opportunities along the HIV care continuum: findings from a population-based sample, North West Province, South Africa","volume":"73","author":"Lippman","year":"2016","journal-title":"J\u00a0Acquir Immune Defic Syndr"},{"key":"10.1016\/j.lanhl.2025.100690_bib34","series-title":"Improving diagnosis in health care","year":"2015"},{"key":"10.1016\/j.lanhl.2025.100690_bib33","doi-asserted-by":"crossref","first-page":"919","DOI":"10.1007\/s10461-022-03828-w","article-title":"Validity of self-report for ascertaining HIV status among circular migrants and permanent residents in South Africa: a cross-sectional, population-based analysis","volume":"27","author":"Yorlets","year":"2023","journal-title":"AIDS Behav"}],"container-title":["The Lancet Healthy Longevity"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666756825000091?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2666756825000091?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,8]],"date-time":"2025-11-08T22:08:09Z","timestamp":1762639689000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S2666756825000091"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":32,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["S2666756825000091"],"URL":"https:\/\/doi.org\/10.1016\/j.lanhl.2025.100690","relation":{},"ISSN":["2666-7568"],"issn-type":[{"value":"2666-7568","type":"print"}],"subject":[],"published":{"date-parts":[[2025,3]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The prevalence, incidence, and sociodemographic risk factors of\u00a0HIV among older adults in sub-Saharan Africa (AWI-Gen): a\u00a0multicentre, longitudinal cohort study","name":"articletitle","label":"Article Title"},{"value":"The Lancet Healthy Longevity","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.lanhl.2025.100690","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.lanhl.2025.100701","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Author(s). Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}],"article-number":"100690"}}