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Social network characteristics and HIV testing among older adults in South Africa
Ageing & Society ( IF 3.718 ) Pub Date : 2021-06-10 , DOI: 10.1017/s0144686x21000532
Jin A Lee 1 , Markus H Schafer 1
Affiliation  

Drawing from theory and research on the role of social networks in promoting or undermining preventative public health measures, this article considers how structural, compositional and functional aspects of older adults’ close social networks are associated with HIV testing in the context of rural South Africa. Analyses use data from the population-based Health and Aging in Africa: A Longitudinal Study of an INDEPTH Community in South Africa (HAALSI) – a sample of rural adults age 40+ (N = 4,660). Results from multiple logistic regression show older South African adults with larger, more heavily non-kin and more literate networks were most likely to report testing for HIV. People whose network members provided frequent information were also most likely to be tested, though interaction effects indicate that this pattern is primarily found among those with highly literate networks. Taken together, the findings reinforce a key insight from social capital perspectives: network resourcefulness – literacy in particular – is crucial for promoting preventative health practice. The synergy between network literacy and informational support reveals the complex interplay between network characteristics in shaping health-seeking behaviour. Continued research is needed on the connection between networks and HIV testing among sub-Saharan older adults, as this population is not currently well served by many public health efforts in the region.



中文翻译:

南非老年人的社交网络特征和 HIV 检测

本文借鉴关于社交网络在促进或破坏预防性公共卫生措施方面的作用的理论和研究,探讨了老年人亲密社交网络的结构、组成和功能方面如何与南非农村地区的 HIV 检测相关联。分析使用来自非洲人口健康和老龄化的数据:南非 INDEPTH 社区的纵向研究 (HAALSI)——40 岁以上农村成年人样本 (N = 4,660)。多元逻辑回归的结果显示,拥有更大、更多非亲属和更多识字网络的南非老年人最有可能报告 HIV 检测。网络成员提供频繁信息的人也最有可能接受测试,尽管交互效应表明这种模式主要存在于那些具有高度文化网络的人群中。总而言之,这些发现从社会资本的角度强化了一个关键见解:网络足智多谋——尤其是识字——对于促进预防性健康实践至关重要。网络素养和信息支持之间的协同作用揭示了网络特征在塑造求医行为方面的复杂相互作用。需要继续研究网络与撒哈拉以南地区老年人 HIV 检测之间的联系,因为该地区的许多公共卫生工作目前并未为这一人群提供良好的服务。网络足智多谋——尤其是识字——对于促进预防性健康实践至关重要。网络素养和信息支持之间的协同作用揭示了网络特征在塑造求医行为方面的复杂相互作用。需要继续研究网络与撒哈拉以南地区老年人 HIV 检测之间的联系,因为该地区的许多公共卫生工作目前并未为这一人群提供良好的服务。网络足智多谋——尤其是识字——对于促进预防性健康实践至关重要。网络素养和信息支持之间的协同作用揭示了网络特征在塑造求医行为方面的复杂相互作用。需要继续研究网络与撒哈拉以南地区老年人 HIV 检测之间的联系,因为该地区的许多公共卫生工作目前并未为这一人群提供良好的服务。

更新日期:2021-06-10
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