Research within geography and cognate disciplines demonstrates how (un)certainty informs relational, emergent and open-ended processes of healthy aging. Although (un)certainty shapes aging health inequities and possibilities for reconfiguration, research often centres on challenges for aging individuals, eliding more dynamic, complex and contradictory factors shaping the health and wellbeing of aging individuals and societies. This paper uses qualitative research with older women in South Africa to engage contradictions in (un)certainty. We argue that while advances in HIV/AIDS testing and treatment allow individuals to grow older with greater certainty, longer lives managing HIV rework new forms of ill-health through contested disease etiology, indeterminant multitemporal processes, and dubious livelihood prospects. (Un)certain HIV landscapes can create new forms of disadvantage and subjection, while in other instances encourage opportunities for healthier lives and pragmatic social change. The findings highlight the importance of considering (un)certain aging, health and disease realities and the structures that assuage them.

中文翻译：

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南非的老龄化、（非）不确定性和艾滋病毒管理

地理学和相关学科的研究展示了（非）确定性如何影响健康老龄化的相关性、涌现性和开放式过程。尽管（非）确定性塑造了老龄化健康的不平等和重新配置的可能性，但研究通常集中在老龄化个体面临的挑战上，忽略了塑造老龄化个体和社会的健康和福祉的更多动态、复杂和矛盾的因素。本文使用对南非老年妇女的定性研究来解决（不）不确定性中的矛盾。我们认为，虽然 HIV/AIDS 检测和治疗的进步使个人能够更确定地变老，但更长的寿命管理 HIV 通过有争议的疾病病因、不确定的多时间过程和可疑的生计前景来重新处理新的疾病形式。（未）某些 HIV 环境会造成新形式的劣势和服从，而在其他情况下会鼓励更健康的生活和务实的社会变革的机会。研究结果强调了考虑（不确定）老龄化、健康和疾病现实以及缓解它们的结构的重要性。