The Impact of the AIDS Epidemic on the Health of the Elderly in Tanzania
By the end of 1999, an estimated 24.5 million Africans were living with HIV/AIDS, accounting for more that seventy percent of all global infections. In Tanzania, an estimated 1.3 million people (of a total population of 33 million) were believed to...
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| Format: | Policy Research Working Paper |
| Language: | English en_US |
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World Bank, Washington, DC
2014
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| Online Access: | http://documents.worldbank.org/curated/en/2001/07/1552025/impact-aids-epidemic-health-elderly-tanzania http://hdl.handle.net/10986/19588 |
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okr-10986-195882021-04-23T14:03:43Z The Impact of the AIDS Epidemic on the Health of the Elderly in Tanzania Ainsworth, Martha Dayton, Julia ADULTS AGED AGING ARGUMENTS CANCER CENSUS CHILDBIRTH CHINESE COMMUNICABLE DISEASES COMMUNITIES COMMUNITY HEALTH CONSUMPTION EXPENDITURE DEATHS DEMOGRAPHIC COMPOSITION DEPRESSION DEVELOPING COUNTRIES DEVELOPMENT RESEARCH DIABETES DISTRICTS DWELLING DWELLINGS ECONOMETRIC MODEL ELDERLY EPIDEMIOLOGY EXPENDITURE DATA FAMILIES FOOD INTAKE FOOD PRICES GENDER GENERATIONS GEOGRAPHICAL ZONES HEADS OF HOUSEHOLD HEALTH CARE HEALTH OUTCOMES HEALTH SERVICES HIV INFECTION HOUSEHOLD CHARACTERISTICS HOUSEHOLD COMPOSITION HOUSEHOLD CONSUMPTION HOUSEHOLD CONSUMPTION EXPENDITURE HOUSEHOLD DATA HOUSEHOLD EXPENDITURE HOUSEHOLD EXPENDITURES HOUSEHOLD INCOME HOUSEHOLD LEVEL HOUSEHOLD MEMBERS HOUSEHOLD RESOURCES HOUSEHOLD SIZE HOUSEHOLDS HOUSING IMMUNIZATION LEISURE LIVING STANDARDS LIVING STANDARDS SURVEY MARRIED WOMEN MEAN VALUE MILLION PEOPLE MORBIDITY MORTALITY MORTALITY RATE MORTALITY RATES NON-FOOD PRICES NON-POOR HOUSEHOLDS NUTRITION NUTRITIONAL STATUS PARENTS PATIENTS PHYSICAL ACTIVITY POLICY RESEARCH POWER PUBLIC HEALTH PUBLIC SERVICES PUBLIC TRANSFERS RURAL AREA RURAL AREAS RURAL HOUSEHOLDS RURAL WOMEN SAFETY SMOKING SPOUSES STANDARD ERRORS URBAN AREAS WIDOWERS WIDOWS By the end of 1999, an estimated 24.5 million Africans were living with HIV/AIDS, accounting for more that seventy percent of all global infections. In Tanzania, an estimated 1.3 million people (of a total population of 33 million) were believed to be infected with HIV, and 140,000 had already died of AIDS. One in every 12 adults is infected. African couples have large families, partly so there will be adult children to support parents in old age. Instead, because of the AIDS epidemic, the elderly are often caring for their infected children, or orphaned grandchildren. The authors use longitudinal household data from Tanzania's Kagera region, to measure the impact of prime-age adult mortality on the level, and changes in physical well-being (as measured by body mass index, or BMI) of the elderly. They find that the elderly in non-poor households have higher BMI. Non-poor households are more likely to have an adult death, and the elderly in these households are more likely to suffer declining BMI in the months before the death of a prime-age adult. The elderly in both poor, and non-poor households experience a significant drop in BMI after an adult death, but BMI recovers over time, and there is no long-run association with BMI levels, and recent adult deaths. The elderly hit hardest are those in households nor receiving private transfers. Private transfers received by other household members raise the BMI of the elderly, especially after a recent adult death. There is no evidence that nongovernmental organizations, or public assistance to the household affects short-run changes in BMI. The elderly who have more living children are physically better off, but short-run increases in the number of teenagers in the household are associated with declines in BMI. Improving the incomes, and assets of the poor is key to improving the overall BMI of the elderly. The elderly who have more assets (such as better quality dwellings) tend to have higher BMI. Controlling for individual, and household characteristics, the elderly in communities with roads that are navigable year-round, have substantially higher BMI. Prevention of communicable diseases is key to reducing short-run fluctuations in BMI - through preventing HIV, and community immunization programs that benefit the elderly. 2014-08-21T19:16:17Z 2014-08-21T19:16:17Z 2001-07 http://documents.worldbank.org/curated/en/2001/07/1552025/impact-aids-epidemic-health-elderly-tanzania http://hdl.handle.net/10986/19588 English en_US Policy Research Working Paper;No. 2649 CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo/ World Bank, Washington, DC Publications & Research :: Policy Research Working Paper Publications & Research Africa Tanzania |
| repository_type |
Digital Repository |
| institution_category |
Foreign Institution |
| institution |
Digital Repositories |
| building |
World Bank Open Knowledge Repository |
| collection |
World Bank |
| language |
English en_US |
| topic |
ADULTS AGED AGING ARGUMENTS CANCER CENSUS CHILDBIRTH CHINESE COMMUNICABLE DISEASES COMMUNITIES COMMUNITY HEALTH CONSUMPTION EXPENDITURE DEATHS DEMOGRAPHIC COMPOSITION DEPRESSION DEVELOPING COUNTRIES DEVELOPMENT RESEARCH DIABETES DISTRICTS DWELLING DWELLINGS ECONOMETRIC MODEL ELDERLY EPIDEMIOLOGY EXPENDITURE DATA FAMILIES FOOD INTAKE FOOD PRICES GENDER GENERATIONS GEOGRAPHICAL ZONES HEADS OF HOUSEHOLD HEALTH CARE HEALTH OUTCOMES HEALTH SERVICES HIV INFECTION HOUSEHOLD CHARACTERISTICS HOUSEHOLD COMPOSITION HOUSEHOLD CONSUMPTION HOUSEHOLD CONSUMPTION EXPENDITURE HOUSEHOLD DATA HOUSEHOLD EXPENDITURE HOUSEHOLD EXPENDITURES HOUSEHOLD INCOME HOUSEHOLD LEVEL HOUSEHOLD MEMBERS HOUSEHOLD RESOURCES HOUSEHOLD SIZE HOUSEHOLDS HOUSING IMMUNIZATION LEISURE LIVING STANDARDS LIVING STANDARDS SURVEY MARRIED WOMEN MEAN VALUE MILLION PEOPLE MORBIDITY MORTALITY MORTALITY RATE MORTALITY RATES NON-FOOD PRICES NON-POOR HOUSEHOLDS NUTRITION NUTRITIONAL STATUS PARENTS PATIENTS PHYSICAL ACTIVITY POLICY RESEARCH POWER PUBLIC HEALTH PUBLIC SERVICES PUBLIC TRANSFERS RURAL AREA RURAL AREAS RURAL HOUSEHOLDS RURAL WOMEN SAFETY SMOKING SPOUSES STANDARD ERRORS URBAN AREAS WIDOWERS WIDOWS |
| spellingShingle |
ADULTS AGED AGING ARGUMENTS CANCER CENSUS CHILDBIRTH CHINESE COMMUNICABLE DISEASES COMMUNITIES COMMUNITY HEALTH CONSUMPTION EXPENDITURE DEATHS DEMOGRAPHIC COMPOSITION DEPRESSION DEVELOPING COUNTRIES DEVELOPMENT RESEARCH DIABETES DISTRICTS DWELLING DWELLINGS ECONOMETRIC MODEL ELDERLY EPIDEMIOLOGY EXPENDITURE DATA FAMILIES FOOD INTAKE FOOD PRICES GENDER GENERATIONS GEOGRAPHICAL ZONES HEADS OF HOUSEHOLD HEALTH CARE HEALTH OUTCOMES HEALTH SERVICES HIV INFECTION HOUSEHOLD CHARACTERISTICS HOUSEHOLD COMPOSITION HOUSEHOLD CONSUMPTION HOUSEHOLD CONSUMPTION EXPENDITURE HOUSEHOLD DATA HOUSEHOLD EXPENDITURE HOUSEHOLD EXPENDITURES HOUSEHOLD INCOME HOUSEHOLD LEVEL HOUSEHOLD MEMBERS HOUSEHOLD RESOURCES HOUSEHOLD SIZE HOUSEHOLDS HOUSING IMMUNIZATION LEISURE LIVING STANDARDS LIVING STANDARDS SURVEY MARRIED WOMEN MEAN VALUE MILLION PEOPLE MORBIDITY MORTALITY MORTALITY RATE MORTALITY RATES NON-FOOD PRICES NON-POOR HOUSEHOLDS NUTRITION NUTRITIONAL STATUS PARENTS PATIENTS PHYSICAL ACTIVITY POLICY RESEARCH POWER PUBLIC HEALTH PUBLIC SERVICES PUBLIC TRANSFERS RURAL AREA RURAL AREAS RURAL HOUSEHOLDS RURAL WOMEN SAFETY SMOKING SPOUSES STANDARD ERRORS URBAN AREAS WIDOWERS WIDOWS Ainsworth, Martha Dayton, Julia The Impact of the AIDS Epidemic on the Health of the Elderly in Tanzania |
| geographic_facet |
Africa Tanzania |
| relation |
Policy Research Working Paper;No. 2649 |
| description |
By the end of 1999, an estimated 24.5
million Africans were living with HIV/AIDS, accounting for
more that seventy percent of all global infections. In
Tanzania, an estimated 1.3 million people (of a total
population of 33 million) were believed to be infected with
HIV, and 140,000 had already died of AIDS. One in every 12
adults is infected. African couples have large families,
partly so there will be adult children to support parents in
old age. Instead, because of the AIDS epidemic, the elderly
are often caring for their infected children, or orphaned
grandchildren. The authors use longitudinal household data
from Tanzania's Kagera region, to measure the impact of
prime-age adult mortality on the level, and changes in
physical well-being (as measured by body mass index, or BMI)
of the elderly. They find that the elderly in non-poor
households have higher BMI. Non-poor households are more
likely to have an adult death, and the elderly in these
households are more likely to suffer declining BMI in the
months before the death of a prime-age adult. The elderly in
both poor, and non-poor households experience a significant
drop in BMI after an adult death, but BMI recovers over
time, and there is no long-run association with BMI levels,
and recent adult deaths. The elderly hit hardest are those
in households nor receiving private transfers. Private
transfers received by other household members raise the BMI
of the elderly, especially after a recent adult death. There
is no evidence that nongovernmental organizations, or public
assistance to the household affects short-run changes in
BMI. The elderly who have more living children are
physically better off, but short-run increases in the number
of teenagers in the household are associated with declines
in BMI. Improving the incomes, and assets of the poor is key
to improving the overall BMI of the elderly. The elderly who
have more assets (such as better quality dwellings) tend to
have higher BMI. Controlling for individual, and household
characteristics, the elderly in communities with roads that
are navigable year-round, have substantially higher BMI.
Prevention of communicable diseases is key to reducing
short-run fluctuations in BMI - through preventing HIV, and
community immunization programs that benefit the elderly. |
| format |
Publications & Research :: Policy Research Working Paper |
| author |
Ainsworth, Martha Dayton, Julia |
| author_facet |
Ainsworth, Martha Dayton, Julia |
| author_sort |
Ainsworth, Martha |
| title |
The Impact of the AIDS Epidemic on the Health of the Elderly in Tanzania |
| title_short |
The Impact of the AIDS Epidemic on the Health of the Elderly in Tanzania |
| title_full |
The Impact of the AIDS Epidemic on the Health of the Elderly in Tanzania |
| title_fullStr |
The Impact of the AIDS Epidemic on the Health of the Elderly in Tanzania |
| title_full_unstemmed |
The Impact of the AIDS Epidemic on the Health of the Elderly in Tanzania |
| title_sort |
impact of the aids epidemic on the health of the elderly in tanzania |
| publisher |
World Bank, Washington, DC |
| publishDate |
2014 |
| url |
http://documents.worldbank.org/curated/en/2001/07/1552025/impact-aids-epidemic-health-elderly-tanzania http://hdl.handle.net/10986/19588 |
| _version_ |
1764440097706475520 |