Timing of Most Recent Health Care Visit by Older People Living With and Without HIV: Findings From the SAGE Well-Being of Older People Study in Uganda

The objective of this article is to document factors associated with the recency of health-care service utilization by people aged 50 years and over living with and without HIV in Uganda. A survey was conducted with 510 Ugandans aged 50 and older, living with and without HIV. The survey included information on sociodemographic characteristics, health state, self-reported chronic conditions, and timing of most recent visit to a health-care facility (time since last visit [TSLV]). We use ordinal logistic regression to identify independent factors associated TSLV. Independent factors associated with TSLV (>6 months) include age, OR=2.40 [95% CI 1.08-5.37] for those aged 80 years and above, urban respondents, OR=0.6 [95%CI 0.38-0.94], HIV-positive respondents, OR=0.33 [95%CI 0.18-0.59], and better health. To understand the meaning of these finding, further investigation should examine (a) how best to define and measure older persons' health-care service needs and (b) older persons' decision-making processes around the timing of their access to health-care facilities.