Predictors of survival among older adults with HIV in Uganda’s AIDS support organization centers of excellence (1987–2023): a retrospective longitudinal study

This retrospective longitudinal study analyzed medical records from 11 TASO centers of excellence in Uganda (1987–2023) to identify predictors of survival among older persons living with HIV receiving ART. Of 30,758 older adults living with HIV analyzed, 72.5% were active on ART, 5.9% had died, 15.2% were lost to follow-up, and 5.6% transferred to other facilities. Using Cox proportional hazards regression, the study found that survival was significantly associated with gender (female), marital status (married, separated/divorced), WHO clinical stage II, viral load >200 copies/ml, and ART adherence. Key predictors of survival included female gender, age 50–59, weight 51–70 kg, married status, and good ART adherence. The study recommends strengthening routine monitoring of viral load, ART adherence, and WHO clinical staging to improve survival outcomes for this population.