HIV and ageing

Behavioral and cognitive interventions to improve treatment adherence and access to HIV care among older adults in sub-Saharan Africa: an updated systematic review

Author
Lucia Knight, Ferdinand C. Mukumbang and Enid Schatz

Background

Approximately 14% of Africans infected with HIV are over the age of 50, yet few intervention studies focus on improving access to care, retention in care, and adherence to antiretroviral therapy (ART) in this population. A review of the published literature until 2012, found no relevant ART management and care interventions for older people living with HIV (OPLHIV) in sub-Saharan Africa. The aim of this systematic review is to update the original systematic review of intervention studies on OPLHIV, with a focus on evidence from sub-Saharan Africa.

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Understanding HIV in an ageing population

Author
ViiV Healthcare

This infographic outlines the key reasons for the growing number of people over 50 living with HIV, the lack of access to health services and treatment challenges they often face, as well as the gaps in scientific understanding with regard to the needs of the ageing HIV population.

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Achieving the fourth 90: healthy aging for people living with HIV

Author
Harris, Tiffany G.; Rabkin, Miriam; El-Sadr, Wafaa M.

The availability of potent antiretroviral therapy (ART) has transformed the HIV epidemic, changing HIV disease from a fatal illness to a chronic, manageable condition. In higher income countries, life expectancy for people living with HIV(PLWH) has increased substantially, nearing that of the general population, and similar gains have been seen in some parts of sub-Saharan Africa, the area of the world most impacted by HIV.

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National HIV/AIDS and Aging Awareness Day

Venue
US

Thanks to treatment with antiretroviral therapy (ART), people with HIV are living longer. According to the Centers for Disease Control and Prevention (CDC), in 2014, an estimated 45% of Americans living with diagnosed HIV were aged 50 and older.

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Booklet: A long life with HIV

Author
Roger Pebody

This booklet provides information on living well with HIV as you get older.

More and more people living with HIV are now in their fifties, sixties or beyond. You may have had HIV for decades and have a lot of previous experience of HIV and its treatment. Or you may have been diagnosed with HIV more recently and are dealing with a new medical condition as you get older.

To take care of your health, you will need to consider a range of health issues, not just HIV. An active and healthy lifestyle will reduce your risk of having other health conditions on top of HIV.

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'I'm still here, I'm still alive': Understanding successful aging in the context of HIV

Author
Solomon P, Letts L, O'Brien KK, Nixon S, Baxter L, Gervais N

As people living with HIV (PLWH) live longer, increased understanding of individuals’ values and perceptions of successful aging can assist health providers in working with PLWH to set meaningful goals as they age. The purpose of this qualitative study was to understand how PLWH define successful aging and their perceptions of contributors to successful aging. Fourteen men and ten women over the age of 50 years (mean age 57 years; mean time since diagnosis 18 years) participated in individual interviews. Interviews were analyzed using directed content analysis.

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Preparing for an ageing HIV epidemic

Author
The Lancet HIV

For much of its history, the story of HIV has been that of young lives cut short and children born with an infection that will stop them reaching adulthood. On June 5, 2017, however, HIV Long-Term Survivors Awareness Day was marked worldwide recognising long-term survivors of HIV infection and raising awareness of their specific needs. Long-term survival is part of a broader picture in which the demographic profile of people living with HIV is shifting to ever older ages, which will present new challenges for HIV programmes in the future.

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Growing older and ageing with HIV

Author
Avert

Now that effective treatment for HIV is available, it is considered to be a long-term condition and many people are living long and healthy lives with HIV. This factsheet covers some key points about growing older with HIV.

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