Resources for Aging with HIV
This resource center connects you with the latest in research, training, and more to help better coordinate and optimize care for people aging with HIV. You can filter the resources below by title, date, or topic/category, such as care coordination, health equity, and mental health.
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People living with HIV (PLWH) are living longer, developing comorbidities and aging-related syndromes. New care models are needed to address the combined burden and complexity of HIV and its comorbidities in this group. The goal of this study is to describe qualitative data from patients and providers that informed the development of a comprehensive care model for older PLWH.
The findings of this study suggest that there is a connection between support to address psychosocial barriers and greater improvement on indicators along the HIV continuum. The findings also aid as evidence to the role of Care Coordination in increasing health and survival opportunities among those who are at the highest risk for suboptimal HIV health outcomes.
Social deprivation is a comorbidity that many older people living with HIV face. The study analyzed the relationship between people living with HIV and social deprivation. Social deprivation was not related to HIV status but showed that OPWH that suffered from social deprivation received little support from social workers.
Researchers aimed to better understand how Care Coordination Programs (CCP) affect PLWH by having one group that was a part of a CCP and another that wasn’t. After 12-months individuals, viral loads before and after the study were compared. It was found that those in the CCP who had been recently diagnosed benefited the greatest from the program, so it is hypothesized that CCPs help with the initial hurdles of accessing and adhering to ART.
Data on persons with HIV and their burden of disease is poor and varies from one database to another. A study was performed utilizing two large databases, MMP and CNICS. The results displayed that each database can provide reliable data to monitor HIV co-morbidities in the US.
A cross-sectional study assessed how effective it was for those on HIV meds to not transmit to others, along with how high the loss to follow-up was in various HIV programs. They found that there was a high loss of follow-up in HIV care programs, but it highlighted the need for intervention as well as an increase in rates of viral suppression.
To gauge and improve the effectiveness of care coordination programs, researchers looked at CCP evaluations of individuals with HIV. Oftentimes just looking at pre and post-program evaluations do not consider external events in a CCP participant’s life, which has an impact on the effectiveness of the program. Researchers suggest keeping a registry of possible events in the patient’s life. This way, care coordinators can be continuous and mindful of the patient’s circumstances.
The researchers in this study observe gut bacteria and the microbiome to see its impact on those aging with HIV.
Researchers examine the age-related conditions in older persons with HIV and address clinical management according to the author’s expertise and published literature. The researchers aim to advance the debate about the most appropriate management of this population, including less well-studied aspects, such as the frequency of screening for psychological/mental and social and functional capabilities.
There is a steep increase in life expectancy for HIV patients who are introduced to ART. HIV-positive individuals also have a higher prevalence than HIV-uninfected individuals of lifestyle risk factors that should be addressed by providers.
With increasing numbers of aging PLWH, HIV care programs need to begin involving geriatric medicine practices. Researchers suggest that an aging HIV+ person’s care should involve a multidisciplinary team that would include primary care physicians, social workers, and geriatricians.
The development of frailty is a risk factor for most aging adults however OPWH are at a greater risk of this development. Prevention efforts need to be made to help OPWH successfully age without disability or loss of independence. It also discusses how the needs for OPWH should be evaluated.
