HIV and aging

Shah, Sanjiv S.; Mildvan, Donna

doi:10.1007/s11908-006-0065-x

Cited by 27 publications

(13 citation statements)

References 38 publications

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“…Our results should be considered in light of the fact that there is a rapidly growing population of aging seropositive gay and bisexual men ages 50 years and older (CDC, 2009; GMHC, 2010; Myers, 2009), and that men are acquiring HIV at an older age (Gebo, 2006; Shah & Mildvan, 2006), creating a population comprised of both long-term survivors and recent seroconverters, who, in comparison to their younger counterparts, experience multiple overlapping psychosocial stressors and decreased social support (Emlet & Poindexter, 2004; GMHC, 2010). Older seropositive gay and bisexual men must confront the ongoing demands of HIV as well as myriad physical and cognitive changes that accompany the normal aging process.…”

Section: Discussionmentioning

confidence: 95%

Sexual risk taking and club drug use across three age cohorts of HIV-positive gay and bisexual men in New York City

Pappas

Halkitis

2011

AIDS Care

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This study examined club drug use, (i.e., cocaine, ecstasy, ketamine, GHB, and methamphetamine) and unprotected anal intercourse (UAI) in an ethnically and racially diverse sample of 166 New York City-based seropositive, club drug-using, gay and bisexual men, ages 19 to 61, and considered these behaviors in relation to age category (20s, 30s, 40+) and number of years living with HIV. Club drug use was common across all age categories, with differences arising only in the type of club drug used. Multivariate logistic regression modeling indicated older participants (30s, 40+) were more likely to use cocaine and methamphetamine and less likely to use GHB and ketamine than those in their 20s. We examined unprotected anal intercourse (UAI) with casual partners in relation to age category, the number of years living with HIV, and club drug use. The likelihood of engaging in UAI with seronegative casual partners was greater among those in their 20s than those in their 30's or 40+. Further, participants were equally likely to engage in unprotected receptive anal intercourse and unprotected insertive anal intercourse with each casual partner serostatus type. With regard to number of years living with HIV, those living longer with the disease were more likely to report UAI with casual partners with a seropositive status than with a negative or unknown serostatus. Our findings suggest that UAI and club drug use is common among seropositive gay and bisexual men regardless of age category, but that differential patterns of risk emerge in relation to the number of years one has been living with HIV and age. These findings are of significance as both the aging population of seropositive gay and bisexual men and HIV infection rates continue to grow, and demonstrate a need for differentiated and tailored prevention strategies across the age continuum.

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Section: Discussionmentioning

confidence: 95%

Sexual risk taking and club drug use across three age cohorts of HIV-positive gay and bisexual men in New York City

Pappas

Halkitis

2011

AIDS Care

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“…This has been described as the “graying” of the HIV/AIDS epidemic (Gorman, 2006; Shah & Mildvan, 2006). In 2006, almost 38% of HIV-positive persons were between the ages of 40–49.…”

Section: Introductionmentioning

confidence: 99%

Loneliness and HIV-related stigma explain depression among older HIV-positive adults

et al. 2010

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Advances in the treatment of HIV have resulted in a large growing population of older adults with HIV. These aging adults face added social, psychological, and physical challenges associated with the aging process. Correlations between depression, loneliness, health, and HIV/AIDS-related stigma have been studied, but there is little evaluation of these associations among HIV-positive adults over the age of 50. Data for these analyses were taken from the Research on Older Adults with HIV (ROAH) study of 914 New York City-based HIV-positive men and women over the age of 50. In total, 39.1% of participants exhibited symptoms of major depression (CES-D ≥ 23). Multivariate modeling successfully explained 42% of the variance in depression which was significantly related to increased HIV-associated stigma, increased loneliness, decreased cognitive functioning, reduced levels of energy, and being younger. These data underscore the need for service providers and researchers to assert more aggressive and innovative efforts to resolve both psychosocial and physical health issues that characterize the graying of the AIDS epidemic in the United States. Data suggest that focusing efforts to reduce HIV-related stigma and loneliness may have lasting effects in reducing major depressive symptoms and improving perceived health.

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“…21;22 This disproportionate number of older HIV-positive individuals can be accounted for by a combination of those who have benefited from an increased lifespan as a result of cART, and incident HIV infections among adults aged 50+ years. 23;24 At the same time, older cohorts of adults are more likely to have smoked in their lifetimes relative to younger cohorts, with male-female differences (i.e., increased prevalence among males) being more pronounced in earlier birth cohorts.…”

mentioning

confidence: 99%

Smoking and HIV-related Health Issues among Older HIV-positive Gay, Bisexual, and Other Men Who Have Sex with Men

Ompad

Kingdon

Kupprat

et al. 2014

Behavioral Medicine

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The prevalence of cigarette smoking and the relations between smoking and HIV clinical markers, HIV medication adherence, and opportunistic infections (OIs) were examined in a sample of 199 HIV+, gay, bisexual, and other men who have sex with men (MSM) aged 50 and older. Overall, 35.7% were current smokers, 35.7% were former smokers, and 28.6% were never smokers. In the final multivariable polytomous logistic regression model controlling for age, income, and illicit drug use, current smokers were less likely to report an undetectable viral load as compared to never and former smokers. Relative to never smokers, former smokers were more likely report respiratory OIs, and current smokers were more likely to report gastrointestinal OIs. This study demonstrates high prevalence of cigarette smoking among aging, HIV+ MSM and provides additional evidence for a relationship between smoking and poorer HIV clinical markers. Targeted and tailored smoking cessation programs within the context of HIV care services are warranted.

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HIV and aging

Cited by 27 publications

References 38 publications

Sexual risk taking and club drug use across three age cohorts of HIV-positive gay and bisexual men in New York City

Sexual risk taking and club drug use across three age cohorts of HIV-positive gay and bisexual men in New York City

Loneliness and HIV-related stigma explain depression among older HIV-positive adults

Smoking and HIV-related Health Issues among Older HIV-positive Gay, Bisexual, and Other Men Who Have Sex with Men

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