HIV and people over 50 years old in Europe

Lazarus, Jeffrey V.; Nielsen, Karoline Kragelund

doi:10.1111/j.1468-1293.2009.00810.x

Cited by 53 publications

(52 citation statements)

References 22 publications

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“…Alguns pesquisadores ainda afirmam que a população mais velha, pode não ser percebida por seu médico como em estado de risco de infecção por HIV e, consequentemente, tem menos probabilidade de ser encaminhada para a realização de sorotestagem, para a pesquisa da doença em comparação com os adultos mais jovens. Outro fator a ser considerado, é que quando o teste para HIV é realizado no paciente mais idoso, o diagnóstico é muitas vezes feito mais tarde na história natural da doença, o que aumenta o risco de infecções oportunistas e transmissão a outros parceiros (21) . A literatura enfatiza que, com companheiro fixo, os riscos de exposição ao vírus HIV diminuem, tendo em vista que a multiplicidade de parceiros constitui um fator de risco para o contágio de DST e HIV/AIDS (22) .…”

Section: Discussionunclassified

Inquérito Populacional Sobre Hiv/Aids Na Terceira Idade

Paula

Favero

Bonafé

2015

ACS

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ResumoIntrodução: A epidemia da Síndrome da Imunodeficiência Adquirida, no Brasil, emergiu como um problema de saúde pública desde a sua descoberta. Apresenta-se de forma universal, com características epidemiológicas distintas e variáveis, cuja incidência vem aumentando na faixa etária acima de 50 anos. Objetivo: Avaliar o conhecimento e comportamento relacionado à Síndrome da Imunodeficiência Humana dos participantes acima de 50 anos de grupos da terceira idade da cidade de Maringá, Paraná, Brasil. Casuística e Métodos: Estudo transversal que consistiu na aplicação de 200 questionários anônimos, padronizados e com perguntas objetivas, no período de agosto a outubro de 2013. Resultados: Vida sexual ativa foi relatada por 70,6% dos homens e 51,1% das mulheres, sendo que 58% da amostra não possuía companheiro fixo. Quanto ao uso de preservativo, 26,5% informaram o uso em todas as relações sexuais. A promiscuidade foi observada em 13,5% da amostra. Conclusão: O presente trabalho foi importante ao revelar a existência de lacunas do conhecimento sobre a doença, nos aspectos transmissão e vulnerabilidade, demonstrando possíveis fatores de risco que podem contribuir para o aumento da infecção nesse grupo etário.Descritores: Síndrome de Imunodeficiência Adquirida; HIV; Idoso. Abstract Introduction:The epidemics of Acquired Immunodeficiency Syndrome in Brazil have emerged as a public health problem since its discovery. It presents itself in a universal way, with variable and distinct epidemiologic characteristics, with increasing incidence in the population aged, 50 and over. Objective: The present study aims to evaluate the knowledge and behavior related to the Acquired Immunodeficiency Syndrome in the population aged, 50 and over attending the elderly groups in the city of Maringá, Paraná, Brazil. Patients and Methods: We carried out a cross-sectional study consisting of 200 standard anonymous questionnaires, with objective questions, from August to October 2013. Results: An active sex life was referred by 70.6% of men and 51.1% of women. Of the total, 58% did not have a steady partner. Regarding the condom use, 26.5% referred to use it in every sexual intercourse. Promiscuity was observed in 13.5% of the sample. Conclusion: The present study was important to prove the existence of knowledge gaps about the disease and the aspects of disease's transmission and human vulnerability. The study also demonstrated the possible risk factors that may contribute to the increase of infection in this age group.

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Section: Discussionunclassified

Inquérito Populacional Sobre Hiv/Aids Na Terceira Idade

Paula

Favero

Bonafé

2015

ACS

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“…Lazarus et al found that in 2007, 12.9% and 3.7% of newly reported HIV cases in Western and Eastern Europe, respectively, occurred in people aged 50 years or more. In Central Europe, around one in 10 newly reported HIV cases occurred in people aged 50 years or more 8 . In the United States, the AIDS incidence rate in the population aged 65 or above is approximately 1.60 per 100,000 9,10 .…”

Section: Introductionmentioning

confidence: 99%

Spatial dynamics of AIDS incidence in the elderly in Rio de Janeiro, Brazil, 1997-2011

et al. 2015

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“…This trend is likely to be the result of: An increased number of people seroconverting at an older age and increasing life expectancy among people living with HIV (PLHIV) on antiretroviral therapy (ART) [1][2][3]. A recent publication from the European Centre for Disease Prevention and Control shows significantly increasing trends in new HIV diagnoses among people aged 50 and older in the European Union and European Economic Area (EU/EEA).…”

Section: Introductionmentioning

confidence: 99%

New HIV Diagnoses among Older Adults in the EU/EEA: Missed Opportunities and Barriers to Testing

Tavoschi¹,

Madeddu²,

Pharris³

2017

J AIDS Clin Res

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The rate of HIV diagnoses among older adults in the European Union/European Economic Area (EU/EEA) is increasing. We performed a literature review to investigate factors associated with HIV infection, diagnosis and testseeking behaviour among older adults in the EU/EEA.We defined older adults as ≥ 50 years. We searched Embase and PubMed to identify studies on socio-demographic and clinical characteristics associated with new HIV diagnosis and factors influencing provision and uptake of HIV testing among older adults in EU/EEA and other high-income countries using the concepts of HIV infection and disease; older adults, and; testing and attitude towards testing. We included original papers or systematic reviews published from 2000 onwards and reporting data on the following themes: Patterns of HIV test uptake and attitudes, barriers and enablers influencing offer and uptake of HIV testing.Published evidence indicated large proportion of late diagnoses and a low likelihood of HIV testing among older adults, although results varied widely between studies. HIV test uptake was a function of several factors related to patient and provider, including perception of one's risk. The active offer of an HIV test by the health care provider was the most significant factor positively associated with having a test. Scaling up HIV testing opportunities targeting older adults and the adult population at large is needed.

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HIV and people over 50 years old in Europe

Cited by 53 publications

References 22 publications

Inquérito Populacional Sobre Hiv/Aids Na Terceira Idade

Inquérito Populacional Sobre Hiv/Aids Na Terceira Idade

Spatial dynamics of AIDS incidence in the elderly in Rio de Janeiro, Brazil, 1997-2011

New HIV Diagnoses among Older Adults in the EU/EEA: Missed Opportunities and Barriers to Testing

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