Racial/Ethnic Disparities in HIV Diagnoses Among Persons Aged 50 Years and Older in 37 US States, 2005–2008

Linley, Laurie; Prejean, Joseph; An, Qian; Chen, I‐Ming; Hall, H. Irene

doi:10.2105/ajph.2011.300431

Cited by 64 publications

(60 citation statements)

References 26 publications

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“…Failure to request anti-HIV serology during the elderly consultation was also supported by other studies (5,22) . Studies have shown that individuals with 50 years or more were diagnosed at a more advanced stage of the disease, compared to the younger population (22)(23) . However it is clear that the late diagnosis interferes with the prognosis of the disease among the elderly, because in addition to HIV infection, acceleration in the progression of comorbidities among the elderly occurs (2,22) .…”

Section: Discussionmentioning

confidence: 99%

Aids em idosos: motivos que levam ao diagnóstico tardio

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Ciosak

2016

Rev. Bras. Enferm.

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Objective: to investigate elderly living with HIV/Aids and health professionals, what are the reasons that lead to late diagnosis of HIV infection in the elderly. Method: prospective, qualitative study, conducted at a specialized outpatient clinic with elderly living with HIV/Aids, diagnosed age over 60 years and in the Family Health Strategy units with nurses and physicians. Data were collected through interviews and verifi ed by content analysis, using the theoretical framework of vulnerability. Results: a total of 11 elderly, 11 nurses and 12 physicians participated in the study. Three empirical categories emerged: the late diagnosis of HIV happens against the health service; invisibility of the sexuality of the elderly; and weaknesses in the anti-HIV serology request for the elderly. Conclusion: there are health professionals who see the elderly as asexual, causing the diagnosis of HIV to happen in the secondary and tertiary service instead of primary care. Descriptors: Aged; HIV; Delayed Diagnosis; Disaster Vulnerability; Health Personnel. RESUMOObjetivo: investigar entre os idosos vivendo com HIV/Aids e os profi ssionais de saúde, quais são os motivos que levam ao diagnóstico tardio da infecção pelo HIV nos idosos. Método: estudo prospectivo, qualitativo, realizado em ambulatório especializado com idosos vivendo com HIV/aids, diagnosticados com idade igual ou superior a 60 anos e nas Unidades com Estratégia Saúde da Família com enfermeiros e médicos. Os dados foram coletados por meio de entrevistas e verifi cados por análise de conteúdo, utilizando o referencial teórico da vulnerabilidade. Resultados: participaram 11 idosos, 11 enfermeiros e 12 médicos. Emergiram três categorias empíricas: o diagnóstico tardio do HIV acontece na contramão do serviço de saúde; invisibilidade da sexualidade do idoso; e fragilidades na solicitação da sorologia anti-HIV para os idosos. Conclusão: há profi ssionais de saúde que percebem os idosos como assexuados, fazendo que o diagnóstico do HIV aconteça no serviço secundário e terciário e não na atenção primária. Descritores: Idoso; Vírus da Imunodefi ciência Humana; Diagnóstico Tardio; Vulnerabilidade; Profi ssional de Saúde. RESUMENObjetivo: realizar una investigación entre personas seniles que conviven con VIH/Sida y profesionales de la salud, para reconocer los motivos que llevan al diagnóstico tardío de la infección. Método: estudio prospectivo, cualitativo, realizado en un centro de salud especializado y en Unidades con Estrategia de Salud de la Familia, entre enfermeros, médicos y personas mayores diagnosticadas con VIH/Sida, de edad igual o superior a los 60 años. Los datos se recolectaron mediante entrevistas y se comprobaron a través del análisis de contenido utilizando el marco teórico de la vulnerabilidad. Resultados: participaron 11 personas mayores, 11 enfermeros y 12 médicos. Surgieron tres categorías empíricas: postergación del diagnóstico del VIH por el servicio de salud; invisibilidad de la sexualidad en la persona senil y fragilidad en la solicitaci...

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Section: Discussionmentioning

confidence: 99%

Aids em idosos: motivos que levam ao diagnóstico tardio

Alencar

Ciosak

2016

Rev. Bras. Enferm.

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“…In 2009, African Americans and Hispanic/Latino Americans comprised 13 % and 16 % of the general U.S. population, but accounted for 43 % and 19 % of people living with HIV/acquired immunodeficiency syndrome (AIDS), respectively. [1][2][3] Racial and ethnic disparities are even more pronounced among older Americans, 4 women, 5 and men who have sex with men (MSM). 6,7 In addition to having disproportionately high prevalence, recent analyses have also suggested that among individuals receiving HIV care, African American patients are less likely to be retained in care 8,9 and to achieve viral suppression in response to antiretroviral therapy.…”

Section: Introductionmentioning

confidence: 99%

Racial/Ethnic Differences in Trust in Health Care: HIV Conspiracy Beliefs and Vaccine Research Participation

et al. 2013

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“…In elderly patients, diagnosis is being made at a late stage of the natural history of HIV infection, and the test request for HIV only occurs after extensive research and by exclusion of other diseases, which delays the diagnosis and treatment (14)(15)(16) . As many symptoms of the most prevalent diseases in this age group and HIV are similar, to diagnose them separately becomes a complex process.…”

Section: Discussionmentioning

confidence: 99%

“…The lack of specificity of symptoms can delay diagnosis up to 10 months, resulting in delayed antiretroviral treatment (13,15) . It is observed that when compared to younger people, those with 50 years or older who have been diagnosed with HIV are at a more advanced stage of the disease (15)(16) . It is essential that early diagnosis for the elderly occurs as they have a more rapid progression of the disease and/or increased risk of progression because the CD4+ cells fall faster at lower levels, making the immune system more deficient in early treatment.…”

Section: Discussionmentioning

confidence: 99%

Late diagnosis and vulnerabilities of the elderly living with HIV/AIDS

Alencar

Ciosak

2015

Rev. esc. enferm. USP

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Objective:To identify vulnerabilities of elderly people with HIV/AIDS and the trajectory that they follow until reaching the diagnosis of the disease. Method: Qualitative research conducted in specialized clinics in the state of São Paulo, from January to June 2011. Semi-structured interviews were conducted with 11 elderly people who were found to be infected with the virus at the age of 60 years or older. The interviews were analyzed using content analysis. Results: In this process four categories emerged, then analyzed with reference to the theoretical framework of vulnerability. Conclusion: Late diagnosis of HIV infection or AIDS among the elderly happens in the secondary or tertiary service. Issues related to sexual life of the elderly are only questioned by health professionals after the diagnosis, also the time that condom use becomes absolute. It is believed that the investigation of the vulnerability of the elderly to HIV/AIDS allows for carrying out appropriate interventions for this population.

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Racial/Ethnic Disparities in HIV Diagnoses Among Persons Aged 50 Years and Older in 37 US States, 2005–2008

Cited by 64 publications

References 26 publications

Aids em idosos: motivos que levam ao diagnóstico tardio

Aids em idosos: motivos que levam ao diagnóstico tardio

Racial/Ethnic Differences in Trust in Health Care: HIV Conspiracy Beliefs and Vaccine Research Participation

Late diagnosis and vulnerabilities of the elderly living with HIV/AIDS

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