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HIV/AIDS During Older Adulthood

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Encyclopedia of Primary Prevention and Health Promotion

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Introduction

UNAIDS (2010) estimates that approximately 2.8 million of the 40 million people living with HIV/AIDS worldwide are 50 years and older (Nguyen & Holodniy, 2008), owing mostly to highly active antiretroviral therapy (HAART; e.g., Grabar, Weiss, & Costagliola, 2006), without which HIV is fatal. In the United States, the aging population accounts for approximately 13 % of the total AIDS cases (Centers for Disease Control and Prevention, 2008). HIV, or the human immunodeficiency virus, causes AIDS, or acquired immunodeficiency syndrome, by infecting vital cells in the human immune system such as the CD4+T cells, which can lead to the progressive failure of the immune system. The nature of the HIV/AIDS epidemic is changing as it is a chronic disease in developed regions of the world. As HIV/AIDS becomes a chronic disease among middle-aged and elderly populations, a special challenge to HIV/AIDS prevention will lie in disentangling the effects of HIV/AIDS independent of aging,...

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References

  • Auerbach, J. D. (2003). HIV/AIDS and aging: Interventions for older adults. JAIDS: Journal of Acquired Immune Deficiency Syndromes, 33, S57–S58.

    PubMed  Google Scholar 

  • Cahill, S., & Valadéz, R. (2013). Growing older with HIV/AIDS: New public health challenges. American Journal of Public Health, 0, e1–e9.

    Google Scholar 

  • Centers for Disease Control and Prevention. (2008). HIV/AIDS prevalence estimates—United States, 2006. MMWR, 57, 1073–1076.

    Google Scholar 

  • Coleman, C. L., & Ball, K. (2009). Predictors of self-efficacy to use condoms among seropositive middle-aged African American men. Western Journal of Nursing Research, 31, 889–904.

    PubMed  Google Scholar 

  • Coon, D. W., Lipman, P. D., & Ory, M. G. (2003). Designing effective HIV/AIDS social and behavioral interventions for the population of those age 50 and older. Journal of Acquired Immune Deficiency Syndromes, 33, S194–S205.

    PubMed  Google Scholar 

  • Cooperman, N. A., Arnsten, J. H., & Klein, R. S. (2007). Current sexual activity and risky sexual behavior in older men with or at risk for HIV infection. AIDS Education and Prevention, 19, 321–333.

    PubMed  PubMed Central  Google Scholar 

  • Cornelius, J. B., Moneyham, L., & LeGrand, S. (2008). Adaptation of an HIV prevention curriculum for use with older African American women. Journal of the Association of Nurses in AIDS Care, 19, 16–27.

    PubMed  Google Scholar 

  • Dolcini, M. M., Catania, J. A., Stall, R. D., & Pollack, L. (2003). The HIV epidemic among older men who have sex with men. Journal of Acquired Immune Deficiency Syndromes, 33, S115–S121.

    PubMed  Google Scholar 

  • Espinoza, L., Hall, H. I., Hardnett, F., Selik, R. M., Ling, Q., & Lee, L. M. (2007). Characteristics of persons with heterosexually acquired HIV infection, United States 1999–2004. Journal Information, 97(1), 144–149.

    Google Scholar 

  • Gebo, K. A. (2008). Epidemiology of HIV and response to antiretroviral therapy in the middle aged and elderly. Aging Health, 4, 615–627.

    PubMed  PubMed Central  Google Scholar 

  • Grabar, S., Kousignian, I., Sobel, A., Le Bras, P., Gasnault, J., Enel, P., et al. (2004). Immunologic and clinical responses to highly active antiretroviral therapy over 50 years of age. Results from the French Hospital database on HIV. AIDS, 18(15), 2029–2038.

    PubMed  Google Scholar 

  • Grabar, S., Weiss, L., & Costagliola, D. (2006). HIV infection in older patients in the HAART era. Journal of Antimicrobial Chemotherapy, 57(1), 4–7.

    PubMed  CAS  Google Scholar 

  • Heckman, T. G., Heckman, B. D., Kochman, A., Sikkema, K. J., Suhr, J., & Goodkin, K. (2002). Psychological symptoms among persons 50 years of age and older living with HIV disease. Aging & Mental Health, 6, 121–128.

    CAS  Google Scholar 

  • Jack, D. C. (1991). Silencing the self: Women and depression. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Jacobs, R. J. (2009). Self-silencing and age as risk factors for sexually acquired HIV in midlife and older women. Journal of Aging and Health, 21, 102–128.

    PubMed  Google Scholar 

  • Jacobs, R. J., & Kane, M. N. (2009). Theory-based policy development for HIV prevention in racial/ethnic minority midlife and older women. Journal of Women & Aging, 21, 19–32.

    Google Scholar 

  • Jacobs, R. J., & Thomlison, B. (2009). Self-silencing and age as risk factors for sexually acquired HIV in midlife and older women. Journal of Aging and Health, 21(1), 102–128.

    PubMed  Google Scholar 

  • Jimenez, A. D. (2003). Triple jeopardy: Targeting older men of color who have sex with men. Journal of Acquired Immune Deficiency Syndromes, 33, S222–S225.

    PubMed  Google Scholar 

  • Johnson, B. T., Redding, C. A., DiClemente, R. J., Mustanski, B. S., Dodge, B. M., Sheeran, P., et al. (2010). A network-individual-resource model for HIV prevention. AIDS & Behavior, S14, S204–S221.

    Google Scholar 

  • Johnson, B. T., Scott-Sheldon, L. A. J., LaCroix, J. M., Smoak, N. D., Anderson, J., & Carey, M. P. (2009). Behavioral interventions for African-Americans to reduce sexual risk of HIV: A meta-analysis of randomized controlled trials. Journal of Acquired Immune Deficiency Syndromes, 51, 492–501.

    PubMed  PubMed Central  Google Scholar 

  • Kautz, T., Bendavid, E., Bhattacharya, J., & Miller, G. (2010). AIDS and declining support for dependent elderly people in Africa: Retrospective analysis using demographic and health surveys. BMJ: British Medical Journal, 340, 1–6.

    Google Scholar 

  • Kwiatkowski, C. F., & Booth, R. E. (2003). HIV risk behaviors among older American drug users. Journal of Acquired Immune Deficiency Syndromes, 33, S131–S137.

    PubMed  Google Scholar 

  • Levy, J. A., Ory, M. G., & Crystal, S. (2003). HIV/AIDS Interventions for midlife and older adults: Current status and challenges. Journal of Acquired Immune Deficiency Syndromes, 33, S59–S67.

    PubMed  Google Scholar 

  • Linley, L., Prejean, J., An, Q., Chen, M., & Hall, H. I. (2012). Racial/ethnic disparities in HIV diagnoses among persons aged 50 years and older in 37 US states, 2005–2008. American Journal of Public Health, 102(8), 1527–1534.

    PubMed  PubMed Central  Google Scholar 

  • Luther, V. P., & Wilkin, A. M. (2007). HIV infection in older adults. Clinics in Geriatric Medicine, 23, 567–583.

    PubMed  Google Scholar 

  • Maes, C. A., & Louis, M. (2003). Knowledge of AIDS, perceived risk of AIDS, and at–risk sexual behaviors among older adults. Journal of the American Academy of Nurse Practitioners, 15(11), 509–516.

    PubMed  Google Scholar 

  • Martin, J., & Volberding, P. (2010). HIV and premature aging: A field still in its infancy. Annals of Internal Medicine, 153(7), 477–479.

    PubMed  Google Scholar 

  • Moore, L. W., & Amburgey, L. B. (2000). Older adults and HIV. Association of Perioperative Registered Nurses, 71, 873–876.

    CAS  Google Scholar 

  • Mothe, B., Perez, I., Domingo, P., Podzamczer, D., Ribera, E., Curran, A., et al. (2009). HIV-1 infection in subjects older than 70: A multicenter cross-sectional assessment in Catalonia, Spain. Current HIV Research, 7(6), 597–600.

    PubMed  CAS  Google Scholar 

  • Nguyen, N., & Holodniy, M. (2008). HIV infection in the elderly. Clinical Interventions in Aging, 3, 453–472.

    PubMed  PubMed Central  Google Scholar 

  • Nogueras, M., Navarro, G., Antón, E., Sala, M., Cervantes, M., Amengual, M., et al. (2006). Epidemiological and clinical features, response to HAART, and survival in HIV-infected patients diagnosed at the age of 50 or more. BMC Infectious Diseases, 6(1), 159–167.

    PubMed  PubMed Central  Google Scholar 

  • Nokes, K. M. (2011). Symptom disclosure by older HIV-infected persons. Journal of the Association of Nurses in AIDS Care, 22, 186–192.

    PubMed  Google Scholar 

  • Oursler, K. K., Goulet, J. L., Crystal, S., Justice, A. C., Crothers, K., Butt, A. A., et al. (2011). Association of age and comorbidity with physical function in HIV-infected and uninfected patients: Results from the veterans aging cohort study. AIDS Patient Care and STDs, 25(1), 13–20.

    PubMed  PubMed Central  Google Scholar 

  • Peltzer, K., Friend-du Preez, N., Ramlagan, S., & Anderson, J. (2010). Antiretroviral treatment adherence among HIV patients in KwaZulu-Natal, South Africa. BMC Public Health, 10(1), 111–121.

    PubMed  PubMed Central  Google Scholar 

  • Sormanti, M., & Shibusawa, T. (2007). Predictors of condom use and HIV testing among midlife and older women seeking medical services. Journal of Aging and Health, 19(4), 705–719.

    PubMed  Google Scholar 

  • Ssengonzi, R. (2007). The plight of older persons as caregivers to people infected/affected by HIV/AIDS: Evidence from Uganda. Journal of Cross-Cultural Gerontology, 22(4), 339–353.

    PubMed  Google Scholar 

  • Stoff, D. M. (2004). Mental health research in HIV/AIDS and aging: Problems and prospects. AIDS, 18, 3–10.

    Google Scholar 

  • UNAIDS. (2010). Global report: UNAIDS report on the global AIDS epidemic 2010. Retrieved May 1, 2013, from http://www.unaids.org/globalreport/Global_report.htm.

  • Vance, D. E., & Burrage, J. W. (2006). Promoting successful cognitive aging in adults with HIV: Strategies for intervention. Journal of Gerontological Nursing, 32, 34–41.

    PubMed  Google Scholar 

  • Ward, E. G., Disch, W. B., Levy, J. A., & Schensul, J. J. (2004). Perception of HIV/AIDS risk among urban, low-income senior-housing residents. AIDS Education and Prevention, 16(6), 571–588.

    PubMed  Google Scholar 

  • Winningham, A., Corwin, S., Moore, C., Richter, D., Sargent, R., & Gore-Felton, C. (2004). The changing age of HIV: Sexual risk among older African American women living in rural communities. Preventive Medicine, 39, 809–814. doi:10.1016/j.ypmed.2004.03.005.

    PubMed  Google Scholar 

  • Zablotsky, D., & Kennedy, M. (2003). Risk factors and HIV transmission to midlife and older women: Knowledge, options, and the initiation of safer sexual practices. JAIDS: Journal of Acquired Immune Deficiency Syndromes, 33, S122–S130.

    PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Medicine, Center for AIDS Prevention Studies (CAPS), University of California, San Francisco, 50 Beale Street, 13th Floor, San Francisco, CA, 94105, USA

    Judy Y. Tan

  2. Department of Psychology, Center for Health, Intervention, & Prevention (CHIP), University of Connecticut, 2006 Hillside Road, Unit 1248, Storrs, CT, 06269, USA

    Blair T. Johnson

Authors
  1. Judy Y. Tan
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  2. Blair T. Johnson
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Correspondence to Judy Y. Tan .

Editor information

Editors and Affiliations

  1. Child & Family Agency of Southeastern Connecticut, New London, CT, USA

    Thomas P. Gullotta

  2. University of Connecticut, West Hartford, USA

    Martin Bloom

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Tan, J.Y., Johnson, B.T. (2014). HIV/AIDS During Older Adulthood. In: Gullotta, T.P., Bloom, M. (eds) Encyclopedia of Primary Prevention and Health Promotion. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-5999-6_267

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  • DOI: https://doi.org/10.1007/978-1-4614-5999-6_267

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