Management of HIV in the older adults: Clinical and public health challenge

Author:

Zdanowicz Martin M.1,Valdes Beatriz2ORCID,Salani Deborah3ORCID

Affiliation:

1. Professor of Phamaceutical and Appplied Life Science Keck Graduate Institute, School of Pharmacy and Health Sciences Claremont California USA

2. Associate Professor of Clinical University of Miami School of Nursing and Health Studies Coral Gables Florida USA

3. Professor of Clinical University of Miami School of Nursing and Health Studies Coral Gables Florida USA

Abstract

AbstractAs a result of significant advances in antiretroviral therapy (ART), the number of people living with human immunodeficiency virus (PLWH) who are alive well into their senior years has increased significantly in recent years. While increased life expectancy is a highly desired outcome for PLWH, it brings with it a number of challenges that are only now starting to be understood and fully appreciated. These challenges include higher rates of co‐morbidities, polypharmacy, drug side effects, and cognitive deficits, as well as numerous psychosocial issues such as stigma, loneliness, and depression. Older PLWH also face challenges related to housing, health insurance, and long‐term care. This review will discuss many of the challenges faced by older PLWH and present clinical and public health responses with suggested interventions that may improve outcomes for this population.

Publisher

Wiley

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