Older HIV patients and their care providers need to maximize prevention efforts against these conditions and remain vigilant for early signs of illness.They also need to be careful about interactions between the medications used to treat HIV and those used to treat common age-related conditions such as hypertension, diabetes, elevated cholesterol, and obesity.
Activities include refer to the estimated number of people diagnosed with HIV infection, regardless of stage of disease at diagnosis, and the estimated number of people diagnosed with AIDS, respectively, during a given time period. Many older people are sexually active, including those living with HIV, and may have many of the same HIV risk factors as younger people, including a lack of knowledge about HIV and how to prevent transmission, as well as multiple partners.Older people also face some unique issues: Stigma is a particular concern among older people because they may already face isolation due to illness or loss of family and friends.Stigma negatively affects people’s quality of life, self-image, and behaviors, and may prevent them from seeking HIV care and disclosing their HIV status.Aging with HIV infection also presents special challenges for preventing other diseases because older people with HIV may have an increased risk for cardiovascular disease, thin bones, and certain cancers.Older people in the United States are more likely than younger people to be diagnosed with HIV infection late in the course of the disease, which means starting treatment late and possibly suffering more immune-system damage.
This can lead to a poorer prognosis and shorter survival after an HIV diagnosis.
Among people aged 20 to 24 who were diagnosed with HIV infection during 2004-2009, 99% survived more than 12 months after diagnosis, compared with an estimated 89% of people aged 50 to 54, 86% of people aged 55 to 59, 82% of people aged 60 to 64, and 73% of people aged 65 and older (for those who did not survive more than 12 months, death could have been from any cause).
Late diagnoses can occur because health care providers may not always test older people for HIV infection, and older people may mistake HIV symptoms for those of normal aging and not consider HIV as a cause.
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