Stephen E. Karpiak

TL;DR: Data suggest that focusing efforts to reduce HIV-related stigma and loneliness may have lasting effects in reducing major depressive symptoms and improving perceived health.

TL;DR: It is suggested that older LGBT adults underutilize health and social services that are important in maintaining independence and quality of life, and unmet needs for basic supports, including housing, economic supports, and help with entitlements are revealed.

TL;DR: There is a need for further longitudinal research to understand how high rates of depressive symptoms are related to comorbidities, and whether the management of depression continues to be a low priority, the older person with HIV may experience an avoidable reduction in life expectancy.

TL;DR: Older HIV-positive adults over age 50 are sexually active, and engage in both high-risk and risk-management behaviors, and loneliness emerged as the dominant risk factor in this sample.

TL;DR: It was found that sexual pleasure and the need for intimacy continue to be important for OWLH, but that changing sexual abilities and sexual health needs, such as the reduction of sexual desire and increased painful intercourse due to menopause-associated vaginal drying, were persistent barriers to sexual fulfillment and satisfaction.