Factors associated with testing for HIV in people aged ≥50 years: a qualitative study.
Elaney Youssef,Juliet Wright,Valerie Delpech,Kevin A. Davies,Alison E Brown,Vanessa Cooper,Memory Sachikonye,Richard O. de Visser +7 more
TLDR
Stigma and a lack of knowledge of how to access HIV testing suggest a need for health promotion and suggest current sexual health services may need to adapt to better meet their needs.Abstract:
Despite a decline in the number of new HIV infections in the UK overall, the number and proportion of new HIV diagnoses in people aged ≥50 years continues to increase. People aged ≥50 years are disproportionately affected by late diagnosis, which is associated with poorer health outcomes, increased treatment complexity and increased healthcare costs. Late HIV diagnosis also has significant public health implications in terms of onward HIV transmission. It is not fully understood what factors affect the decision of an older person to test for HIV. The aim of this study was to identify factors associated with testing for HIV in people aged ≥50 years who tested late for HIV. We interviewed 20 people aged ≥50 years diagnosed late with HIV to identify factors associated with HIV testing. Interviews were audio recorded, transcribed verbatim and thematically analysed. Seven themes associated with HIV testing in people aged ≥50 years were identified: experience of early HIV/AIDS campaigns, HIV knowledge, presence of symptoms and symptom attribution, risk and risk perception, generational approaches to health and sexual health, stigma, and type of testing and testing venue. Some factors associated with testing identified in this study were unique to older individuals. People aged ≥50 years often do not perceive themselves to be at risk of HIV. Further, stigma and a lack of knowledge of how to access HIV testing suggest a need for health promotion and suggest current sexual health services may need to adapt to better meet their needs.read more
Citations
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Journal ArticleDOI
Barriers to older adults seeking sexual health advice and treatment: A scoping review.
TL;DR: Efforts need to be made by influential institutions and healthcare providers to recognise sexuality in older age and give older people the opportunity to open up regarding their sexual health and experiences.
Journal ArticleDOI
The social network context of HIV stigma: Population-based, sociocentric network study in rural Uganda
Sae Takada,Viola N. Nyakato,Akihiro Nishi,A. James O'Malley,Bernard Kakuhikire,Jessica M. Perkins,David R. Bangsberg,Nicholas A. Christakis,Alexander C. Tsai +8 more
TL;DR: Stigma-reduction interventions should be targeted not only at thelevel of the individual but also at the level of the network, as directed and meaningful contact with people living with HIV may also reduce HIV-related stigma.
Journal ArticleDOI
Assessing the health status and mortality of older people over 65 with HIV.
Gina Turrini,Stephanie S. Chan,Pamela W. Klein,Stacy M. Cohen,Antigone Dempsey,Heather Hauck,Laura W. Cheever,Andre R. Chappel +7 more
TL;DR: It is important for clinicians and policymakers to be aware that older people with HIV have a higher odds of having multiple chronic conditions at any point in time, a higher incidence of new diagnoses of these conditions over time, and a higher hazard of mortality than Medicare beneficiaries without HIV.
Journal ArticleDOI
Newly diagnosed cases of HIV in those aged 50 years and older and those less than 50: 2008-2017.
TL;DR: Over 20% of all newly diagnosed cases of HIV are now in people 50 years of age and older in Canada, with the proportion of newly diagnosed HIV cases among those ≥50 years increased from 15.1% to 22.8%.
Dissertation
"I was not meant to be here, and I'm still here" : a feminist, participatory and assets-based exploration of women's experiences of ageing with HIV in London
TL;DR: In this article, the authors adopt a feminist and assets-based approach to explore the experiences of women ageing with HIV in London, and identify key gaps in the evidence base and limitations in the epistemic conditions of its production.
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