Journal ArticleDOI
HIV, Sexual Health, and Psychosocial Issues Among Older Adults Living with HIV in North America
TLDR
An overview of some epidemiological trends among older adults living with and at risk for HIV in North America and discusses the current and emerging needs and behaviours related to their sexual health.Abstract:
It is estimated that by the year 2015, at least half of those living with HIV disease in the United States will be 50 years of age or older. Older adults with HIV disease are living longer than ever before and are living healthier and more normal lives. They continue to be involved in intimate and sexual relationships. This paper provides an overview of some epidemiological trends among older adults living with and at risk for HIV in North America and discusses the current and emerging needs and behaviours related to their sexual health. Included are issues of sexual orientation, sexual behaviour, sexual dysfunction, and sexual risk. In addition, a number of the important psychosocial needs of older adults who are living with HIV are discussed, along with recommendations for future practice, policy, and research. Given that increasingly more people living with HIV are aging, the issues of aging and HIV disease can no longer be seen as unrelated. Gerontological providers, researchers, and policy makers must begin to address the needs of this increasingly common, yet vulnerable population of older people.read more
Citations
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Journal ArticleDOI
Health disparities among lesbian, gay, and bisexual older adults: results from a population-based study.
TL;DR: Tailored interventions are needed to address the health disparities and unique health needs of LGB older adults and to assess subgroup differences within these communities.
Journal ArticleDOI
Relationships and sexual expression in later life: a biopsychosocial perspective
John DeLamater,Erica R. Koepsel +1 more
TL;DR: The literature on sexual activity and ageing has grown substantially in the past 20 years as mentioned in this paper, and a review emphasizes sexual expression among older couples, newly emerging topics such as human immunodeficiency virus (HIV) in the older adult, and older lesbian and gay sexuality.
Journal ArticleDOI
Aging with HIV and disability: the role of uncertainty
TL;DR: The need to focus on the notion of successful and positive aging with the view to identifying effective interventions that reduce disability and enhance the overall health of older adults with HIV is highlighted.
Journal ArticleDOI
Protective and risk factors associated with stigma in a population of older adults living with HIV in Ontario, Canada.
Charles A. Emlet,David J. Brennan,Sarah Brennenstuhl,Sergio Rueda,Trevor A. Hart,Sean B. Rourke +5 more
TL;DR: Being female, heterosexual, engaging in maladaptive coping, and having poor self-rated health were associated with greater overall stigma while being older, having greater mastery, increased emotional-informational social support, and a longer time since HIV diagnosis wereassociated with lower levels of stigma.
Journal ArticleDOI
Aging with HIV: a model of disability.
TL;DR: A theoretical model describing the disability experienced by older adults living with HIV suggests areas for interventions to prevent or reduce disability related to the consequences of aging with HIV and improve overall quality of life.
References
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Journal Article
Revised Recommendations for HIV Testing of Adults, Adolescents, and Pregnant Women in Health-Care Settings
Bernard M. Branson,H. Hunter Handsfield,Margaret A. Lampe,Robert S. Janssen,Allan W. Taylor,Sheryl B. Lyss,Jill Clark +6 more
TL;DR: The objectives of these recommendations are to increase HIV screening of patients, including pregnant women, in health-care settings; foster earlier detection of HIV infection; identify and counsel persons with unrecognized HIV infection and link them to clinical and prevention services; and further reduce perinatal transmission of HIV in the United States.
Journal ArticleDOI
Effectiveness and Safety of Tenofovir Gel, an Antiretroviral Microbicide, for the Prevention of HIV Infection in Women
Quarraisha Abdool Karim,Salim S. Abdool Karim,Salim S. Abdool Karim,Salim S. Abdool Karim,Janet A. Frohlich,Anneke Grobler,Cheryl Baxter,Leila E. Mansoor,Ayesha B. M. Kharsany,Sengeziwe Sibeko,Koleka Mlisana,Zaheen Omar,Tanuja N. Gengiah,Silvia Maarschalk,Natasha Arulappan,Mukelisiwe Mlotshwa,Lynn Morris,Douglas Taylor +17 more
TL;DR: Tenofovir in a vaginal gel formulation shows significant protection against HIV infection in a randomized control trial, and could potentially fill an important HIV prevention gap, especially for women unable to successfully negotiate mutual monogamy or condom use.
Journal ArticleDOI
A Study of Sexuality and Health among Older Adults in the United States
TL;DR: Men and women who rated their health as being poor were less likely to be sexually active and, among respondents who were sexually active, were more likely to reportSexual problems are frequent among older adults, but these problems are infrequently discussed with physicians.
Journal ArticleDOI
Measuring stigma in people with HIV: Psychometric assessment of the HIV stigma scale
TL;DR: The HIV Stigma Scale was reliable and valid with a large, diverse sample of people with HIV and was supported by relationships with related constructs: self-esteem, depression, social support, and social conflict.
Journal ArticleDOI
Estimation of HIV Incidence in the United States
H. Irene Hall,Ruiguang Song,Philip Rhodes,Joseph Prejean,Qian An,Lisa M. Lee,John M. Karon,Ron Brookmeyer,Edward H. Kaplan,Matthew T. McKenna,Robert S. Janssen +10 more
TL;DR: This study provides the first direct estimates of HIV incidence in the United States using laboratory technologies previously implemented only in clinic-based settings and indicated that HIV incidence increased in the mid-1990s, then slightly declined after 1999 and has been stable thereafter.