Identifying the needs of older people living with HIV (≥50 years old) from multiple centres over the world: a descriptive analysis

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dc.contributor.authorGrosso, Tomás Martín
dc.contributor.authorHernández‑Sánchez, Diana
dc.contributor.authorDragovic, Gordana
dc.contributor.authorVasylyev, Marta
dc.contributor.authorSaumoy, María
dc.contributor.authorBlanco, José Ramón
dc.contributor.authorGarcía, Diego
dc.contributor.authorKoval, Tetiana
dc.contributor.authorLoste, Cora
dc.contributor.authorWesterhof, Tendayi
dc.contributor.authorClotet, Bonaventura
dc.contributor.authorSued, Omar
dc.contributor.authorCahn, Pedro
dc.contributor.authorNegredo, Eugènia
dc.date.accessioned2024-05-20T18:12:30Z
dc.date.available2024-05-20T18:12:30Z
dc.date.issued2023-02
dc.description.abstractBackground Older People Living with HIV (OPWH) combine both aging and HIV-infection features, resulting in ageism, stigma, social isolation, and low quality of life. This context brings up new challenges for healthcare professionals, who now must aid patients with a significant comorbidity burden and polypharmacy treatments. OPWH opinion on their health management is hardly ever considered as a variable to study, though it would help to understand their needs on dissimilar settings. Methods We performed a cross-sectional, comparative study including patients living with HIV aged ≥50 years old from multiple centers worldwide and gave them a survey addressing their perception on overall health issues, psychological problems, social activities, geriatric conditions, and opinions on healthcare. Data was analyzed through Chisquared tests sorting by geographical regions, age groups, or both. Results We organized 680 participants data by location (Center and South America [CSA], Western Europe [WE], Africa, Eastern Europe and Israel [EEI]) and by age groups (50- 55, 56-65, 66-75, >75). In EEI, HIV serostatus socializing and reaching undetectable viral load were the main problems. CSA participants are the least satisfied regarding their healthcare, and a great part of them are not retired. Africans show the best health perception, have financial problems, and fancy their HIV doctors. WE is the most developed region studied and their participants report the best scores. Moreover, older age groups tend to live alone, have a lower perception of psychological problems, and reduced social life. Conclusions Patients’ opinions outline region- and age-specific unmet needs. In EEI, socializing HIV and reaching undetectable viral load were the main concerns. CSA low satisfaction outcomes might reflect high expectations or profound inequities in the region. African participants results mirror a system where general health is hard to achieve, but HIV clinics are much more appealing to them. WE is the most satisfied region about their healthcare. In this context, age-specific information, education and counseling programs (i.e. Patient Reported Outcomes, Patient Centered Care, multidisciplinary teams) are needed to promote physical and mental health among older adults living with HIV/AIDS. This is crucial for improving health-related quality of life and patient’s satisfaction.
dc.identifier.citationAIDS Research and Therapy volume 20, Article number: 10 (2023)
dc.identifier.otherhttps://doi.org/10.1186/s12981-022-00488-7
dc.identifier.urihttps://repositorio.huesped.org.ar/handle/123456789/970
dc.language.isoen
dc.publisherSpringer Nature
dc.relation.ispartofseriesAIDS Research and Therapy; 20(10)
dc.subjectOlder People Living with HIV
dc.subjectAging
dc.subjectHealth-Related Quality of Life
dc.subjectPatient satisfaction
dc.subjectMulticentre study
dc.titleIdentifying the needs of older people living with HIV (≥50 years old) from multiple centres over the world: a descriptive analysis
dc.typeArticle

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