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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Дата
2023
Назва журналу
Номер ISSN
Назва тому
Видавець
ВМС
Анотація
Background 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.
Опис
Ключові слова
Older People Living with HIV, Aging, Health-Related Quality of Life, Patient satisfaction, Multicentre study
Бібліографічний опис
Identifying the needs of older people living with HIV (≥ 50 years old) from multiple centres over the world: a descriptive analysis [Електронний ресурс] / T. M. Grosso, D. Hernández-Sánchez, G. Dragovic [et al.] // AIDS Research and Therapy. ‒ 2023. ‒ Vol. 20. – 10. Режим доступу до журн. : https://aidsrestherapy.biomedcentral.com/articles/10.1186/s12981-022-00488-7#citeas