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Persons 50 years and older tend to have late HIV diagnoses, which complicates management and also serve as a source for HIV transmission. The factors that lead to this situation are not clear. Interviews about possible reasons were completed on 20 persons who had a late HIV diagnosis. The results suggest that older persons do not see themselves at risk for HIV. Also, there is the presence of existing stigma and some uncertainty about where to access HIV testing. Although these interviews occurred in the UK, the realities seem similar to the US. Health promotional content should include issues unique to older persons and make an effort to address their specific needs.