Journal Article
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Geriatric Assessments Among HIV-Infected Older Adults

This study (John 2016) looked comprehensively across physical, mental and social health domains to examine health related needs of older adults living with HIV. The study showed that among 359 people living with HIV in San Francisco: 39% reported dependence with ≥1 IADL, 40% reported falls in the previous year, 58% experienced loneliness, 55% depression, and 12% PTSD. The study included two different clinics, both of which receive Ryan White funding but based within two different healthcare systems- a university clinic and a county (public hospital) based clinic. Although the majority of participants were men (85%) and had been infected with HIV for more than 10 years (85%), so the results may not extend to women or older adults newly diagnosed with HIV, this study adds to the growing body of evidence about the aging related health needs for older adults living with HIV.

A few practical considerations:

  • Some assessments are easy to incorporate into clinical practice- such as once a year screening questions for falls and balance problems which could be done by any member of an office team.
  • Healthcare providers have to consider the social context of care and address mental health concerns in order to support the health of older adults living with HIV. Finding ways to incorporate routine mental health screening (even an annual PHQ-2) and ways to link patients to community resources will be critical.
    • Ryan White wrap around services often help address these needs
    • Have to consider overlap or how to combine HIV specific services and aging specific services

Purpose of this Program: The AAHIVM, ACRIA and AGS (collectively, the “Sponsors,” “we” or “us”) are sponsors of this Website and through it seek to address the unique needs and challenges that older adults of diverse populations living with HIV face as they age. However, the information in this Website is not meant to supplant the advice provided in a doctor-patient relationship.

General Disclaimer: HIV-Age.org is designed for educational purposes only and is not engaged in rendering medical advice or professional services. The information provided through HIV-Age.org should not be used for diagnosing or treating a health problem or a disease. It is not a substitute for professional care. If you have or suspect you may have a health problem, consult your health care provider.

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The American Academy of HIV Medicine is a professional organization that supports the HIV practitioner and promotes accessible, quality care for all Americans living with HIV disease. Our membership of HIV practitioners and credentialed HIV Specialists™, HIV Experts™, and HIV Pharmacists™ provide direct care to the majority of HIV patients in the US.