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Data on 876 Canadian patients diagnosed with HIV before 1996 were analyzed. This sample was able to be followed for more than 20 years on average. The researchers defined the socio-demographic, clinical, and health care utilization characteristics of these long-term HIV/AIDS survivors. The study purpose was to understand what factors could account for those who survived to 1/1/2016. Of 876 patients, 49.5% died, 30.3% moved, 20.3% remained in active care for a median of 23.4 years. These survivors were younger, had higher CD4 cell counts, attended clinic visits at higher frequencies, and received more ART than patients who moved or died. As of 1/1/2016 their median age was 57 years with 15% older than age 65. Their median CD4 cell count was 591, with 68% having CD4 counts above 500. Sixty-two percent remained employed. Individuals diagnosed prior to 1996 benefited from early diagnosis and engagement to care that was largely continuous.