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During the period of 2004 to 2015 54,102 new HIV diagnoses in older adults (50 years and older) were tabulated from 31 European countries. A larger younger group (15-59 years) was collected for comparison. Also, information on age, sex, transmission route and CD4 count was obtained. During the 12-year study period for the entire group the average rate of new HIV diagnoses increased 2.6 per 100,000 in the population. The diagnoses increased significantly among older men, 2.2%, women, 1.3%, men who have sex with men, 5.8%, and injection drug users, 7.4%. In 2015 compared with young adults, older adults were more likely to have gotten HIV via heterosexual contact and presented late as estimated by a low CD4 count. The authors suggest the need to develop more testing services for older adults by sensitizing health care works to the potential increased risk and targeting the presence of certain conditions for increased program attention.