Social support becomes an increasingly critical resource for people as they age. In New York City, 25% of all people living with HIV/AIDS are over age 50, and 64% are over age 40. This study sample (n=160) reflects current HIV/AIDS epidemiology, with 34% females and 89% people of color. This study provides a detailed profile of this growing, aging cohort and their social networks. Our study finds this growing group of aging adults is isolated from informal networks due to the stigma of HIV/AIDS and ageism. Typically, partners and family members are key sources of informal support, but only 1/3 of respondents had a partner and 71% lived alone. This group relies heavily on friends, many of whom are also HIV-positive. Participants were in primary care and many (86%) utilized Medicaid. The fragile networks of these older adults will be challenged by age-related comorbidities. Without traditional caregivers, these aging adults with HIV/AIDS will have an immense impact on healthcare delivery and community-based programs.

Theories of emotional contagion suggest that spouses mutually experience affective or emotional states. However, empirical support for this theory is limited. Using a dyadic approach, this study examines affect similarity of depressive symptoms between elders with vision impairment and their spouses. As part of an investigation on older couples dealing with disability, 123 elders dealing with a recent vision loss and their spouses were interviewed. Guided by a stress process model, predictors of spouse depressive symptoms were examined. Hierarchical regression analyses revealed that the spouse's race, health, care-giving appraisal, self-efficacy, conflict with other family members regarding their partner, and their partner's depressive symptoms significantly predicted spouse depression. Specifically, spouses who were white, in poorer health, experienced more care-giving burden, had more family conflict, and poorer self-efficacy, were more likely to be depressed. Entered in the final step, elder depression uniquely contributed to the prediction of spouse depression. This points to affect similarity among spouses, which suggests that when one spouse is depressed, the other spouse is likely to experience a similar depressive symptomatology.

Social support becomes an increasingly important resource for people as they age. Research has shown that the needs of older gay men are no different than those of their heterosexual counterparts, nor are older gay men more isolated than older men in general. Research has shown gay men rely on friendship networks more often than on family while heterosexual men rely more on family for social support. Using the most conservative estimates, there are more than two million gay men over the age of 60 in the United States. Results from the first large-scale research project of caregiving in the gay and lesbian communities in NYC challenge the myth of the isolated aging gay man. Two hundred-thirty three gay men, ages 50-87, reported an average of five friends, with whom they were close. Thirty-six percent were partnered, and nearly 90% reported at least fair health and being at least somewhat satisfied with their lives, despite 30% reporting feelings of depression. Results dispel the myth that gay men are not involved with their biological families; when present, biological family members were close to and maintained contact with respondents. Yet relatives were much less likely to be called upon for help. Respondents were most likely to turn to partners, if available, followed by friends.

To better understand how HIV-infected older persons receive and perceive social support, the perceptions and experiences of 34 older HIV-positive persons in New York City were explored in July and August 2005 through five focus groups. The participants' network members tended to be HIV positive and the presence of so many people with HIV in their networks tended to be serendipitous. The advantages of having a HIV-positive network include being members of a caring community that provides safety, support, mentors, and inspiration, while the disadvantage is shrinkage of the network due to illness and death. These participants demonstrated that living with HIV changes one's network because people die of HIV; new friends are made when one seeks services; and HIV-positive networks replace those lost through stigma and rejection. Social service providers and policy makers in the HIV and aging networks should expand their view of "family" and not make assumptions about the networks for older persons living with HIV. Networks expand and shrink at different times and are resilient and fragile at the same time.

Social support becomes an increasingly significant resource for people as they age, particularly those living with chronic illnesses. Previous research has shown that older adults with HIV do not receive adequate emotional and instrumental assistance from their informal support networks. This study examined what factors contribute to older HIV-positive adults'perceptions of inadequate emotional and instrumental support. Regression analyses showed that physical strain and the number of comorbid illnesses were significant predictors of instrumental and emotional support adequacy. Specifically, participants who reported greater numbers of comorbid illnesses and higher levels of physical strain were more likely to report that they received adequate support. Curiously, those with fewer health complaints reported greater need for emotional and instrumental support. The aging HIV-positive population, largely disconnected from traditional informal support networks, relies on formal care providers. This dependence on an increasingly overburdened health care system may be a result of isolation and stigma.