HIV transmission and high rates of late diagnoses among adults aged 50 years and over

Smith, Roger H.; Delpech, Valérie; Brown, Alison E; Rice, Brian

doi:10.1097/qad.0b013e32833c7b9c

Cited by 203 publications

(170 citation statements)

References 17 publications

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“…According to our findings from national studies, newly diagnosed older adults are predominantly native to the country where they were diagnosed with HIV [9,10,43] with men being more predominant in the older age group [9,[43][44][45][46][47], in accordance with recent analyses [4]. However, increasing rate of new HIV diagnoses among older women has been observed in non-EU Eastern European countries [48] as well as in the USA and Canada [41,42,49,50].…”

Section: Barriers Enablerssupporting

confidence: 56%

“…Evidence from some EU/EEA countries suggests risks related to commercial sex [46,47] and travel abroad [9] among heterosexual males. Risk behaviours among older adults, such as condomless sex with non-regular partners, are also reported several studies [16,20,[52][53][54][55][56].…”

Section: Barriers Enablersmentioning

confidence: 99%

“…However, it has been shown that aging PLHIV are subject to an increased level of multimorbidity as compared to the general population, encompassing increased risk of various conditions such as cardiovascular diseases, osteoporosis, chronic obstructive pulmonary disease (COPD), hypertension, types 2 diabetes mellitus and non-AIDS defining cancers [5][6][7]. While people with longer duration of HIV infection show an increased risk for multimorbidity as compared to people that acquire the infection at older age [8], older adults infected with HIV are at increased risk of short-term mortality, particularly if diagnosed at an advanced stage of the disease [9,10].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

New HIV Diagnoses among Older Adults in the EU/EEA: Missed Opportunities and Barriers to Testing

Tavoschi¹,

Madeddu²,

Pharris³

2017

J AIDS Clin Res

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The rate of HIV diagnoses among older adults in the European Union/European Economic Area (EU/EEA) is increasing. We performed a literature review to investigate factors associated with HIV infection, diagnosis and testseeking behaviour among older adults in the EU/EEA.We defined older adults as ≥ 50 years. We searched Embase and PubMed to identify studies on socio-demographic and clinical characteristics associated with new HIV diagnosis and factors influencing provision and uptake of HIV testing among older adults in EU/EEA and other high-income countries using the concepts of HIV infection and disease; older adults, and; testing and attitude towards testing. We included original papers or systematic reviews published from 2000 onwards and reporting data on the following themes: Patterns of HIV test uptake and attitudes, barriers and enablers influencing offer and uptake of HIV testing.Published evidence indicated large proportion of late diagnoses and a low likelihood of HIV testing among older adults, although results varied widely between studies. HIV test uptake was a function of several factors related to patient and provider, including perception of one's risk. The active offer of an HIV test by the health care provider was the most significant factor positively associated with having a test. Scaling up HIV testing opportunities targeting older adults and the adult population at large is needed.

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Section: Barriers Enablerssupporting

confidence: 56%

Section: Barriers Enablersmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

New HIV Diagnoses among Older Adults in the EU/EEA: Missed Opportunities and Barriers to Testing

Tavoschi¹,

Madeddu²,

Pharris³

2017

J AIDS Clin Res

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“…In a Barcelona survey, independent risk factors for 56% of late presenters were increased age, heterosexual male gender, intravenous drug use, and being born in South America or sub-Saharan Africa [21]. United Kingdom researchers observed a higher percentage (48%) of late presenters among people aged 50 years and over compared with 33% among younger individuals [22]. Reports from Croatia and Denmark concur with our observation that a significantly higher proportion of heterosexual patients than homosexuals are late presenters [23,24].…”

Section: Discussionmentioning

confidence: 99%

Late presenters among newly diagnosed HIV-infected in Poland in 2006-2008

Pyziak-Kowalska¹,

Dusza²,

Mularska³

et al. 2017

HIV & AIDS Review

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“…Evidence shows that PLHIV may face a higher risk of chronic diseases such as diabetes and cardio-vascular disease [20,21], conditions which also require careful nutritional management. Food insecurity and elderly PLHIV is also emerging as an important issue [22,23].…”

Section: Background and Key Considerations For Measurementmentioning

confidence: 99%

Measuring Food and Nutrition Security: Tools and Considerations for Use Among People Living with HIV

et al. 2013

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As an increasing number of countries implement integrated food and nutrition security (FNS) and HIV programs, global stakeholders need clarity on how to best measure FNS at the individual and household level. This paper reviews prominent FNS measurement tools, and describes considerations for interpretation in the context of HIV. There exist a range of FNS measurement tools and many have been adapted for use in HIV-endemic settings. Considerations in selecting appropriate tools include subtypes (food sufficiency, dietary diversity and food safety); scope/level of application; and available resources. Tools need to reflect both the needs of PLHIV and affected households and FNS program objectives. Generalized food sufficiency and dietary diversity tools may provide adequate measures of FNS in PLHIV for programmatic applications. Food consumption measurement tools provide further data for clinical or research applications. Measurement of food safety is an important, but underdeveloped aspect of assessment, especially for PLHIV.

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HIV transmission and high rates of late diagnoses among adults aged 50 years and over

Cited by 203 publications

References 17 publications

New HIV Diagnoses among Older Adults in the EU/EEA: Missed Opportunities and Barriers to Testing

New HIV Diagnoses among Older Adults in the EU/EEA: Missed Opportunities and Barriers to Testing

Late presenters among newly diagnosed HIV-infected in Poland in 2006-2008

Measuring Food and Nutrition Security: Tools and Considerations for Use Among People Living with HIV

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