Older Adults and HIV and STI Screening: The Patient Perspective

Slinkard, Monica S.; Kazer, Meredith Wallace

doi:10.1016/j.gerinurse.2011.05.002

Cited by 31 publications

(42 citation statements)

References 29 publications

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“…Regarding the deficiency in the training of health professionals in undergraduate and graduate programs on sexuality of the elderly, this was also observed in other studies (5,(24)(25) .…”

Section: Discussionsupporting

confidence: 69%

“…Thus, the lack of specific symptoms may delay diagnosis in up to 10 months, resulting in the delay of antiretroviral treatment (7,22) thus, harming the control and disease progression. Failure to request anti-HIV serology during the elderly consultation was also supported by other studies (5,22) . Studies have shown that individuals with 50 years or more were diagnosed at a more advanced stage of the disease, compared to the younger population (22)(23) .…”

Section: Discussionsupporting

confidence: 59%

“…Thus, it is observed that the invisibility of the sexuality of the elderly lead health professionals to not evaluate the vulnerability of this population to STDs, especially HIV/Aids, they do not ask them about sexual health and lose the opportunity to request serology (5) . This situation was observed when professionals reported that anti-HIV serology was only requested to elderly widowers, elderly with several partners and drug users.…”

Section: Discussionmentioning

confidence: 99%

“…However, it is emphasized that sexual practice does not increase the vulnerability of the elderly in relation to HIV infection, but unprotected sexual practice, a fact that is attributed to all ages, not just the elderly (3) . Health professionals, especially physicians and nurses that attends the elderly, are not prepared to identify the vulnerability of these people to HIV/Aids and have not requested serological tests (1,(4)(5) , which may be related to lack of research on the sexual activity of the elderly (4)(5)(6) , consequently, causing late diagnosis of HIV/Aids in this population.…”

Section: Introductionmentioning

confidence: 99%

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Aids em idosos: motivos que levam ao diagnóstico tardio

Alencar

Ciosak

2016

Rev. Bras. Enferm.

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Objective: to investigate elderly living with HIV/Aids and health professionals, what are the reasons that lead to late diagnosis of HIV infection in the elderly. Method: prospective, qualitative study, conducted at a specialized outpatient clinic with elderly living with HIV/Aids, diagnosed age over 60 years and in the Family Health Strategy units with nurses and physicians. Data were collected through interviews and verifi ed by content analysis, using the theoretical framework of vulnerability. Results: a total of 11 elderly, 11 nurses and 12 physicians participated in the study. Three empirical categories emerged: the late diagnosis of HIV happens against the health service; invisibility of the sexuality of the elderly; and weaknesses in the anti-HIV serology request for the elderly. Conclusion: there are health professionals who see the elderly as asexual, causing the diagnosis of HIV to happen in the secondary and tertiary service instead of primary care. Descriptors: Aged; HIV; Delayed Diagnosis; Disaster Vulnerability; Health Personnel. RESUMOObjetivo: investigar entre os idosos vivendo com HIV/Aids e os profi ssionais de saúde, quais são os motivos que levam ao diagnóstico tardio da infecção pelo HIV nos idosos. Método: estudo prospectivo, qualitativo, realizado em ambulatório especializado com idosos vivendo com HIV/aids, diagnosticados com idade igual ou superior a 60 anos e nas Unidades com Estratégia Saúde da Família com enfermeiros e médicos. Os dados foram coletados por meio de entrevistas e verifi cados por análise de conteúdo, utilizando o referencial teórico da vulnerabilidade. Resultados: participaram 11 idosos, 11 enfermeiros e 12 médicos. Emergiram três categorias empíricas: o diagnóstico tardio do HIV acontece na contramão do serviço de saúde; invisibilidade da sexualidade do idoso; e fragilidades na solicitação da sorologia anti-HIV para os idosos. Conclusão: há profi ssionais de saúde que percebem os idosos como assexuados, fazendo que o diagnóstico do HIV aconteça no serviço secundário e terciário e não na atenção primária. Descritores: Idoso; Vírus da Imunodefi ciência Humana; Diagnóstico Tardio; Vulnerabilidade; Profi ssional de Saúde. RESUMENObjetivo: realizar una investigación entre personas seniles que conviven con VIH/Sida y profesionales de la salud, para reconocer los motivos que llevan al diagnóstico tardío de la infección. Método: estudio prospectivo, cualitativo, realizado en un centro de salud especializado y en Unidades con Estrategia de Salud de la Familia, entre enfermeros, médicos y personas mayores diagnosticadas con VIH/Sida, de edad igual o superior a los 60 años. Los datos se recolectaron mediante entrevistas y se comprobaron a través del análisis de contenido utilizando el marco teórico de la vulnerabilidad. Resultados: participaron 11 personas mayores, 11 enfermeros y 12 médicos. Surgieron tres categorías empíricas: postergación del diagnóstico del VIH por el servicio de salud; invisibilidad de la sexualidad en la persona senil y fragilidad en la solicitaci...

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“…Regarding the deficiency in the training of health professionals in undergraduate and graduate programs on sexuality of the elderly, this was also observed in other studies (5,(24)(25) .…”

Section: Discussionsupporting

confidence: 69%

Section: Discussionsupporting

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Aids em idosos: motivos que levam ao diagnóstico tardio

Alencar

Ciosak

2016

Rev. Bras. Enferm.

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“…Of the 65 included studies, 46 reported data on theme 1, patterns of new HIV diagnosis and HIV test uptake; 27 on theme 2, attitude, barriers and enablers influencing offer and uptake of HIV testing; and 3 were systematic literature reviews [15][16][17]. …”

Section: Resultsmentioning

confidence: 99%

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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