Social Aspects of HIV/AIDS and Aging: A Thematic Review

Roger, Kerstin; Mignone, Javier; Kirkland, Susan

doi:10.1017/s0714980813000330

Cited by 43 publications

(34 citation statements)

References 51 publications

(71 reference statements)

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“…Physiological changes, such as decreased estrogen, may directly or indirectly increase risk for infection (Johnson, 2013). Psychosocial changes (e.g., divorce, ageism) can also increase risk for STIs and may exacerbate the effects of HIV/AIDS and other STIs if testing and treatment are delayed (Roger, Mignone, & Kirkland, 2013). For instance, OA sexual stigma has contributed to – and is reinforced by – the lack of STI testing guidelines.…”

Section: Risk Factors For Stis Among Older Adultsmentioning

confidence: 99%

A Comparison of Actual and Perceived Sexual Risk Among Older Adults

Syme

Cohn

Barnack‐Tavlaris

2016

The Journal of Sex Research

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Sexual risk among older adults (OAs) is prevalent, though little is known about the accuracy of sexual risk perceptions. Thus, the aim was to determine the accuracy of sexual risk perceptions among OAs by examining concordance between self-reported sexual risk behaviors and perceived risk. Data on OAs aged 50 to 92 were collected via Amazon Mechanical Turk. Frequency of sexual risk behaviors (past 6 months) were reported along with perceived risk (i.e., STI susceptibility). Accuracy categories (accurate, underestimated, overestimated) were established based on dis/concordance between risk levels (low, moderate, high) and perceived risk (not susceptible, somewhat susceptible, very susceptible). Approximately half of the sample reported engaging in vaginal (49%) and/or oral sex (43%) without a condom in the past 6 months. However, approximately two-thirds of the sample indicated they were “not susceptible” to STIs. No relationship was found between risk behaviors and risk perceptions, and approximately half (48.1%) of OAs in the sample underestimated their risk. Accuracy was found to decrease as sexual risk level increased, with 93.1% of high risk OAs underestimating their risk. Several sexual risk behaviors are prevalent among OAs, particularly men. However, perception of risk is often inaccurate and warrants attention.

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Section: Risk Factors For Stis Among Older Adultsmentioning

confidence: 99%

A Comparison of Actual and Perceived Sexual Risk Among Older Adults

Syme

Cohn

Barnack‐Tavlaris

2016

The Journal of Sex Research

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“…Unfortunately, the HIV infected population is a challenging cohort with respect to behavior change. HIV-infected patients, and particularly HOA, tend to be socioeconomically disadvantaged, live in isolation because of their often limited support network, suffer from depression, experience negative perceptions in the community, and can have multiple comorbidities (Emlet, 2006; Lyons, Pitts, Grierson, Thorpe, & Power, 2010; Roger, Mignone, & Kirkland, 2013; Shippy & Karpiak, 2005). These factors can negatively impact HOA persons’ motivation and ability to comply with recommended behavior change such as engaging in PA.…”

Section: Introductionmentioning

confidence: 99%

Enhancing physical function in HIV-infected older adults: A randomized controlled clinical trial.

Shah¹,

Majeed²,

Yoruk³

et al. 2016

Health Psychology

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Objective HIV-infected older adults (HOA) are at risk of functional decline. Interventions promoting physical activity that can attenuate functional decline and are easily translated into the HOA community are of high priority. We conducted a randomized, controlled clinical trial to evaluate whether a physical activity counseling intervention based on self-determination theory (SDT) improves physical function, autonomous motivation, depression and the quality of life (QOL) in HOA. Methods A total of 67 community-dwelling HOA with mild-to-moderate functional limitations were randomized to one of two groups: a physical activity counseling group or the usual care control group. We used SDT to guide the development of the experimental intervention. Outcome measures that were collected at baseline and final study visits included a battery of physical function tests, levels of physical activity, autonomous motivation, depression, and QOL. Results The study participants were similar in their demographic and clinical characteristics in both the treatment and control groups. Overall physical performance, gait speed, measures of endurance and strength, and levels of physical activity improved in the treatment group compared to the control group (p<0.05). Measures of autonomous regulation such as identified regulation, and measures of depression and QOL improved significantly in the treatment group compared to the control group (p<0.05). Across the groups, improvement in intrinsic regulation and QOL correlated with an improvement in physical function (p<0.05). Conclusion Our findings suggest that a physical activity counseling program grounded in SDT can improve physical function, autonomous motivation, depression, and QOL in HOA with functional limitations.

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“…Even though research exists that points to the protective role of social networks [59–62, we found no studies conducted since 2013 that examined the social networks of OWLH in North American settings. There were no studies of resilience or hardiness that met our inclusion criteria, despite the literature that suggests their importance as protective factors [43, 63]. We also found no intervention research designed for OWLH and meeting our inclusion criteria, although there are some behavioral interventions targeted towards older PLWH [64–71].…”

Section: Discussionmentioning

confidence: 98%

“…There is also a need for more research aimed specifically at this population [43, 46]. Although our review found 21 studies that were conducted in 2013–2016 and made significant contributions to this evolving field, many gaps still remain.…”

Section: Discussionmentioning

confidence: 99%

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Healthy Aging in Older Women Living with HIV Infection: a Systematic Review of Psychosocial Factors

et al. 2017

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Due to life-enhancing effects of antiretroviral therapy, HIV-positive persons have the potential for long life comparable to their uninfected peers. Older women (age 50+) living with HIV (OWLH) are often an under-recognized aging group. We conducted a systematic review to examine psychosocial factors that impact how OWLH live, cope, and age with HIV. Initial key word search yielded 1527 records, and 21 studies met our inclusion criteria of original quantitative or qualitative research published between 2013 and 2016 with results specific to OWLH. These focused on health care and self-management, sexual health and risk, stigma, loneliness, mental health (depression, substance use), and protective factors (coping, social support, well-being). Due to the scarcity of studies on each topic and inconclusive findings, no clear patterns of results emerged. As the number of OWLH continues to grow, more research, including longitudinal studies, is needed to fully characterize the psychosocial factors that impact aging with HIV.

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Social Aspects of HIV/AIDS and Aging: A Thematic Review

Cited by 43 publications

References 51 publications

A Comparison of Actual and Perceived Sexual Risk Among Older Adults

A Comparison of Actual and Perceived Sexual Risk Among Older Adults

Enhancing physical function in HIV-infected older adults: A randomized controlled clinical trial.

Healthy Aging in Older Women Living with HIV Infection: a Systematic Review of Psychosocial Factors

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