Identifying the needs of older people living with HIV (≥ 50 years old) from multiple centres over the world: a descriptive analysis.
Aging
Health-Related Quality of Life
Multicentre study
Older People Living with HIV
Patient satisfaction
Journal
AIDS research and therapy
ISSN: 1742-6405
Titre abrégé: AIDS Res Ther
Pays: England
ID NLM: 101237921
Informations de publication
Date de publication:
12 02 2023
12 02 2023
Historique:
received:
07
09
2022
accepted:
01
12
2022
entrez:
14
2
2023
pubmed:
15
2
2023
medline:
16
2
2023
Statut:
epublish
Résumé
Older People Living with HIV (OPWH) combine both aging and HIV-infection features, resulting in ageism, stigma, social isolation, and low quality of life. This context brings up new challenges for healthcare professionals, who now must aid patients with a significant comorbidity burden and polypharmacy treatments. OPWH opinion on their health management is hardly ever considered as a variable to study, though it would help to understand their needs on dissimilar settings. We performed a cross-sectional, comparative study including patients living with HIV aged ≥50 years old from multiple centers worldwide and gave them a survey addressing their perception on overall health issues, psychological problems, social activities, geriatric conditions, and opinions on healthcare. Data was analyzed through Chisquared tests sorting by geographical regions, age groups, or both. We organized 680 participants data by location (Center and South America [CSA], Western Europe [WE], Africa, Eastern Europe and Israel [EEI]) and by age groups (50- 55, 56-65, 66-75, >75). In EEI, HIV serostatus socializing and reaching undetectable viral load were the main problems. CSA participants are the least satisfied regarding their healthcare, and a great part of them are not retired. Africans show the best health perception, have financial problems, and fancy their HIV doctors. WE is the most developed region studied and their participants report the best scores. Moreover, older age groups tend to live alone, have a lower perception of psychological problems, and reduced social life. Patients' opinions outline region- and age-specific unmet needs. In EEI, socializing HIV and reaching undetectable viral load were the main concerns. CSA low satisfaction outcomes might reflect high expectations or profound inequities in the region. African participants results mirror a system where general health is hard to achieve, but HIV clinics are much more appealing to them. WE is the most satisfied region about their healthcare. In this context, age-specific information, education and counseling programs (i.e. Patient Reported Outcomes, Patient Centered Care, multidisciplinary teams) are needed to promote physical and mental health among older adults living with HIV/AIDS. This is crucial for improving health-related quality of life and patient's satisfaction.
Sections du résumé
BACKGROUND
Older People Living with HIV (OPWH) combine both aging and HIV-infection features, resulting in ageism, stigma, social isolation, and low quality of life. This context brings up new challenges for healthcare professionals, who now must aid patients with a significant comorbidity burden and polypharmacy treatments. OPWH opinion on their health management is hardly ever considered as a variable to study, though it would help to understand their needs on dissimilar settings.
METHODS
We performed a cross-sectional, comparative study including patients living with HIV aged ≥50 years old from multiple centers worldwide and gave them a survey addressing their perception on overall health issues, psychological problems, social activities, geriatric conditions, and opinions on healthcare. Data was analyzed through Chisquared tests sorting by geographical regions, age groups, or both.
RESULTS
We organized 680 participants data by location (Center and South America [CSA], Western Europe [WE], Africa, Eastern Europe and Israel [EEI]) and by age groups (50- 55, 56-65, 66-75, >75). In EEI, HIV serostatus socializing and reaching undetectable viral load were the main problems. CSA participants are the least satisfied regarding their healthcare, and a great part of them are not retired. Africans show the best health perception, have financial problems, and fancy their HIV doctors. WE is the most developed region studied and their participants report the best scores. Moreover, older age groups tend to live alone, have a lower perception of psychological problems, and reduced social life.
CONCLUSIONS
Patients' opinions outline region- and age-specific unmet needs. In EEI, socializing HIV and reaching undetectable viral load were the main concerns. CSA low satisfaction outcomes might reflect high expectations or profound inequities in the region. African participants results mirror a system where general health is hard to achieve, but HIV clinics are much more appealing to them. WE is the most satisfied region about their healthcare. In this context, age-specific information, education and counseling programs (i.e. Patient Reported Outcomes, Patient Centered Care, multidisciplinary teams) are needed to promote physical and mental health among older adults living with HIV/AIDS. This is crucial for improving health-related quality of life and patient's satisfaction.
Identifiants
pubmed: 36782210
doi: 10.1186/s12981-022-00488-7
pii: 10.1186/s12981-022-00488-7
pmc: PMC9924192
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
10Informations de copyright
© 2022. The Author(s).
Références
Nat Rev Microbiol. 2013 Dec;11(12):877-83
pubmed: 24162027
Lancet. 2018 Aug 25;392(10148):685-697
pubmed: 30049419
Cell. 2013 Jun 6;153(6):1194-217
pubmed: 23746838
AIDS Care. 2022 Feb;34(2):155-162
pubmed: 34743624
Lancet HIV. 2014 Oct;1(1):e32-40
pubmed: 26423814
AIDS. 2020 May 1;34(6):859-867
pubmed: 32271251
Biomed Res Int. 2017;2017:5897298
pubmed: 29430462
AIDS Care. 2016;28 Suppl 1:26-31
pubmed: 26924703
Indian J Psychiatry. 2011 Oct;53(4):300-6
pubmed: 22303037
Curr HIV/AIDS Rep. 2020 Jun;17(3):226-236
pubmed: 32394155
N Engl J Med. 2012 Mar 1;366(9):782-3
pubmed: 22375968
AIDS Behav. 2019 Feb;23(2):445-458
pubmed: 29971732
Psychogeriatrics. 2019 May;19(3):195-201
pubmed: 30294865
Qual Life Res. 2020 Jun;29(6):1549-1557
pubmed: 31912356
N Engl J Med. 2012 Apr 5;366(14):1270-3
pubmed: 22475591
Lancet Infect Dis. 2015 Jul;15(7):810-8
pubmed: 26070969
J Am Med Dir Assoc. 2017 Mar 1;18(3):276.e1-276.e7
pubmed: 28109688
Curr HIV/AIDS Rep. 2019 Dec;16(6):475-481
pubmed: 31823125
AIDS Res Treat. 2020 Nov 06;2020:7165423
pubmed: 33204528
AIDS Care. 2019 Jun;31(6):681-686
pubmed: 30350713
Curr Opin Virol. 2016 Jun;18:50-6
pubmed: 27023283
Curr Epidemiol Rep. 2021;8(2):72-78
pubmed: 33728256
HIV AIDS (Auckl). 2021 May 24;13:571-579
pubmed: 34079384
Health Educ Behav. 2021 Feb;48(1):5-8
pubmed: 33410347
PLoS One. 2018 Nov 29;13(11):e0207005
pubmed: 30496302
Clin Infect Dis. 2011 Dec;53(11):1120-6
pubmed: 21998278
Curr HIV/AIDS Rep. 2018 Jun;15(3):233-244
pubmed: 29752699
AIDS Rev. 2022;25(2):79-86
pubmed: 35901108
Reprod Health. 2021 Dec 20;18(1):252
pubmed: 34930318
Cancer. 2005 Oct 1;104(7):1505-11
pubmed: 16104038
Int J STD AIDS. 2018 Jun;29(7):714-719
pubmed: 29343165
Curr Opin HIV AIDS. 2014 Jul;9(4):419-27
pubmed: 24871089
AIDS. 2012 Jan 28;26(3):335-43
pubmed: 22089374
Health Psychol. 2003 Mar;22(2):140-7
pubmed: 12683734
HIV Med. 2022 Oct 13;:
pubmed: 36229192
Osteoporos Int. 2018 Mar;29(3):595-613
pubmed: 29159533
Curr HIV Res. 2019;17(1):1-12
pubmed: 30919779
AIDS. 2008 Jan 30;22(3):395-402
pubmed: 18195566
Curr Psychiatry Rep. 2009 Feb;11(1):6-11
pubmed: 19187702
J Gerontol A Biol Sci Med Sci. 2014 Jul;69(7):833-42
pubmed: 24158766
Lancet Healthy Longev. 2022 Mar;3(3):e206-e215
pubmed: 36098292