‘I’m still here, I’m still alive’: Understanding successful aging in the context of HIV

2017 ◽  
Vol 29 (2) ◽  
pp. 172-177 ◽  
Author(s):  
Patricia Solomon ◽  
Lori Letts ◽  
Kelly K O’Brien ◽  
Stephanie Nixon ◽  
Larry Baxter ◽  
...  
Keyword(s):  
Successful Aging ◽  
Healthy Lifestyle ◽  
People Living With Hiv ◽  
Health Providers ◽  
Subjective Experiences ◽  
Patient Centered ◽  
Research Perspective ◽  
Individual Interviews ◽  
Living With Hiv ◽  
Mean Time

As people living with HIV (PLWH) live longer, increased understanding of individuals’ values and perceptions of successful aging can assist health providers in working with PLWH to set meaningful goals as they age. The purpose of this qualitative study was to understand how PLWH define successful aging and their perceptions of contributors to successful aging. Fourteen men and ten women over the age of 50 years (mean age 57 years; mean time since diagnosis 18 years) participated in individual interviews. Interviews were analyzed using directed content analysis. Six themes emerged: accepting limitations, staying positive, maintaining social supports, taking responsibility, living a healthy lifestyle, and engaging in meaningful activities. The participants emphasized individual control. This highlights the importance of working with PLWH to understand their values and aspirations, and create patient-centered goals. From a research perspective this reinforces calls to include the subjective experiences of older adults in developing successful aging criteria.

Emotional Management, Psychological Issues, and Motivational Interviewing

2019 ◽  
pp. 115-122
Author(s):  
Pierre N. Azzam
Keyword(s):  
Psychological Distress ◽  
General Population ◽  
Motivational Interviewing ◽  
Psychiatric Symptoms ◽  
People Living With Hiv ◽  
Patient Centered ◽  
Future Directions ◽  
Psychological Issues ◽  
Emotional Management ◽  
Living With Hiv

People living with HIV (PLWH) experience significant psychological distress and are at risk of developing psychiatric symptoms and disorders similar to those seen in the general population. This chapter summarizes and reviews the psychological issues and challenges experienced by PLWH and discusses the integration of motivational interviewing (MI) into the patient-centered multifaceted medical and psychological care of PLWH. In the closing section, the author looks at future directions for using MI to care for PLWH and suffering from depression, anxiety, and/or trauma-based disorders and argues that further studies are needed to elucidate the efficacy, advantages, and potential limitations of MI for mitigating emotional distress specifically in PLWH.

Comorbid Medical Problems and Motivational Interviewing

2019 ◽  
pp. 97-104
Author(s):  
Sharon Connor ◽  
Hanna K. Welch
Keyword(s):  
Motivational Interviewing ◽  
Chronic Diseases ◽  
Congestive Heart Failure Patient ◽  
Hiv Care ◽  
People Living With Hiv ◽  
Medical Problems ◽  
Patient Centered ◽  
Age Related ◽  
Social And Cultural Factors ◽  
Living With Hiv

As HIV treatments become more effective and accessible, people living with HIV (PLWH) are achieving longer lifespans; however, this aging population also faces a greater risk of age-related co-morbidities. Many chronic diseases affect people living with HIV disproportionately, including diabetes, ischemic heart disease, and congestive heart failure. Patient-centered healthcare should aim to optimize quality and length of life while also considering the person’s value system. Motivational interviewing (MI) has been effective in helping PLWH to better manage chronic diseases requiring behavioral modification in both high- and low-resource settings. MI is a useful approach in the complex care of PLWH and medical co-morbidities. MI can promote self-management integrating HIV care as well as other co-morbidities in the context of social and cultural factors. This chapter discusses the application of MI to achieve better control of co-morbid medical conditions in PLWH.

scholarly journals Treatment outcomes of drug-resistant tuberculosis in people living with HIV in Odesa province, Ukraine, 2014-2016

2020 ◽  
Vol 14 (11.1) ◽  
pp. 88S-93S
Author(s):  
Svitlana Yesypenko ◽  
Ruzanna Grigoryan ◽  
Yulia Sereda ◽  
Olga Denisuk ◽  
Liana Kovtunovich ◽  
...  
Keyword(s):  
Treatment Outcomes ◽  
Urban Areas ◽  
Treatment Success ◽  
People Living With Hiv ◽  
Drug Resistant ◽  
Tb Treatment ◽  
Total Prevalence ◽  
The Mean ◽  
Living With Hiv ◽  
Mean Time

Introduction: Odesa province has the highest TB/HIV prevalence in Ukraine, exceeding the total prevalence in the country by 3 times. The objective of this study was to investigate the unfavorable treatment outcomes and associated factors in patient with drug-resistant (DR) TB in people living with HIV (PLH) in Odesa. Methodology: A cohort study with secondary data analysis was conducted among 373 PLH with confirmed pulmonary DR TB for 2014-2016. Results: About 2/3rd of the cohort were males from urban areas. Mean age and CD4 counts were 39 and 203, respectively. The overall treatment success was 44.2% with the most unfavorable treatment outcomes being observed in extensively and pre-extensively drug resistant (XDR and PreXDR) TB. The mean time between the results of GeneXpert (manufactured by Cepehid) and DR TB treatment based on GeneXpert was 1.3 days. However, the mean time between DR TB treatment based on GeneXpert and results of drug susceptibility test (DST) was 37.0 days referring to a late reporting of DST and to a late adjustment of previously prescribed treatment. The factors associated with the treatment unfavorable outcome included XDR and Pre-XDR TB, lack of antiretroviral treatment (ART), contrimoxazole preventive therapy (CPT) and CD4 test. Conclusions: The rate of successful DR TB treatment in PLH in Odesa remains low. The delayed reporting of DST contributes to lack of timely adjusted treatments. XDR and Pre-XDR TB, lack of ART and CPT are associated with unfavorable treatment outcomes. Additional studies would help to understand the temporal relationship between CD4 test and treatment outcomes.

scholarly journals Prevalence and factors associated with severe depressive symptoms in older West African people living with HIV

2020 ◽  
Author(s):  
Charlotte Bernard ◽  
Hélène Font ◽  
Zélica Diallo ◽  
Richard Ahonon ◽  
Judicaël Malick Tine ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
West Africa ◽  
Successful Aging ◽  
Negative Impact ◽  
Depression Scale ◽  
Undetectable Viral Load ◽  
Hiv Treatment ◽  
People Living With Hiv ◽  
Factors Associated ◽  
Living With Hiv

Abstract Background: Depression is one of the most common psychiatric disorders in people living with HIV (PLHIV). Depression has a negative impact on both mental and physical health and is mainly associated with suboptimal HIV treatment outcomes. To encourage successful aging and the achievement of the 3x90 objectives in older PLHIV, the psychological domain must not be neglected. In this context and as data are scarce in West Africa, this study aimed to evaluate the prevalence and the factors associated with severe depressive symptoms in older PLHIV living in West Africa. Methods: Data from PLHIV aged ≥50 years and on ART since ≥6 months were collected in three clinics (two in Côte d’Ivoire, one in Senegal) participating in the West Africa International epidemiological Databases to Evaluate AIDS (IeDEA) collaboration. The severity of depressive symptoms was measured using the Center for Epidemiological Studies Depression scale (CES-D), and associated factors were identified using logistic regressions.Results: The median age of the 334 PLHIV included in the study was 56.7 (53.5-61.1), 57.8% were female, and 87.1% had an undetectable viral load. The prevalence of severe depressive symptoms was 17.9% [95% Confidence Interval (95%CI): 13.8 - 22.0]. PLHIV with severe depressive symptoms were more likely to be unemployed (adjusted Odd Ratio (aOR)=2.8; 95%CI: 1.4-5.7), and to be current or former tobacco smokers (aOR=2.6; 95% CI: 1.3-5.4) but were less likely to be overweight or obese (aOR=0.4; 95%CI: 0.2-0.8).Conclusions: The prevalence of severe depressive symptoms is high among older PLHIV living in West Africa. Unemployed PLHIV and tobacco smokers should be seen as vulnerable and in need of additional support. Further studies are needed to describe in more details the reality of the aging experience for PLHIV living in SSA. The integration of screening and management of depression in the standard of care of PLHIV is crucial.

scholarly journals Perceptions of Social Determinants of Successful Aging Among Older Men Living With HIV

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 424-424
Author(s):  
David Moore ◽  
Dilip Jeste ◽  
Marcia Holstad ◽  
Anna Rubtsova
Keyword(s):  
Support Groups ◽  
Computer Literacy ◽  
Successful Aging ◽  
Healthy Lifestyle ◽  
College Education ◽  
Social Institutions ◽  
Older Men ◽  
Structured Interviews ◽  
Sex With Men ◽  
Living With Hiv

Abstract The overall purpose of this qualitative study was to examine barriers and facilitators of successful aging among older men living with HIV (OMLH). Participants were recruited through HIV Neurobehavioral Research Program at the University of California, San Diego. Our sample included 14 OMLH: average age - 62 years old (range: 53 to 72), 79% white, 43% living alone, 79% men who have sex with men, 57% having college education or higher. Semi-structured interviews lasted from 43 to 114 minutes and were fully transcribed. Several themes emerged related to perceived barriers to successful aging stemming from social institutions: i.e., age discrimination and ageism, sexual and HIV-related stigma, social isolation, lack of resources, and food insecurity. Perceived institutional solutions promoting successful aging included mixed-age/inter-generational support groups, computer literacy training, health education, information and resources related to healthy lifestyle on a limited budget, and increased transparency of resources available to older adults.

Covid-19 Escaled Ongoing Injustices: Voices of Women Living With HIV in Nepal

2021 ◽  
Vol 12 (1) ◽  
pp. 96-96
Author(s):  
Dr. Rita Dhungel ◽  
Meera Kunwar
Keyword(s):  
Health Services ◽  
Current Knowledge ◽  
People Living With Hiv ◽  
Public Health Services ◽  
Participatory Action ◽  
Ministry Of Health ◽  
Individual Interviews ◽  
Women Living With Hiv ◽  
National Centre ◽  
Living With Hiv

The first HIV case in Nepal was reported in 1988. As of July 2020, the total number of PLHIV was 29,503 PLHIV whereas the numbers for male and females were respectively 17, 587 and 11, 916 (UNAIDS, 2021.). More than 72% of People Living with HIV (PLHIV) are of age group 25 to 49 years (Ministry of Health National Centre for AIDS and STD Control, 2020). There are 80 ART (Anti-Retroviral therapy) centres providing services to PLHIV in seven Provinces and a number of community-based organizations to provide services to PLHI (Ministry of Health National Centre of AIDS and STD Control, 2020). The current knowledge on this area are maninly the reports from HIV Service Agencies that do not capture the silenced voices of PLHIV on intersectional oppression. By acknowledging the need of a evidence-based study, a Participatory Action Research (PAR) project was developed in 2019 to understand the challenges of the Women Living with HIV in Kathmandu, Nepal (Dhungel, 2020; Dhungel & Lama, 2020). This understanding was reached through a variety of means, including photovoice, individual interviews and street dramas. Four major intersectional challenges were identified including discriminations against WLHIV at workplace, violations of privacy in health sectors, excluding from parental's property and discriminations against their children at school. The same study suggested the need for a further study, focusing on intersectional oppressions and public health services and programs available for WLHIV with a focus on Mental Health Services. Therefore, this study was initiated to bridge the gaps in current knowledge with a foucs on COVID-19 policies/programs. Keywords: COVID-19, HIV community, injustice, intersectional oppression

scholarly journals Hospitalization of people 50 years old or older living with HIV/AIDS

2017 ◽  
Vol 70 (4) ◽  
pp. 845-850
Author(s):  
Daiana Patrícia Marchetti Pio ◽  
Lilian Andreia Fleck Reinato ◽  
Letícia Pimenta Lopes ◽  
Juliano de Souza Caliari ◽  
Elucir Gir
Keyword(s):  
Protective Factor ◽  
Cross Sectional Study ◽  
People Living With Hiv ◽  
Sectional Study ◽  
Hospital Data ◽  
Cross Sectional ◽  
Individual Interviews ◽  
Living With Hiv ◽  
Inpatient Units ◽  
Hiv Aids

ABSTRACT Objective: Identify the rate and predictive factors of the hospitalization of people living with HIV/AIDS (PLHA), aged 50 years or older. Method: A quantitative, cross-sectional study was conducted at two inpatient units specialized in infectious diseases in a teaching hospital. Data were gathered through individual interviews between August 2011 and February 2015. All ethical precepts were followed. Results: Of the 532 admitted patients, 95 were PLHA 50 years old or older; 30.5% were admitted 3 to 4 times after being diagnosed with HIV/AIDS. Conclusion: Rate of hospitalization was 17.8%, and being 50 to 60 years old was a protective factor against hospitalization.

scholarly journals Use of Living Strategies among Adults Aging with HIV in Canada: Comparison by Age-Group Using Data from the HIV, Health and Rehabilitation Survey

2018 ◽  
Vol 17 ◽  
pp. 232595821877404 ◽  
Author(s):  
Kelly Kathleen O’Brien ◽  
Matthieu Dagenais ◽  
Patricia Solomon ◽  
Catherine Worthington ◽  
Soo Chan Carusone ◽  
...  
Keyword(s):  
Successful Aging ◽  
Healthy Lifestyle ◽  
Age Groups ◽  
Cross Sectional ◽  
Positive Attitudes ◽  
Frequency Of Use ◽  
Using Data ◽  
Positive Outlook ◽  
The Mind ◽  
Living With Hiv

Objective: To examine the type and frequency of living strategies used by adults living with HIV. Methods: We conducted a cross-sectional web-based survey that included 51 living strategies: maintaining sense of control, attitudes and beliefs, blocking HIV out of the mind, and social interaction. We examined the frequency of use and compared the proportion of respondents who engaged in strategies across 3 age-groups (<40 years, 40-49 years, and ≥50 years). Results: Of the 935 participants, the majority were men (79%) and most (≥60%) engaged “most” or “all of the time” in healthy lifestyle strategies and maintained a positive outlook living with HIV. Compared to younger participants, a higher proportion of older adults (≥50 years) engaged “most” or “all the time” in strategies that involved maintaining control over health and adopting positive attitudes and outlook living with HIV. Conclusions: Findings can help to inform the role of self-management to enhance successful aging with HIV.

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