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Older People and HIV

Education Packet

Older People and HIV – This packet is a compilation of several recent fact sheets and other resources. You may wish to customize it to meet the needs or interests of particular groups, such as event participants, providers, patients, clients, or the general public. Please feel free to distribute all or part of this packet as either a printout or PDF.
 

Fact Sheets and Infographics

HIV and Older Americans (CDC) – This fact sheet includes data on new HIV diagnoses among people age 50 and older, with breakdowns by transmission category in men and women.  It also includes information about: trends in HIV diagnoses over time; the total number of older people with HIV; deaths among older people with HIV; prevention challenges for this group; and steps CDC is taking to address HIV among older people. 

HIV and Older People (HIVinfo) – This fact sheet examines how HIV affects older people, their risk factors for HIV infection, recommendations for HIV testing, and considerations regarding HIV treatment in older people. Also available in Spanish

Growing Older with HIV (HIV.gov) – This fact sheet provides background information about growing older with HIV, the health complications that may occur with aging, the consequences of long-term HIV infection, and the relatively high rate of late HIV diagnosis among older people with HIV. There is also a brief discussion about the importance of support services for older people with HIV. 

Ten Things Every LGBT Older Adult Should Know About HIV/AIDS (SAGE) – This fact sheet includes background information about HIV infection and its effects on older adults, populations at greatest risk, stigma and discrimination, HIV prevention, talking with providers, LGBT-affirming health care, and support networks. 

HIV and Aging Infographics from AIDSVu – In conjunction with National HIV/AIDS and Aging Awareness Day in 2020, Emory University’s AIDSVu resource center produced a series of infographics focusing on HIV among U.S. adults aged 55 years and older. These materials, which are based on CDC HIV surveillance data, include:

  • a national map illustrating the prevalence of HIV among older people at the county level;
  • a graph comparing rates of HIV viral suppression among older adults and younger age groups;
  • a graph with a breakdown by race/ethnicity of the number of new HIV diagnoses among older people;
  • a graph comparing the proportion of new HIV diagnoses that occur among women in different age groups; and
  • an infographic highlighting trends in the use of HIV pre-exposure prophylaxis (PrEP) and the PrEP-to-use ratio among older people.

HIV Surveillance Reports and Data Analyses

Diagnoses of HIV Infection in the United States and Dependent Areas, 2019 (CDC) – This 123-page surveillance report includes detailed information about new HIV diagnoses, prevalence, and deaths among older persons, as well as persons in other age categories. Breakdowns are also provided by gender, race/ethnicity, transmission category, and geographic region. Many tables in the report include data breakdowns by age.

Estimated HIV Incidence and Prevalence in the United States, 2015-2019 (CDC) – This report provides estimates of the number of new HIV infections and the total number of persons living with HIV during each year from 2015 through 2019. It begins with a commentary section that summarizes highlights of the report, followed by 13 tables that present data on HIV incidence and prevalence among adults and adolescents, with breakdowns by sex at birth, age, race/ethnicity, transmission category, and region of residence. The age data include statistics for older persons aged 55 years and above. An appendix focuses on the estimated incidence and prevalence of HIV infection among adults and adolescents living in Ending the HIV Epidemic (EHE) Phase 1 jurisdictions.

Estimated HIV Incidence and Prevalence in the United States, 2010-2019 (CDC) – This slide set summarizes trends in HIV incidence during the 2010s, with breakdowns by age, sex, race/ethnicity, transmission category, and region. Data for 2019 is also provided on knowledge of HIV status, as well as HIV prevalence in the 50 states, District of Columbia, and Puerto Rico.

HIV Infection, Stage 3 (AIDS), 2019 (CDC) – This slide set summarizes trends in AIDS diagnoses and deaths from 1985 to 2019, with breakdowns by age, sex, race/ethnicity, transmission category, and region. Data on cumulative AIDS diagnoses and deaths through 2019, and AIDS data for Metropolitan Statistical Areas are also provided.

 

Materials from the Health Resources and Services Administration

Older Adult Clients: Ryan White HIV/AIDS Program, 2018 – This fact sheet summarizes selected demographic and health characteristics of adults aged 50 years or older in the Ryan White HIV/AIDS Program (RWHAP). These include race/ethnicity, gender, income, housing, and rates of viral suppression. 

Optimizing HIV Care for People Aging with HIV: Incorporating New Elements of Care – This guide provides background information about older people with HIV, and highlights the specific health and social challenges, gaps in medical management, and health screening tools available for this group. An extensive list of references is also included. According to HRSA’s HIV/AIDS Bureau, this guide “serves as a starting point for health care teams as they build and expand their knowledge and practice of serving people aging with HIV.”  

Optimizing HIV Care for People Aging with HIV: Putting Together the Best Health Care Team – This guide outlines a multi-disciplinary approach for providing high-quality HIV care to older people with HIV. It focuses on the roles and responsibilities of different health care providers who serve older people with HIV, the specific staff training needs of those serving older people with HIV, and the organizational capacity and resources necessary to ensure that older people receive optimal HIV care.
 

Recommendations, Reports, and Websites 

Considerations for Antiretroviral Use in Special Patient Populations: HIV and the Older Person (Clinicalinfo.HIV.gov) – This section of the U.S. Guidelines for the Use of Antiretroviral Agents in Adults and Adolescents Living with HIV focuses on key considerations when caring for older people receiving HIV treatment. 

Diagnoses of HIV Infection in the United States and Dependent Areas, 2018 (updated) (CDC) – This 119-page report presents detailed information about new HIV diagnoses, deaths, and prevalence among all age categories, including people aged 50 years or older. Breakdowns are also provided by gender, race/ethnicity, transmission category, and geographic region. The age categories included for older adults are: 50 to 54, 55 to 59, 60 and 64, and 65 and older. 

SAGE: Advocacy & Services for LGBT Elders – This website includes an HIV/AIDS section with several fact sheets and issue briefs that focus on HIV and aging, with particular emphasis on LGBT people. 

Olvidados – Illuminating the Needs of the Forgotten: A National Health Assessment of Latinos Growing Older with HIV (Latino Commission on AIDS and Hispanic Health Network) – This report summarizes the health concerns, obstacles to optimal health, and facilitators for well-being among older Latinos. Includes recommendations for meeting the unmet needs of this population group. 

HIV and Aging (American Academy of HIV Medicine – AAHIVM) – This section of the AAHIVM website focuses on issues related to HIV and aging, includes clinical recommendations, journal articles and editorials, as well as an HIV & Aging Clinical Recommendations curriculum.

 

The contents listed on this page are those of the author(s) and do not necessarily represent the official views of, nor an endorsement by, the New England AIDS Education and Training Center.