Growing older with HIV/AIDS: new public health challenges

Am J Public Health. 2013 Mar;103(3):e7-e15. doi: 10.2105/AJPH.2012.301161. Epub 2013 Jan 17.


At present, the health care infrastructure is ill-equipped to handle the unique treatment and care needs of HIV-positive older adults. The long-term effects of antiretroviral use are still being discovered and have been associated with a number of comorbidities. Stigma presents challenges for those in need of services and health care, and can significantly affect mental health and treatment adherence. The training of elder service providers and health care providers in meeting the needs of HIV-positive older adults, including gay and transgender people, is needed as the population ages. HIV-related and antigay stigma should be challenged by social marketing campaigns. Continued research and key policy changes could greatly improve health outcomes for HIV-positive elderly persons by increasing access to treatment and support.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Aging
  • Antiretroviral Therapy, Highly Active / adverse effects
  • Delivery of Health Care / methods
  • Female
  • HIV Infections / complications
  • HIV Infections / psychology
  • HIV Infections / therapy*
  • HIV Seropositivity / complications
  • HIV Seropositivity / psychology
  • HIV Seropositivity / therapy*
  • Humans
  • Long-Term Care
  • Male
  • Middle Aged
  • Public Health / methods
  • Social Isolation
  • Social Support
  • Stereotyping