Delayed presentation of HIV among older individuals: A growing problem
Document Type
Article
Publication Date
4-1-2022
Abstract
Late presentation for care is a major impediment to the prevention and effective treatment of HIV infection. Older individuals are at increased risk of late presentation, represent a growing proportion of people with late presentation, and might require interventions tailored to their age group. We provide a summary of the literature published globally between 2016-21 (reporting data from 1984-2018) and quantify the association of age with delayed presentation. Using the most common definitions of late presentation and older age from these earlier studies, we update this work with data from the International Epidemiology Databases to Evaluate AIDS (IeDEA) consortium, focusing on data from 2000-19, encompassing four continents. Finally, we consider how late presentation among older individuals might be more effectively addressed as electronic medical records become widely adopted.
Keywords
Risky sexual-behavior, Preexposure prophylaxis, Missed opportunities, Alcohol-consumption, Cost-effectiveness, Infected patients, Condom use, Veterans, Health, Adults
Divisions
medicinedept
Funders
US National Institutes of Health's National Institute of Allergy and Infectious Diseases,Eunice Kennedy Shriver National Institute of Child Health and Human Development,US National Cancer Institute,US National Institute of Mental Health,US National Institute on Drug Abuse,US National Heart, Lung, and Blood Institute,US National Institute on Alcohol Abuse and Alcoholism,US National Institute of Diabetes and Digestive and Kidney Diseases,Fogarty International Center,US National Library of Medicine (AsiaPacific) (Grant No: U01AI069907),Harmonist project (Grant No: R24AI24872),National Library of Medicine (CCASAnet) (Grant No: U01AI069923),National Library of Medicine (Central Africa) (Grant No: U01AI096299),National Library of Medicine (East Africa) (Grant No: U01AI069911),National Library of Medicine (NA-ACCORD) (Grant No: U01AI069918),National Library of Medicine (West Africa) (Grant No: U01AI069919),National Library of Medicine (Southern Africa) (Grant No: U01AI069924)
Publication Title
The Lancet HIV
Volume
9
Issue
4
Publisher
Elsevier
Publisher Location
525 B STREET, STE 1900, SAN DIEGO, CA 92101-4495 USA