title: Care of HIV-positive women aged 50 and over - can we do better?
abstract: A sample of 123 HIV-positive women aged 50 years and over showed high rates of late diagnosis with CD4 count <350 (71%), significant co-morbidities (90%), high rates of premature menopause (6.8%) and early menopause (6.8%) and cervical cytological abnormalities (47%). Specific interventions to improve care in this group should include yearly cervical cytology, early counselling with regard to reproductive options, menopause management and screening for sexually transmitted infections (STIs).
authors.affiliation: King's College (NHS) Trust Foundation Hospital, London, UK.
authors.forename: M I
authors.initials: MI
authors.lastname: Samuel
authors.forename: J
authors.initials: J
authors.lastname: Welch
authors.forename: M
authors.initials: M
authors.lastname: Tenant-Flowers
authors.forename: M
authors.initials: M
authors.lastname: Poulton
authors.forename: L
authors.initials: L
authors.lastname: Campbell
authors.forename: C
authors.initials: C
authors.lastname: Taylor
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019380:Anti-HIV Agents / Q000627:therapeutic use; D015519:Bone Density; D018791:CD4 Lymphocyte Count; D015897:Comorbidity; D057210:Delayed Diagnosis; D003695:Delivery of Health Care; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology / Q000821:virology; D006801:Humans; D008485:Medical Audit; D008593:Menopause; D008875:Middle Aged; D030361:Papillomavirus Infections / Q000453:epidemiology; D015995:Prevalence; D012189:Retrospective Studies; D012307:Risk Factors; D012749:Sexually Transmitted Diseases / Q000175:diagnosis / Q000453:epidemiology; D006113:United Kingdom / Q000453:epidemiology; D019562:Viral Load
chemical_list: D019380:Anti-HIV Agents
keywords: AIDS; HIV; audit; cervical cytology; co-morbidities; menopause; older women; sexually transmitted infections; women