Enhancing awareness to mitigate the risk of HIV/AIDS in older adults.
HIV is often assumed to only affect younger people, and many older people do not realize that they might risk acquiring the virus. Given that sexual transmission is by far the most common way to contract HIV around the world, health care professionals do not usually pay enough attention to the possibility of HIV/AIDS in older adults, based on the common conviction that they no longer have any sexual desires and that they are sexually inactive. Nevertheless, the sexual behavior of older people is likely to change over time, as aging baby boomers progress into their 60s and 70s, meeting the criteria for "successful aging", and not conforming to the stereotype of "sexless elderly". Hence the urgent need to awareness is that HIV remains as a major health threat even in advanced age. Prompt diagnosis and treatment are especially crucial in older adults because of their general frailty and high comorbidity levels. This article reviews recent literature concerning HIV/AIDS in older adults, as regard the related epidemiological, clinical and public health issues, with a view to suggesting how the rising rate of HIV transmission in this age group might be mitigated, and shows the main points that HCP should tackle to identify older people at risk of HIV infection. In summary, there is a pressing need to develop effective prevention schemes and to adapt clinical and programmatic approaches to improve the survival of older people with HIV.
Geriatric Section, Department of Medicine-DIMED, University of Padova, Padua, Italy.
Emine Meral
EM
Inelmen
Giuseppe
G
Sergi
Marina
M
De Rui
Enzo
E
Manzato
D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control*; D000367:Age Factors; D000368:Aged; D015658:HIV Infections / Q000517:prevention & control*; D006801:Humans; D012306:Risk; D012725:Sexual Behavior / Q000502:physiology