Fenway Institute, Boston, MA 02215, USA.
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.
目前，医疗保健基础设施还无法满足艾滋病毒阳性的老年群体独特的治疗和护理需求。抗逆转录病毒药物的长期使用效果仍在被发现，并且与许多合并症有关。污名化给那些需要服务和医疗保健的人带来了挑战，并且会对心理健康和治疗依从性产生重大影响。随着人口老龄化，需要对老年服务提供者和医疗保健提供者进行培训，以满足包括男同性恋、双性恋和跨性别者在内的艾滋病毒阳性老年群体的需求。社会营销活动应挑战与艾滋病毒相关的和针对男同性恋者的污名化。持续的研究和关键政策的改变，可以通过增加治疗和支持的机会，极大地改善艾滋病毒阳性老年人的健康结果。
