Office of HIV/AIDS, US Agency for International Development, Washington, DC, USA.
Moi University, College of Health Sciences, Eldoret, Kenya; USAID AMPATH Uzima, Eldoret, Kenya.
Lancet HIV. 2024 Aug;11(8):e552-e560. doi: 10.1016/S2352-3018(24)00123-1. Epub 2024 Jul 9.
More than a fifth of people living with HIV in the US President's Emergency Plan for AIDS Relief-supported programmes are older individuals, defined as aged 50 years and older, yet optimal person-centred models of care for older adults with HIV in sub-Saharan Africa, including screening and treatment for geriatric syndromes and common comorbidities associated with ageing, remain undefined. This Position Paper explores the disproportionate burden of comorbidities and geriatric syndromes faced by older adults with HIV, with a special focus on women. We seek to motivate global interest in improving quality of life for older people with HIV by presenting available research and identifying research gaps for common geriatric syndromes, including frailty and cognitive decline, and multimorbidity among older people with HIV in sub-Saharan Africa. We share two successful models of holistic care for older people with HIV that are ongoing in Zimbabwe and Kenya. Lastly, we provide policy, research, and implementation considerations to best serve this growing population.
超过五分之一的在美国总统艾滋病紧急救援计划支持的项目中生活的艾滋病毒感染者是老年人，定义为年龄在 50 岁及以上，然而，针对撒哈拉以南非洲的老年艾滋病毒感染者的最佳以患者为中心的护理模式，包括针对老年综合征和与衰老相关的常见合并症的筛查和治疗，仍然尚未确定。本立场文件探讨了老年艾滋病毒感染者面临的不成比例的合并症和老年综合征负担，特别关注女性。我们旨在通过介绍现有研究并确定常见老年综合征（包括脆弱和认知能力下降）和撒哈拉以南非洲的老年艾滋病毒感染者的多种合并症方面的研究空白，激发全球对改善老年艾滋病毒感染者生活质量的兴趣。我们分享了津巴布韦和肯尼亚正在进行的两个针对老年艾滋病毒感染者的整体护理成功模式。最后，我们提供了政策、研究和实施方面的考虑，以最好地服务于这一日益增长的人群。
