Kokorelias Kristina M, Valentine Dean, Eaton Andrew D, Dove Erica, Su Esther, Sheppard Christine L, McKinlay Stuart, Brown Paige, Singh Hardeep K, Wasilewski Marina B, Flanagan Ashley, Zhabokritsky Alice, Abdelhalim Reham, Parpia Rabea, Zewude Rahel, Jamieson Laura, Walmsley Sharon, Sirisegaram Luxey
Division of Geriatric Medicine, Department of Medicine, Sinai Health System and University Health Network, Toronto, Toronto, Ontario, Canada.
Department of Occupational Science & Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
HIV Med. 2025 Aug;26(8):1211-1223. doi: 10.1111/hiv.70047. Epub 2025 May 22.
Advances in human immunodeficiency virus (HIV) care have increased life expectancy, leading to more older adults living with HIV. This study examines older adults' perspectives on geriatric healthcare needs.
A community-based qualitative study in Ontario, Canada, recruited some adults aged 50+ years living with HIV through quota and purposive sampling. Quota sampling was used to include individuals of different ages, genders and ethno-racial backgrounds to capture a range of experiences. Data were collected via semi-structured interviews and focus groups, analyzed using the Qualitative Analysis Guide of Leuven.
Participants included interviewees (n = 14) and focus group attendees (n = 12). Four themes emerged: (1) lack of knowledge and access to geriatric care, highlighting service challenges; (2) healthcare providers' understanding of HIV and ageing, with stigma concerns; (3) role of social support networks for emotional/practical support; and (4) requirements for improved geriatric care, advocating provider education and greater social care access.
Gaps in geriatric care for older adults with HIV highlight stigma, access issues and the need for education, virtual care and tailored, inclusive healthcare solutions.
人类免疫缺陷病毒（HIV）护理方面的进展提高了预期寿命，导致更多老年HIV感染者存活。本研究探讨了老年人对老年医疗保健需求的看法。
在加拿大安大略省进行了一项基于社区的定性研究，通过配额抽样和目的抽样招募了一些50岁及以上的HIV感染者。配额抽样用于纳入不同年龄、性别和种族背景的个体，以获取一系列经历。通过半结构化访谈和焦点小组收集数据，使用鲁汶定性分析指南进行分析。
参与者包括受访者（n = 14）和焦点小组参与者（n = 12）。出现了四个主题：（1）缺乏老年护理知识和获得途径，突出了服务挑战；（2）医疗保健提供者对HIV和衰老的理解，存在耻辱感问题；（3）社会支持网络在情感/实际支持方面的作用；（4）改善老年护理的要求，倡导对提供者进行教育并增加社会护理的可及性。
老年HIV感染者在老年护理方面的差距凸显了耻辱感、获得途径问题以及对教育、虚拟护理和量身定制的包容性医疗保健解决方案的需求。
