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Review
. 2025 Jul 1;20(4):373-378.
doi: 10.1097/COH.0000000000000947. Epub 2025 Apr 23.

Care of people aging with HIV in resource limited settings

Reena Rajasuriar  1 , Jessica L Castilho  2 , Barbara Castelnuovo  3
Affiliations
Review

Care of people aging with HIV in resource limited settings

Reena Rajasuriar et al. Curr Opin HIV AIDS. .

Abstract

Purpose of review: This review explores the unique challenges faced by older people with HIV (PWH) in resource-limited settings, particularly in managing age-related health issues alongside HIV. It highlights gaps in healthcare systems, structural barriers, and the need for better integration of services to improve outcomes.

Recent findings: There is currently a lack of integrated healthcare services for aging PWH, resulting in delayed treatment for noncommunicable diseases. There is also limited geriatric expertise in HIV care which exacerbates challenges in diagnosing and managing age-related conditions. Women with HIV face additional barriers due to gender disparities but have limited representation in research. Furthermore, older adults acquiring HIV are often diagnosed late, leading to poorer outcomes.

Summary: This review calls for integrating aging care into HIV programs, improving healthcare training, and garnering greater consensus on assessment tools for geriatric conditions. Additionally there is a need for more targeted HIV prevention programs for older adults who remain at risk of acquiring HIV and presenting late to care.

Keywords: cognitive impairment; frailty; geriatric services; integrated care; late HIV presentation.

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