Delayed presentation of HIV among older individuals: a growing problem.

Justice, Amy C; Goetz, Matthew B; Stewart, Cameron N; Hogan, Brenna C; Humes, Elizabeth; Luz, Paula M; Castilho, Jessica L; Nash, Denis; Brazier, Ellen; Musick, Beverly; Yiannoutsos, Constantin; Malateste, Karen; Jaquet, Antoine; Cornell, Morna; Shamu, Tinei; Rajasuriar, Reena; Jiamsakul, Awachana; Althoff, Keri N (2022). Delayed presentation of HIV among older individuals: a growing problem. The Lancet HIV, 9(4), e269-e280. Elsevier 10.1016/S2352-3018(22)00003-0

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Late presentation for care is a major impediment to the prevention and effective treatment of HIV infection. Older individuals are at increased risk of late presentation, represent a growing proportion of people with late presentation, and might require interventions tailored to their age group. We provide a summary of the literature published globally between 2016-21 (reporting data from 1984-2018) and quantify the association of age with delayed presentation. Using the most common definitions of late presentation and older age from these earlier studies, we update this work with data from the International Epidemiology Databases to Evaluate AIDS (IeDEA) consortium, focusing on data from 2000-19, encompassing four continents. Finally, we consider how late presentation among older individuals might be more effectively addressed as electronic medical records become widely adopted.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)

Graduate School:

Graduate School for Health Sciences (GHS)

UniBE Contributor:

Shamu, Tinei

Subjects:

600 Technology > 610 Medicine & health
300 Social sciences, sociology & anthropology > 360 Social problems & social services

ISSN:

2352-3018

Publisher:

Elsevier

Language:

English

Submitter:

Pubmed Import

Date Deposited:

01 Mar 2022 14:59

Last Modified:

05 Dec 2022 16:11

Publisher DOI:

10.1016/S2352-3018(22)00003-0

PubMed ID:

35218732

BORIS DOI:

10.48350/166116

URI:

https://boris.unibe.ch/id/eprint/166116

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