Hostname: page-component-cd9895bd7-gbm5v Total loading time: 0 Render date: 2024-12-26T08:15:42.205Z Has data issue: false hasContentIssue false
  • English
  • Français

Social Aspects of HIV/AIDS and Aging: A Thematic Review

Published online by Cambridge University Press:  13 August 2013

Kerstin Stieber Roger ,
Javier Mignone  and
Susan Kirkland
Kerstin Stieber Roger*
Affiliation:
Department of Family Social Sciences, Human Ecology, University of Manitoba
Javier Mignone
Affiliation:
Family Social Sciences, University of Manitoba
Susan Kirkland
Affiliation:
Community Health and Epidemiology, Dalhousie University
*
*Correspondence and requests for offprints should be sent to / La correspondance et les demandes de tirés-à-part doivent être adressées à: Kerstin Stieber Roger, Ph.D. University of Manitoba Dept. of Family Social Sciences 220 Human Ecology Building Winnipeg, MB R3T 2N2 ([email protected])
Get access Rights & Permissions [Opens in a new window]

Abstract

Little research can be found describing social aspects of aging with human immunodeficiency virus infection/acquired immunodeficiency syndrome (HIV/AIDS) in Canada specifically, despite an overall increase in an aging population and increased numbers of those aging with HIV/AIDS. A systematic literature review was conducted with a selective focus on social aspects related to older adults who are living with or at risk for contracting HIV/AIDS. The primary themes that emerged in the literature are ageism and stigma, gender, mental health, and social supports. Recommendations for future research regarding prevention and education of risks for older adults and programming suitable for a wide range of audiences are presented.

Résumé

Il manque de recherche spécifique qui décrit les aspects sociaux du vieillissement avec le virus de l’immunodéficience humaine/syndrome d’immunodéficience acquise (VIH/SIDA) au Canada, malgré une augmentation globale de la population viellissante et l’augmentation du nombre de ceux qui vieillissent avec le VIH/SIDA. Une revue systématique de la littérature été menée en se focalisant sélectivement sur les aspects sociaux aux personnes âgées vivant avec le VIH/SIDA. Les thèmes principaux qui se dégagent dans la littérature sont l’âgisme et la stigmatisation, le sexe, la santé mentale et les soutiens sociales. On présente des recommandations sur la recherche à l’avenir, les modèles théoriques, et le programmatisation.

Keywords

agingseniorsgenderHIV/AIDSsocial supportstigmavieillissmentles aînésle sexeVIH/SIDAsoutien socialestigmatisation
Type
Research Note / Note de recherche
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 32 , Issue 3 , September 2013 , pp. 298 - 306
Copyright
Copyright © Canadian Association on Gerontology 2013 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Albone, R. (2011). Why global HIV targets must include people over 49. Ageing and Development, 29, 6–8.Google Scholar
Antinori, A., Arendt, G., Becker, J. T., Brew, B. J., Byrd, D. A., Cherner, M., et al. . (2007). Updated research nosology for HIV-associated neurocognitive impairment. Neurology, 69, 1789–1799.CrossRefGoogle Scholar
Beaudin, C. L., & Chambre, S. M. (1996). HIV/AIDS as a chronic disease: Emergence from the plague model. American Behavioral Scientist, 39, 684–706.Google Scholar
Beaulaurier, R. L., Craig, S. L. & De La Rosa, M. (2009). Older Latina women and HIV/AIDS: An examination of sexuality and culture as they relate to risk and protective factors. Journal of Gerontological Social Work, 52(1), 48–63.CrossRefGoogle Scholar
Brennan, D., Emlet, C., & Eady, A. (2011). HIV, sexual health, and psychosocial issues among older adults living with HIV in North America. Aging International, 36, 313–333.Google Scholar
Carroll, N., Linde, R., Mayer, K., Lara, A. M., & Bradford, J. (1999). Developing a lesbian health research program: Fenway Community Health Center’s Experience and Evolution. Journal of the Gay and Lesbian Medical Association, 3(4), 145–152.Google Scholar
Deeks, S. G. (2011). HIV Infection, inflammation, immunosenescence, and aging. Annual Review of Medicine, 62, 141–155.Google Scholar
Desai, S., & Landay, A. (2010). Early immune senescence in HIV disease. Current HIV/AIDS Reports, 7, 4–10.Google Scholar
Desquilbet, L., Jacobson, L. P., Fried, L. P., Phair, J. P., Jamieson, B. D., Holloway, M., Margolick, J. B., & Multicenter AIDS Cohort Study. (2007). HIV-1 infection is associated with an earlier occurrence of a phenotype related to frailty. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 62(11), 1279–1286.Google Scholar
Emlet, C. A. (2004). HIV/AIDS and aging: A diverse population of vulnerable older adults. Journal of Human Behaviour in the Social Environment, 9(4), 45–63.Google Scholar
Emlet, C. A. (2006). “You’re awfully old to have this disease”: Experiences of stigma and, ageism in adults 50 years and older living with HIV/AIDS. The Gerontologist, 46(6), 781–790.CrossRefGoogle ScholarPubMed
Emlet, C. A. (2007). Experiences of stigma in older adults living with HIV/AIDS: A mixed-methods analysis. AIDS Patient Care and STDs, 21, 740–752.Google Scholar
Emlet, C. A., Gerkin, A., & Orel, N. (2009). The graying of HIV/AIDS: Preparedness and needs of the aging network in a changing epidemic. Journal of Gerontological Social Work, 52(8), 803–814.Google Scholar
Frost, D. M., Parsons, J. T., & Nanín, J. E. (2007). Stigma, concealment and symptoms of depression as explanations for sexually transmitted infections among gay men. Journal of Health Psychology, 12, 636–640.CrossRefGoogle ScholarPubMed
Grotberg, E. M., Bain, B., Janzen, HL., Patterson, JG., Stewin, LL., & Yu, A. (1997). The International Resilience Project: Findings from the research and the effectiveness of interventions. In Bain, B. et al. . (Eds.), Psychology and Education in the 21st Century: Proceedings of the 54th Annual Convention of the International Council of Psychologists (pp. 118–128). Edmonton, AB: IC Press.Google Scholar
Grov, C., Golub, S. A., Parsons, J. T., Brennan, M., & Karpick, S. E. (2010). Loneliness and HIV-related stigma explain depression among older HIV-positive adults. AIDS Care, 22(5), 630–639.Google Scholar
Hardy, D. J., & Vance, D. E. (2009). The neuropsychology of HIV/AIDS in older adults. Neuropsychology Review, 19, 263–272.Google Scholar
Heaton, R. K. (2011). HIV-associated neurocognitive disorders before and during the era of combination antiretroviral therapy: Differences in rates, nature, and predictors. Journal of Neurovirology, 17, 3–16.Google Scholar
Heaton, R. K., Marcotte, T. D., Mindt, M. R., Sadek, J., Moore, D. J., Bentley, H., et al. . (2004). The impact of HIV-associated neuropsychological impairment on everyday functioning. Journal of the International Neuropsychological Society, 10(3), 317–331.Google Scholar
Hermann, H., Stewart, D. E., Diaz-Granados, N., Berger, E. L., Jackson, B, & Yuen, T. (2011). What is resilience? Canadian Journal of Psychiatry, 56, 258–265.Google Scholar
Hillman, J. (2011). A call for an integrated biopsychosocial model to address fundamental disconnects in an emergent field: An introduction to the special issues on sexuality and aging. Aging International, 36, 303–312.Google Scholar
Ibanez-Carrasco, J. F. (1997/98). Explorations and border-crossings: The risks of safer sex discourse. Trans/forms: Insurgent Voice in Education, Fall, 8–41.Google Scholar
Illa, L., Echenique, M., Saint Jean, G., Bustamante-Avellaneda, V., Metsch, L., Mendez-Mulet, L., et al. . (2010). Project ROADMAP: Reeducating Older Adults in Maintaining AIDS Prevention: A secondary intervention for older HIV-positive adults. AIDS Education & Prevention, 22(2), 138–147.Google Scholar
Jacobs, R., & Kane, M. (2010). HIV-related stigma in midlife and older women. Social Work in Health Care, 49, 68–89.CrossRefGoogle ScholarPubMed
Jacobson, S. (2011). HIV/AIDS interventions in an aging U.S. Population. Health & Social Work, 36(2), 149–156.Google Scholar
Jaquescoley, E. (2008). Behavioral prevention study gauges HIV/AIDS and depression in the older US population. AIDS Care, 20(9), 1152–1153.Google Scholar
Johnson, W. A., & Sterk, C. E. (2003). Late-onset crack users: An emergent HIV risk group. Journal of Acquired Immune Deficiency Syndromes, 33(2 Suppl), S229–S232.Google Scholar
Kahana, E., & Kahana, B. (2001). Successful aging among people with HIV/AIDS. Journal of Clinical Epidemiology, 54(12), 53–56.Google Scholar
Kearney, F, Moore, A. R., Donegan, C. F., & Lambert, J. (2010). The ageing of HIV: Implications for geriatric medicine. Age and Aging, 39, 536–541.Google Scholar
Keigher, S., Stevens, P., & Plach, S. (2004). Midlife women with HIV: Health, social, and economic factors shaping their futures. Journal of HIV/AIDS and Social Services, 3(1), 43–58.Google Scholar
Knodel, J., & Saengtienchai, C. (2005). Older aged parents: The final safety net for adult sons and daughters with AIDS in Thailand. Journal of Family Issues, 26(5), 665–698.CrossRefGoogle Scholar
Kwiatkowski, C. F., & Booth, R. E. (2003). HIV risk behaviors among older American drug users. Journal of Acquired Immune Deficiency Syndromes, 33(2 Suppl), S131–S137.Google Scholar
Levy, J. A. (1998). AIDS and injecting drug use in later life. Research on Aging, 20(6), 776–797.Google Scholar
Levy-Dweck, S. (2005). HIV/AIDS fifty and older: A hidden and growing population. Journal of Gerontological Social Work, 46(2), 37–50.Google Scholar
Lyons, A., Pitts, M., Grierson, J., Thorpe, R., & Power, J. (2010). Ageing with HIV: Health and psychosocial well-being of older gay men. AIDS Care, 22(10), 1236–1244.Google Scholar
Manitoba Health. (2009). Statistical Update: HIV and AIDS. Winnipeg, MB: Author.Google Scholar
Marcotte, T. D., Wolfson, T., Rosenthal, T. J., Heaton, R. K., Gonzalez, R., Ellis, R. J., et al. . (2004). A multimodal assessment of driving performance in HIV infection. Neurology, 63(8), 1417–1422.Google Scholar
Masten, J. (2007). Aging with HIV/AIDS: The experience of gay men in late middle age. Dissertation Abstracts International, A: The Humanities and Social Sciences, 67(9), 3593.Google Scholar
Murray, J., & Adam, B. D. (2001). Aging, sexuality, and HIV issues among older gay men. Canadian Journal of Human Sexuality, 10(3–4), 75–90.Google Scholar
Orel, N. A., Stelle, C., Watson, W. K., & Bunner, B. L. (2010). No one is immune: A community education partnership addressing HIV/AIDS and older adults. Journal of Applied Gerontology, 29(3), 352–370.CrossRefGoogle ScholarPubMed
Ory, M. G., Zablotsky, D. L., & Crystal, S. (1998). HIV/AIDS and aging: Identifying a prevention research and care agenda. Research on Aging, 20(6), 637–652.Google Scholar
Parker, R., & Aggleton, P. (2002). HIV/AIDS-related stigma and discrimination: A conceptual, framework and an agenda for action. Retrieved September 2011 fromwww.popcouncil.org/pdfs/horizons/sdcncptlfrmwrk.pdf.Google Scholar
Paul, S. M., Martin, R. M., Lu, S., & Lin, Y. (2007). Changing trends in human immunodeficiency virus and acquired immunodeficiency syndrome in the population aged 50 and older. Journal of the American Geriatrics Society, 55(9), 1393–1397.CrossRefGoogle ScholarPubMed
Pointdexter, C., & Shippy, A. (2010). HIV diagnosis disclosure: Stigma management and stigma resistance. Journal of Gerontological Social Work, 53, 366–381.Google Scholar
Public Health Agency of Canada (PHAC). (2010). Chapter 6: HIV/AIDS among older Canadians. In HIV/AIDS Epi Update. Retrieved 27 October 2011 fromhttp://www.phac-aspc.gc.ca/aids-sida/publication/epi/2010/1-eng.php.Google Scholar
Roger, K., Migliardi, P., & Mignone, J. (2012). HIV, Social support and care among vulnerable women. Journal of Community Psychology, 40(5), 487–500.CrossRefGoogle Scholar
Sankar, A., Luborsky, M., Rwabuhemba, T., & Songwathana, P. (1998). Comparative perspectives on living with HIV/AIDS in late life. Research on Aging, 20(6), 885–911.Google Scholar
Sankar, A., Nevedal, A., Neufeld, S., Berry, R., & Luborsky, M. (2011). What do we know about older adults and HIV? A review of social and behavioral literature. AIDS Care, 23(10), 1187–1207.Google Scholar
Saskatchewan Ministry of Health. (2009). Saskatchewan HIV strategy 2010-2014. Regina, SK: Author.Google Scholar
Shippy, R., & Karpiak, S. (2005). The aging HIV/AIDS population: Fragile social networks. Ageing and Mental Health, 3, 246–254.Google Scholar
Siegel, K., & Lekas, H. (2002). AIDS as a chronic illness: Psychosocial implications. AIDS, 16, S69–S76.Google Scholar
Uphold, C. R., Shehan, C. L., Bender, J. M., & Bender, B. S. (2012). Emotional bonds and social support exchange between men living with HIV infection and their mothers. American Journal of Men’s Health, 6, 97–107.CrossRefGoogle ScholarPubMed
Vance, D. E. (2010). Aging with HIV: Clinical considerations for an emerging population. American Journal of Nursing, 110(3), 42–49.Google Scholar
Vance, D. E., Struzick, T., & Childs, G. (2010). Challenges of depression and suicidal ideation associated with aging with HIV/AIDS: Implications for social work. Journal of Gerontological Social Work, 52(2), 159–175.Google Scholar
Vance, D. E., Struzick, T. C., & Masten, J. (2008). Hardiness, successful aging and HIV: Implications for social work. Journal of Gerontological Social Work, 51(3–4), 260–283.Google Scholar
Ware, N. C., Wyatt, M. A., & Tugenberg, T. (2006). Social relationships, stigma and adherence to antiretroviral therapy for HIV/AIDS. AIDS Care, 18(8), 904–910.Google Scholar
Whittemore, R., & Knafl, K. (2005). The integrative review: Updated methodology. Journal of Advanced Nursing, 52(5), 546–553.Google Scholar
Wohl, D. (2013). Aging with HIV: Where do we stand after CROI 2013? Conference Report presented for the National AIDS Treatment Advocacy Project (NATAP) at the 20th Conference on Retroviruses and Opportunistic Infections, Atlanta, Georgia. Retrieved January 2013 fromhttp://www.natap.org/2013/CROI/croi_190.htm.Google Scholar
Worthington, C., Myers, T., O’Brien, K., Nixon, S., & Cockerill, R. (2005). Rehabilitation in HIV/AIDS: Development of an expanded conceptual framework. AIDS Patient Care and STDs, 19(4), 258–271.Google Scholar