Delayed presentation of HIV among older individuals: a growing problem

Amy C. Justice; Matthew B. Goetz; Cameron N. Stewart; Brenna C. Hogan; Elizabeth Humes; Paula M. Luz; Jessica L. Castilho; Denis Nash; Ellen Brazier; Beverly Musick; Constantin Yiannoutsos; Karen Malateste; Antoine Jaquet; Morna Cornell; Tinei Shamu; Reena Rajasuriar; Awachana Jiamsakul; Keri N. Althoff

doi:10.1016/S2352-3018(22)00003-0

Delayed presentation of HIV among older individuals: a growing problem

Amy C. Justice, Matthew B. Goetz, Cameron N. Stewart, Brenna C. Hogan, Elizabeth Humes, Paula M. Luz, Jessica L. Castilho, Denis Nash, Ellen Brazier, Beverly Musick, Constantin Yiannoutsos, Karen Malateste, Antoine Jaquet, Morna Cornell, Tinei Shamu, Reena Rajasuriar, Awachana Jiamsakul, Keri N. Althoff

Bloomberg School of Public Health

Research output: Contribution to journal › Review article › peer-review

Abstract

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.

Original language	English (US)
Pages (from-to)	e269-e280
Journal	The Lancet HIV
Volume	9
Issue number	4
DOIs	https://doi.org/10.1016/S2352-3018(22)00003-0
State	Published - Apr 2022

ASJC Scopus subject areas

Infectious Diseases
Epidemiology
Virology
Immunology

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10.1016/S2352-3018(22)00003-0

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Justice, A. C., Goetz, M. B., Stewart, C. N., Hogan, B. C., Humes, E., Luz, P. M., Castilho, J. L., Nash, D., Brazier, E., Musick, B., Yiannoutsos, C., Malateste, K., Jaquet, A., Cornell, M., Shamu, T., Rajasuriar, R., Jiamsakul, A., & Althoff, K. N. (2022). Delayed presentation of HIV among older individuals: a growing problem. The Lancet HIV, 9(4), e269-e280. https://doi.org/10.1016/S2352-3018(22)00003-0

Justice, AC, Goetz, MB, Stewart, CN, Hogan, BC, Humes, E, Luz, PM, Castilho, JL, Nash, D, Brazier, E, Musick, B, Yiannoutsos, C, Malateste, K, Jaquet, A, Cornell, M, Shamu, T, Rajasuriar, R, Jiamsakul, A & Althoff, KN 2022, 'Delayed presentation of HIV among older individuals: a growing problem', The Lancet HIV, vol. 9, no. 4, pp. e269-e280. https://doi.org/10.1016/S2352-3018(22)00003-0

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abstract = "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.",

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AU - Justice, Amy C.

AU - Goetz, Matthew B.

AU - Stewart, Cameron N.

AU - Hogan, Brenna C.

AU - Humes, Elizabeth

AU - Luz, Paula M.

AU - Castilho, Jessica L.

AU - Nash, Denis

AU - Brazier, Ellen

AU - Musick, Beverly

AU - Yiannoutsos, Constantin

AU - Malateste, Karen

AU - Jaquet, Antoine

AU - Cornell, Morna

AU - Shamu, Tinei

AU - Rajasuriar, Reena

AU - Jiamsakul, Awachana

AU - Althoff, Keri N.

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AB - 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.

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SP - e269-e280

JO - The Lancet HIV

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Delayed presentation of HIV among older individuals: a growing problem

Abstract

ASJC Scopus subject areas

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