Trends in proportion of older HIV-infected people in care in Latin America and the Caribbean: a growing challenge

Epidemiology and Infection
Yanink Caro-VegaJuan Sierra-Madero

Abstract

We aimed to quantify the proportion of people receiving care for HIV-infection that are 50 years or older (older HIV patients) in Latin America and the Caribbean between 2000 and 2015 and to estimate the contribution to the growth of this population of people enrolled before (<50yo) and after 50 years old (yo) (⩾50yo). We used a series of repeated, cross-sectional measurements over time in the Caribbean, Central and South American network (CCASAnet) cohort. We estimated the percentage of patients retained in care each year that were older HIV patients. For every calendar year, we divided patients into two groups: those who enrolled before age 50 and after age 50. We used logistic regression models to estimate the change in the proportion of older HIV patients between 2000 and 2015. The percentage of CCASAnet HIV patients over 50 years had a threefold increase (8% to 24%) between 2000 and 2015. Most of the growth of this population can be explained by the increasing proportion of people that enrolled before 50 years and aged in care. These changes will impact needs of care for people living with HIV, due to multiple comorbidities and high risk of disability associated with aging.

References

Nov 26, 2008·The American Journal of Medicine·Clifford P MartinStephen A Klotz
Oct 2, 2009·Journal of the American Geriatrics Society·Jason B Kirk, Matthew Bidwell Goetz
Jun 14, 2015·The Lancet Infectious Diseases·Mikaela SmitUNKNOWN ATHENA observational cohort
Oct 20, 2015·Bulletin of the World Health Organization·Pablo F Belaunzarán-ZamudioUNKNOWN CCASAnet
Nov 13, 2015·AIDS Research and Human Retroviruses·José Alberto Avila-FunesHélène Amieva
May 5, 2017·AIDS·Caroline A Sabin, Peter Reiss

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Citations

Jun 21, 2019·Current Opinion in HIV and AIDS·Paula M LuzBeatriz Grinsztejn
Jun 20, 2020·PloS One·Pablo F Belaunzaran-ZamudioUNKNOWN Caribbean, Central and South American network for HIV epidemiology (CCASAnet)
Sep 7, 2020·Brazilian Journal of Microbiology : [publication of the Brazilian Society for Microbiology]·Olinda MacêdoYvone Benchimol Gabbay
Jan 6, 2021·Current HIV/AIDS Reports·Diego M CabreraEvelyn Hsieh
Jan 9, 2021·BMC Medicine·UNKNOWN Local Burden of Disease HIV Collaborators
Jun 5, 2021·The Lancet Oncology·Elizabeth Y ChiaoKeith Sigel

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