Unmet Needs for HIV Ancillary Services Among Persons With Diagnosed HIV Aged 55 years and Older.

Autor:	Byrd KK; Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, GA; and., Buchacz K; Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, GA; and., Crim SM; Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, GA; and., Beer L; Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, GA; and., Lu JF; DLH Corporation, Atlanta, GA., Dasgupta S; Division of HIV Prevention, Centers for Disease Control and Prevention, Atlanta, GA; and.
Jazyk:	angličtina
Zdroj:	Journal of acquired immune deficiency syndromes (1999) [J Acquir Immune Defic Syndr] 2024 Apr 01; Vol. 95 (4), pp. 318-328.
DOI:	10.1097/QAI.0000000000003365
Abstrakt:	Background: Approximately 2 in 5 persons with HIV (PWH) in the United States are aged 55 years or older. HIV ancillary services, such as case management and transportation services, can help older PWH remain engaged in care. We used data from the Medical Monitoring Project (MMP) to describe the prevalence of unmet needs for ancillary services among persons with diagnosed HIV aged 55 years or older. Setting: MMP is an annual cross-sectional study that reports representative estimates on adults with diagnosed HIV in the United States. Methods: We used MMP data collected during June 2019-May 2021 to calculate weighted percentages of cisgender men and cisgender women with HIV aged 55 years or older with unmet needs for ancillary services, overall and by selected characteristics (N = 3200). Unmet need was defined as needing but not receiving a given ancillary service. We assessed differences between groups using prevalence ratios (PRs) and 95% confidence intervals with predicted marginal means. Results: Overall, 37.7% of cisgender men and women with HIV aged 55 years or older had ≥1 unmet need for ancillary services. Overall, 16.6% had ≥1 unmet need for HIV support services, 26.9% for non-HIV medical services, and 26.7% for subsistence services. There were no statistically significant differences in unmet needs for services by gender. The prevalence of ≥1 unmet need was higher among non-White persons (PR range: 1.35-1.63), persons who experienced housing instability (PR = 1.70), and those without any private insurance (PR range: 1.49-1.83). Conclusion: A large percentage of older PWH have unmet needs for ancillary services. Given the challenges that older PWH face related to the interaction of HIV and aging-associated factors, deficits in the provision of ancillary services should be addressed. Competing Interests: The authors have no conflicts of interest to disclose. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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