Emerging directions of cognitive aging with HIV: practice and policy implications for social work
| Autor: | Yookyong Lee, Pariya L Fazeli, Joseph N Anderson, Jun Y Byun, David E. Vance, Kristen L. Triebel, Crystal Chapman Lambert, David Scott Batey, Sai Rashmi Nakkina, Wei Li |
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| Rok vydání: | 2021 |
| Předmět: |
Gerontology
Aging Social Work Nursing (miscellaneous) business.industry Cognition Context (language use) HIV Infections HIV-associated neurocognitive disorder medicine.disease Cognitive training Policy Cognitive Reserve Cognitive Aging medicine Humans Cognitive skill business Neurocognitive Social Sciences (miscellaneous) Depression (differential diagnoses) Cognitive reserve Aged |
| Zdroj: | Journal of gerontological social work. 65(5) |
| ISSN: | 1540-4048 |
| Popis: | Cognitive impairments have been endemic to the HIV epidemic since its beginning and persist to this day. These impairments are attributed to HIV-induced neuroinflammation, the long-term effects of combination antiretroviral therapy, lifestyle factors (e.g., sedentary behavior, substance use), neuro-comorbidities (e.g., depression), age-associated comorbidities (e.g., heart disease, hypertension), and others causes. Normal aging and lifestyle also contribute to the development of cognitive impairment. Regardless of the etiology, such cognitive impairments interfere with HIV care (e.g., medication adherence) and everyday functioning (e.g., driving safely, financial management). With more than half of people with HIV (PWH) 50 years and older, and ~45% of all PWH meeting the criteria for HIV-Associated Neurocognitive Disorder (HAND), those aging PWH are more vulnerable for developing cognitive impairment. This article provides an update to a social work model to identify and monitor PWH for cognitive impairment. Within this update, the state of the science on protecting brain health and cognitive reserve within the context of neuroHIV is also presented. From this, implications for practice and policy to promote successful cognitive functioning in older PWH are provided. |
| Databáze: | OpenAIRE |
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