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HIV, Sexual Health, and Psychosocial Issues Among Older Adults Living with HIV in North America

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Abstract

It is estimated that by the year 2015, at least half of those living with HIV disease in the United States will be 50 years of age or older. Older adults with HIV disease are living longer than ever before and are living healthier and more normal lives. They continue to be involved in intimate and sexual relationships. This paper provides an overview of some epidemiological trends among older adults living with and at risk for HIV in North America and discusses the current and emerging needs and behaviours related to their sexual health. Included are issues of sexual orientation, sexual behaviour, sexual dysfunction, and sexual risk. In addition, a number of the important psychosocial needs of older adults who are living with HIV are discussed, along with recommendations for future practice, policy, and research. Given that increasingly more people living with HIV are aging, the issues of aging and HIV disease can no longer be seen as unrelated. Gerontological providers, researchers, and policy makers must begin to address the needs of this increasingly common, yet vulnerable population of older people.

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Notes

  1. The CDC has changed their terminology. Instead of using HIV/AIDS to refer to a diagnosis of HIV, regardless of AIDS status at the time of diagnosis, the CDC now uses the term diagnosis of HIV infection (CDC 2010a, p. 5).

  2. Many men who have sex with other men may not identify as gay or bisexual, thus researchers often use the term Men Who have Sex with Men or MSM. In this article, we generally use the term men who have sex with men (MSM) as the most inclusive term used to identify all men who have sex with other men, regardless of whether they identify as two-spirit, straight, gay, or bisexual.

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  1. Factor-Inwentash Faculty of Social Work, University of Toronto, 246 Bloor Street West, Toronto, ON, M5S 1V4, Canada

    David J. Brennan & Angela Eady

  2. Social Work Program, University of Washington, Tacoma, WA, USA

    Charles A. Emlet

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  1. David J. Brennan
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Correspondence to David J. Brennan.

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Brennan, D.J., Emlet, C.A. & Eady, A. HIV, Sexual Health, and Psychosocial Issues Among Older Adults Living with HIV in North America. Ageing Int 36, 313–333 (2011). https://doi.org/10.1007/s12126-011-9111-6

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