孤独
预期寿命
多药
社会心理的
医学
公共卫生
老年学
心理干预
人类免疫缺陷病毒(HIV)
柱头(植物学)
人口
萧条(经济学)
精神科
家庭医学
护理部
重症监护医学
环境卫生
经济
宏观经济学
作者
Martin M. Zdanowicz,Beatriz Valdes,Deborah Salani
摘要
Abstract As a result of significant advances in antiretroviral therapy (ART), the number of people living with human immunodeficiency virus (PLWH) who are alive well into their senior years has increased significantly in recent years. While increased life expectancy is a highly desired outcome for PLWH, it brings with it a number of challenges that are only now starting to be understood and fully appreciated. These challenges include higher rates of co‐morbidities, polypharmacy, drug side effects, and cognitive deficits, as well as numerous psychosocial issues such as stigma, loneliness, and depression. Older PLWH also face challenges related to housing, health insurance, and long‐term care. This review will discuss many of the challenges faced by older PLWH and present clinical and public health responses with suggested interventions that may improve outcomes for this population.
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