The aging HIV/AIDS population: fragile social networks

Area of Science:

• Gerontology
• Public Health
• Infectious Diseases

Background:

• Social support is crucial for aging populations.
• A significant portion of people living with HIV/AIDS (PLWH) are aging, particularly in urban centers like NYC.
• Older PLWH face unique challenges including stigma and ageism.

Purpose of the Study:

• To profile the social networks of aging adults living with HIV/AIDS in NYC.
• To understand the sources of social support for this demographic.
• To identify potential challenges to their care and support systems.

Main Methods:

• Cross-sectional study of 160 adults living with HIV/AIDS in NYC.
• Analysis of demographic characteristics, living situations, and social network composition.
• Examination of reliance on formal and informal support systems, including healthcare utilization.

Main Results:

• The study sample (n=160) reflects NYC HIV/AIDS epidemiology (34% female, 89% people of color).
• Aging adults with HIV/AIDS report isolation from traditional support networks (partners, family) due to HIV stigma and ageism.
• Participants heavily rely on friends, often also HIV-positive, for support; many live alone and lack partners.

Conclusions:

• Aging adults with HIV/AIDS possess fragile social networks, exacerbated by lack of traditional caregivers.
• Age-related comorbidities will further challenge these networks.
• This demographic's needs will significantly impact healthcare delivery and community-based programs without adequate support structures.