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HIV, aging, and adherence: an update and future directions
Sarah Czarna Mann1, Jose R Castillo-Mancilla
1Division of Infectious Diseases, School of Medicine, University of Colorado-AMC, Aurora, Colorado, USA.
Current Opinion in HIV and AIDS
|January 25, 2020
Summary
Older individuals living with HIV show high antiretroviral therapy (ART) adherence. Research gaps persist in understanding how aging affects adherence and pharmacokinetics in this growing population.
Area of Science:
- Geriatric Medicine
- Infectious Diseases
- Pharmacology
Background:
- The population of people living with HIV (PLWH) is aging.
- Understanding age-related factors in HIV treatment is crucial.
Purpose of the Study:
- Review recent data on antiretroviral adherence in older PLWH.
- Describe relevant antiretroviral pharmacokinetic studies.
- Identify research gaps in this demographic.
Main Methods:
- Literature review of antiretroviral adherence and pharmacokinetics in older PLWH.
- Analysis of studies using various adherence measurement tools.
- Evaluation of pharmacokinetic data in aging populations.
Main Results:
- Older PLWH generally demonstrate higher antiretroviral therapy (ART) adherence.
- No significant pharmacokinetic differences observed between older and younger PLWH.
- Current adherence measures lack a gold standard for older patients.
Conclusions:
- Aging's impact on adherence and pharmacokinetics requires further investigation.
- More research is needed on toxicity, drug interactions, and comorbidities in aging PLWH.
- Clinical trials must include older PLWH to inform treatment guidelines.
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