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People aging with HIV - protecting a population vulnerable to effects of COVID-19 and its control measures

Sarah A Schmalzle1,2, Nicole A Viviano3, Kareshma Mohanty4

  • 1Department of Medicine, Division of Infectious Disease, University of Maryland Medical Center, Baltimore, MD, USA.

AIDS Care
|December 24, 2021
PubMed

Insights

People aging with HIV face higher COVID-19 risks due to comorbidities and age. Strategies like telemedicine and vaccination are crucial for their care during the pandemic.

Area of Science:

  • Geriatric Medicine
  • Infectious Diseases
  • Public Health

Background:

  • People aging with HIV (PAWH) have higher rates of comorbidities increasing COVID-19 mortality risk.
  • Cognitive, functional, and social challenges are prevalent in PAWH.
  • The COVID-19 pandemic may disproportionately affect PAWH due to age, comorbidities, and healthcare access limitations.

Purpose of the Study:

  • To describe a demonstration project improving geriatric assessments for people with HIV over 50.
  • To present preliminary data supporting the theory of disproportionate pandemic threat to PAWH.
  • To offer strategies for continued care of PAWH during the COVID-19 pandemic.

Main Methods:

  • Description of a demonstration project focused on geriatric assessments in an urban HIV clinic.
  • Preliminary data collection and analysis from the project.
  • Review of strategies for adapting care delivery during the pandemic.

Main Results:

  • Preliminary data from the demonstration project are presented.
  • Key strategies for care adaptation were identified and implemented.
  • The study supports the hypothesis that PAWH are at heightened risk.

Conclusions:

  • PAWH are at increased risk from COVID-19 due to age and comorbidities.
  • Adapting healthcare delivery, including telemedicine and vaccination, is vital for PAWH.
  • Continued support and resources are essential for this vulnerable population.

Keywords:
COVID-19Older people with HIVSARS CoV-2people aging with HIVsocial distancingsocial isolation

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