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Service utilization among older people with AIDS: implications for case management

C A Emlet

    Journal of Case Management
    |January 1, 1993
    PubMed
    Summary

    Older adults diagnosed with Acquired Immunodeficiency Syndrome (AIDS) show greater functional impairment and less use of emotional support services compared to younger patients. This highlights unique needs in this growing demographic.

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    Area of Science:

    • Gerontology
    • Infectious Diseases
    • Public Health

    Background:

    • Individuals over 50 represent a significant and consistent proportion (10%) of Acquired Immunodeficiency Syndrome (AIDS) diagnoses in the U.S.
    • Older adults with AIDS exhibit distinct clinical progressions and service requirements compared to younger populations.
    • Understanding these differences is crucial for effective healthcare and support strategies.

    Purpose of the Study:

    • To compare the functional status and service utilization of older adults (over 50) with AIDS to their younger counterparts.
    • To identify specific challenges faced by older individuals in managing AIDS and accessing support systems.

    Main Methods:

    • A comparative analysis was conducted on 49 patients diagnosed with AIDS.
    • The study group included 10 patients aged 50 and over, compared with those under 50.
    • Data collected focused on functional impairment at home care program enrollment and utilization of emotional support services.

    Main Results:

    • Older patients (over 50) demonstrated significantly greater functional impairment upon entering a home care program.
    • Individuals over 50 were less inclined to utilize emotional support services offered by the AIDS support network.
    • These findings suggest a disparity in needs and service engagement between age groups.

    Conclusions:

    • Older adults with AIDS present with higher levels of functional impairment and lower engagement with emotional support services.
    • Tailored interventions and support services are necessary to address the unique needs of the aging population with AIDS.
    • Further research should explore barriers to service utilization among older individuals with chronic illnesses like AIDS.

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