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Epidemiol Infect. 2018 Jul;146(10):1308-1311. doi: 10.1017/S0950268818001346. Epub 2018 May 30.

Trends in proportion of older HIV-infected people in care in Latin America and the Caribbean: a growing challenge.

Author information

1
Departmento de Infectología,Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán,Mexico City,Mexico.
2
Department of Biostatistics,Vanderbilt University,Nashville,USA.
3
Infectious Disease Clinic, Universidad Peruana Cayetano Heredia,Lima,Peru.
4
Fundación Huésped,Buenos Aires,Argentina.
5
Instituto de Pesquisa Clínica Evandro Chagas, Fundacão Oswaldo Cruz,Rio de Janeiro,Brazil.
6
Department of Infectious Diseases,Fundación Arriarán,Santiago de Chile,Chile.
7
Les Centres GHESKIO, Integrated Care Center and Research Instituti,Port-au-Prince,Haiti.
8
Department of Infectious Diseases,Hospital Escuela Universitario,Tegucigalpa,Honduras.
9
Department of Medicine,Vanderbilt University,Nashville,USA.

Abstract

We aimed to quantify the proportion of people receiving care for HIV-infection that are 50 years or older (older HIV patients) in Latin America and the Caribbean between 2000 and 2015 and to estimate the contribution to the growth of this population of people enrolled before (<50yo) and after 50 years old (yo) (⩾50yo). We used a series of repeated, cross-sectional measurements over time in the Caribbean, Central and South American network (CCASAnet) cohort. We estimated the percentage of patients retained in care each year that were older HIV patients. For every calendar year, we divided patients into two groups: those who enrolled before age 50 and after age 50. We used logistic regression models to estimate the change in the proportion of older HIV patients between 2000 and 2015. The percentage of CCASAnet HIV patients over 50 years had a threefold increase (8% to 24%) between 2000 and 2015. Most of the growth of this population can be explained by the increasing proportion of people that enrolled before 50 years and aged in care. These changes will impact needs of care for people living with HIV, due to multiple comorbidities and high risk of disability associated with aging.

KEYWORDS:

Aging; Caribbean; HIV/AIDS; Latin America; older

PMID:
29843838
PMCID:
PMC6062450
DOI:
10.1017/S0950268818001346
[Indexed for MEDLINE]
Free PMC Article

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