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

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

Certain comorbidities known to increase the risk of poor outcomes in COVID-19 exist at higher rates in people with HIV; people aging with HIV (PAWH) face additional risk due to the association of advanced age with COVID-19 mortality. Cognitive and functional deficits and social barriers have been id...

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Bibliographic Details
Published in:AIDS care Vol. 34; no. 11; pp. 1355 - 1363
Main Authors: Schmalzle, Sarah A., Viviano, Nicole A., Mohanty, Kareshma, Palmeiro, Robyn M., Hoffmann, Jennifer D., Sheth-Pandit, Neha, Gruber-Baldini, Ann, Stafford, Kristen A.
Format: Journal Article
Language:English
Published: England Taylor & Francis 02-11-2022
Taylor & Francis Ltd
Subjects:
Age
Aged
Aging
Cognitive ability
Comorbidity
Coronaviruses
COVID-19
COVID-19 - psychology
Functional impairment
Health care access
Health care industry
HIV
HIV Infections - epidemiology
Human immunodeficiency virus
Humans
Immunization
Middle Aged
Mortality
Mortality risk
Older people
Older people with HIV
Pandemics
Pandemics - prevention & control
people aging with HIV
Public health
Risk
SARS CoV-2
social distancing
social isolation
Telemedicine
Vaccination
COVID-19
social isolation
SARS CoV-2
Older people with HIV
people aging with HIV
social distancing
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Description
Summary:Certain comorbidities known to increase the risk of poor outcomes in COVID-19 exist at higher rates in people with HIV; people aging with HIV (PAWH) face additional risk due to the association of advanced age with COVID-19 mortality. Cognitive and functional deficits and social barriers have been identified in cohorts of people aging with HIV. It is postulated that the COVID-19 pandemic potentially threatens PAWH disproportionately to the general population, both in mortality risk due to age and comorbidities, and in potential deleterious effects of policies that seek to drastically limit in-person interaction and access to healthcare systems. A description of and preliminary data from a demonstration project to improve geriatric assessments of people with HIV over age 50 in an urban HIV clinic are presented, in support of this theory. Advice is offered on key strategies utilized to continue to provide care to PAWH during the COVID-19 pandemic, including transition to telemedicine, vaccination, revision of staff roles, repurposing of funding, and a new reliance on available local resources.
Bibliography:ObjectType-Article-1
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ISSN:0954-0121
1360-0451
DOI:10.1080/09540121.2021.2020208