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

• 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
• ISSN: 0954-0121; 1360-0451
• DOI: 10.1080/09540121.2021.2020208

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.