"They didn't think we'd live this long": A qualitative exploration of older adults living with HIV perspectives on geriatric care in Ontario.

IF 2.8 3区医学 Q2 INFECTIOUS DISEASES

HIV Medicine Pub Date : 2025-05-22 DOI:10.1111/hiv.70047

Kristina M Kokorelias, Dean Valentine, Andrew D Eaton, Erica Dove, Esther Su, Christine L Sheppard, Stuart McKinlay, Paige Brown, Hardeep K Singh, Marina B Wasilewski, Ashley Flanagan, Alice Zhabokritsky, Reham Abdelhalim, Rabea Parpia, Rahel Zewude, Laura Jamieson, Sharon Walmsley, Luxey Sirisegaram

{"title":"\"They didn't think we'd live this long\": A qualitative exploration of older adults living with HIV perspectives on geriatric care in Ontario.","authors":"Kristina M Kokorelias, Dean Valentine, Andrew D Eaton, Erica Dove, Esther Su, Christine L Sheppard, Stuart McKinlay, Paige Brown, Hardeep K Singh, Marina B Wasilewski, Ashley Flanagan, Alice Zhabokritsky, Reham Abdelhalim, Rabea Parpia, Rahel Zewude, Laura Jamieson, Sharon Walmsley, Luxey Sirisegaram","doi":"10.1111/hiv.70047","DOIUrl":null,"url":null,"abstract":"Introduction: Advances in human immunodeficiency virus (HIV) care have increased life expectancy, leading to more older adults living with HIV. This study examines older adults' perspectives on geriatric healthcare needs.Methods: A community-based qualitative study in Ontario, Canada, recruited some adults aged 50+ years living with HIV through quota and purposive sampling. Quota sampling was used to include individuals of different ages, genders and ethno-racial backgrounds to capture a range of experiences. Data were collected via semi-structured interviews and focus groups, analyzed using the Qualitative Analysis Guide of Leuven.Results: Participants included interviewees (n = 14) and focus group attendees (n = 12). Four themes emerged: (1) lack of knowledge and access to geriatric care, highlighting service challenges; (2) healthcare providers' understanding of HIV and ageing, with stigma concerns; (3) role of social support networks for emotional/practical support; and (4) requirements for improved geriatric care, advocating provider education and greater social care access.Conclusions: Gaps in geriatric care for older adults with HIV highlight stigma, access issues and the need for education, virtual care and tailored, inclusive healthcare solutions.","PeriodicalId":13176,"journal":{"name":"HIV Medicine","volume":" ","pages":""},"PeriodicalIF":2.8000,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"HIV Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/hiv.70047","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: Advances in human immunodeficiency virus (HIV) care have increased life expectancy, leading to more older adults living with HIV. This study examines older adults' perspectives on geriatric healthcare needs.

Methods: A community-based qualitative study in Ontario, Canada, recruited some adults aged 50+ years living with HIV through quota and purposive sampling. Quota sampling was used to include individuals of different ages, genders and ethno-racial backgrounds to capture a range of experiences. Data were collected via semi-structured interviews and focus groups, analyzed using the Qualitative Analysis Guide of Leuven.

Results: Participants included interviewees (n = 14) and focus group attendees (n = 12). Four themes emerged: (1) lack of knowledge and access to geriatric care, highlighting service challenges; (2) healthcare providers' understanding of HIV and ageing, with stigma concerns; (3) role of social support networks for emotional/practical support; and (4) requirements for improved geriatric care, advocating provider education and greater social care access.

Conclusions: Gaps in geriatric care for older adults with HIV highlight stigma, access issues and the need for education, virtual care and tailored, inclusive healthcare solutions.

查看原文本刊更多论文

“他们没想到我们会活这么久”：对安大略省老年护理中感染艾滋病毒的老年人的定性探索。

导言：人类免疫缺陷病毒（HIV）护理的进步提高了预期寿命，导致更多的老年人感染HIV。本研究探讨老年人对老年保健需求的看法。方法：在加拿大安大略省开展以社区为基础的定性研究，采用定额抽样和目的抽样的方法，招募50岁以上成年HIV感染者。配额抽样被用于包括不同年龄、性别和种族背景的个人，以获得一系列的经验。通过半结构化访谈和焦点小组收集数据，使用鲁汶定性分析指南进行分析。结果：参与者包括受访者（n = 14）和焦点小组参与者（n = 12）。出现了四个主题：(1)缺乏知识和获得老年保健的机会，突出了服务挑战；(2)卫生保健提供者对艾滋病毒和老龄化的理解，以及污名化问题；(3)社会支持网络在情感/实践支持中的作用；(4)改善老年护理的要求，提倡提供者教育和更大的社会护理机会。结论：感染艾滋病毒的老年人在老年护理方面的差距突出了耻辱、可及性问题以及对教育、虚拟护理和量身定制的包容性医疗保健解决方案的需求。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

HIV Medicine 医学-传染病学

CiteScore

5.10

自引率

10.00%

发文量

167

审稿时长

6-12 weeks

期刊介绍： HIV Medicine aims to provide an alternative outlet for publication of international research papers in the field of HIV Medicine, embracing clinical, pharmocological, epidemiological, ethical, preclinical and in vitro studies. In addition, the journal will commission reviews and other feature articles. It will focus on evidence-based medicine as the mainstay of successful management of HIV and AIDS. The journal is specifically aimed at researchers and clinicians with responsibility for treating HIV seropositive patients.