“Facing the Future: Aging with HIV in America”
The aging population of people living with HIV in the United States is a growing concern for advocates, doctors, government officials, and researchers. Malcolm Reid, a 66-year-old advocate for people with HIV, recently celebrated the anniversary of his HIV diagnosis on Facebook. He is part of a demographic shift where more than half of people living with HIV are 50 or older. By 2030, it is estimated that 70% of people living with HIV will fall into this age range.
Aging with HIV presents a unique set of challenges, including an increased risk of health problems such as diabetes, depression, and heart disease. The long-term use of antiretroviral therapies and harsh medications can lead to inflammation and other complications. Many older individuals living with HIV also face the “dual stigma” of ageism and anti-HIV bias, along with high rates of anxiety, depression, and substance use disorders.
The U.S. healthcare system is struggling to meet the needs of this aging population, with funding constraints, workforce shortages, and untrained providers creating barriers to care. The Ryan White HIV/AIDS Program, which serves more than half of Americans living with HIV, is facing challenges in balancing priorities and meeting the complex care needs of older individuals with HIV.
Despite efforts to improve care for older people living with HIV, such as a recent $13 million program launched by HRSA, advocates like Jules Levin are calling for more attention and resources to address the unique needs of this population. The lack of appropriate care and support for elderly individuals living with HIV could have disastrous consequences if not addressed promptly.
As the number of older individuals living with HIV continues to rise, it is crucial for policymakers, healthcare providers, and advocates to work together to ensure better access to affordable care, combat ageism, and provide the necessary support for this vulnerable population. Failure to address these issues could undermine the progress made in the fight against HIV and jeopardize the health and well-being of those aging with the virus.