Substance use among older people living with HIV: Challenges for health care providers

Sherry Deren, Tara Cortes, Victoria Vaughan Dickson, Vincent Guilamo, Benjamin H. Han, Stephen Karpiak, Madeline Naegle, Danielle Ompad, Bei Wu

Research output: Contribution to journalReview article

Abstract

Older people living with HIV (OPLWH) have higher rates of substance use (tobacco, alcohol and other drugs) than their HIV-negative peers. Addressing health care needs of OPLWH who use substances is more challenging than for those who do not: they are highly impacted by comorbid conditions, substance use can interact with other medications (including antiretroviral therapy-ART) and reduce their effectiveness, and substance use has been associated with reduced adherence to ART and increased risky behaviors (including sexual risks). People who use substances also suffer disparities along the HIV continuum of care, resulting in lower viral suppression rates and poorer health outcomes. They are especially impacted by stigma and stress, which have implications for HIV treatment and care. Recommendations for health care providers working with OPLWH who use substances include: 1) the need to screen and refer for multiple associated conditions, and 2) training/continuing education to enhance care management and maximize health outcomes.

Original languageEnglish (US)
Article number94
JournalFrontiers in Public Health
Volume7
Issue numberAPR
DOIs
StatePublished - Jan 1 2019

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Health Personnel
HIV
Continuity of Patient Care
Continuing Education
Health
Tobacco Use
Sexual Behavior
Alcohols
Delivery of Health Care
Therapeutics
Pharmaceutical Preparations

Keywords

  • Aging
  • Alcohol
  • Comorbidities
  • HIV
  • Smoking
  • Substance use

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Substance use among older people living with HIV : Challenges for health care providers. / Deren, Sherry; Cortes, Tara; Vaughan Dickson, Victoria; Guilamo, Vincent; Han, Benjamin H.; Karpiak, Stephen; Naegle, Madeline; Ompad, Danielle; Wu, Bei.

In: Frontiers in Public Health, Vol. 7, No. APR, 94, 01.01.2019.

Research output: Contribution to journalReview article

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