“I suppose in our culture, old means no sex”: PLWH and healthcare provider views on factors influencing late HIV testing and diagnosis among older adults in Malaysia DOI

Hoi Yee Wong,

Reena Rajasuriar, Pui Li Wong

et al.

AIDS Care, Journal Year: 2024, Volume and Issue: 36(9), P. 1310 - 1324

Published: March 25, 2024

The proportion of new HIV diagnoses among older adults aged ≥50 years continues to rise. Older are at higher risk late diagnosis which is associated with treatment complexity and poorer health outcomes. Few studies in the Asia-Pacific region have explored factors contributing presentation this population. Thus, our study aimed explore influencing Malaysia. We conducted in-depth interviews 16 newly diagnosed (OPLWH) focus group discussions seven healthcare providers (HCPs) from different specialties an academic tertiary hospital All sessions were audio-recorded, transcribed verbatim analysed thematically. Three main themes related OPLWH emerged: (1) challenge recognizing symptoms persons, (2) persons HCPs having low index suspicion (3) poor acceptance testing due perceived personal social identities. often missed these collectively culminated experiencing complex diagnostic journeys resulting diagnosis. To reduce delays diagnosis, strategies needed improve knowledge perception both HCPs.

Language: Английский

Care of people aging with HIV in resource limited settings DOI
Reena Rajasuriar, Jessica L. Castilho, Barbara Castelnuovo

et al.

Current Opinion in HIV and AIDS, Journal Year: 2025, Volume and Issue: unknown

Published: April 24, 2025

Purpose of review This explores the unique challenges faced by older people with HIV (PWH) in resource-limited settings, particularly managing age-related health issues alongside HIV. It highlights gaps healthcare systems, structural barriers, and need for better integration services to improve outcomes. Recent findings There is currently a lack integrated aging PWH, resulting delayed treatment noncommunicable diseases. also limited geriatric expertise care which exacerbates diagnosing conditions. Women face additional barriers due gender disparities but have representation research. Furthermore, adults acquiring are often diagnosed late, leading poorer Summary calls integrating into programs, improving training, garnering greater consensus on assessment tools Additionally there more targeted prevention programs who remain at risk presenting late care.

Language: Английский

Citations

0
“I suppose in our culture, old means no sex”: PLWH and healthcare provider views on factors influencing late HIV testing and diagnosis among older adults in Malaysia DOI

Hoi Yee Wong,

Reena Rajasuriar, Pui Li Wong

et al.

AIDS Care, Journal Year: 2024, Volume and Issue: 36(9), P. 1310 - 1324

Published: March 25, 2024

The proportion of new HIV diagnoses among older adults aged ≥50 years continues to rise. Older are at higher risk late diagnosis which is associated with treatment complexity and poorer health outcomes. Few studies in the Asia-Pacific region have explored factors contributing presentation this population. Thus, our study aimed explore influencing Malaysia. We conducted in-depth interviews 16 newly diagnosed (OPLWH) focus group discussions seven healthcare providers (HCPs) from different specialties an academic tertiary hospital All sessions were audio-recorded, transcribed verbatim analysed thematically. Three main themes related OPLWH emerged: (1) challenge recognizing symptoms persons, (2) persons HCPs having low index suspicion (3) poor acceptance testing due perceived personal social identities. often missed these collectively culminated experiencing complex diagnostic journeys resulting diagnosis. To reduce delays diagnosis, strategies needed improve knowledge perception both HCPs.

Language: Английский

Citations

1