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Aging/HIV is the Elephant in the Room / '60 is the new 70'
  "long-term survivors like himself have been left adrift........"
from Jules: in HIV 60 is the new 70....and 55 is the new 65
The aging HIV population: new challenges and market opportunities / Cure - (06/01/16)
Aging/HIV IGNORED....The aging survivors left behind by AIDS - (03/09/16)
"men are now in their 60s, mostly alone and in need of help.....lonely, nearly forgotten generation who live isolated and frail....lost companions and loved ones who died.....aren't prepared, and neither is San Francisco, for the extra years.....Survivors are saddled with serious health problems that leave them weak and unable to work.....they made no long-term financial plans, leaving them vulnerable in an expensive city with scarce housing. Private disability plans are running out, pushing many into poverty"
The First HIV/AIDS Generation Reaches Retirement Age - (09/22/14) ......many older HIV-infected people have survivor's guilt, and for some that has led to depression, anxiety and self-worth difficulties.....neuropathy-nerve damage in the limbs.....harder time keeping a positive attitude, and some have turned to drugs. .....meth took the depression and anxiety away..... It's an escape."......MRIs have shown that blood flow in the brains of patients with HIV tends to be at the same reduced levels found in noninfected people who are 15 to 20 years older, according to a study published in The Journal of Infectious Diseases.
HIV & Aging in SF: age-57; 35-60%
median age 57....mean CD4 count 507...40% reported falls in the previous year.....32% had severe/moderate loneliness, 50% low degree of perceived social support, 49.9% low physical social support, 26% moderate/severe depression, 33% possible cognitive impairment, 26.8% anxiety, 12.5% PTSD, 11% poor/very poor/fair adherence, 30% fair/poor health, 60% income <20,000, 30% illicit drug use......"On cognitive screening, 40% had MOCA (mental/cognitive) scores < 26; 58% had findings of loneliness; 60% the lowest levels of perceived social support; 55% depression; 50% anxiety; 12% PTSD (Table 2).....On functional screening, 26% (91) reported difficulty with ≥1 ADL, 39% (136) reported they needed assistance with ≥1 IADL, and 40% reported falls in the previous year (Table 2).....slower gait speed and chair-to-standing times (p=0.002, p=0.003). They also had lower anxiety (p = 0.013) and less alcohol use (p=0.009)"
"We see no reason why true acceleration of aging could not increase cancer risk
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