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Health-related quality of life of adults living with HIV in England and Wales: a utility analysis of EQ-5D-5L compared to the general population
 
 
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reported by Jules Levin, NATAP
 
BHIVA Conference April 2018 Edinburg
 
remember from my email just prior that this survey was conducted among all age groups from 15 through 65+ so answers to survey do not isolate QOL issues for those over 55 or 65. You will see below anxiety & depression is reported this ia problem by 50% with 20% reporting it as operate or severe. I guarantee that among only those >65 anxiety & depression is likely 2-3 times greater, which is why care providers are prescribing anti-depressants to so mant=y older aging HIV+, because they have no other way to deal with ut, in part because services are lacking to support these older HIV+ and because there is no leadership by local or federal officials in the USA to even begin discussing the problem nit strategizing solutions. Advocates ignore this problem completely. Is there ageism? You bet. in the USA we don't even have surveys collecting this type of information from older aging, so we have no idea how many suffer these mental health issues including social isolation & depression, and being emotional homebound & physically immobile. In NYC there is a very significant number of aging HIV+ over 65 suffering these comorbidities with disabling & declining health, physical impairment and mental status, becoming more and more isolated & self-stigmatized & unable to care for themselves, with poor health literacy, unable to do household chores or shop for food, or to understand even their full health situation and possible treatments. Limired reimbursement to doctors & clinic restrictions due to this are squeezing this population the most because they need more attention, care and support services.
 

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C Kelly, M Kall, M Auzenbergs and V Delpech Public Health England, London, UK

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