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Aging with HIV - An Epidemiological Profile of Persons with Diagnosed HIV Aged 50 Years and Older in New York State, 2012-2021, new HIV more likely to have late diagnosis/stage 3 HIV, female white, heterosexual sex, IDU.....heart disease/cancers leading cause of death NYC
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July 18, 2024
Among new diagnoses in 2021, persons aged 50 and older were more likely to have a stage 3 HIV diagnosis.
The result of a growing trend of cardiovascular COD among persons diagnosed with HIV and aged 50 and older from our analysis supports previous finding of an increased risk of aging-associated diseases in PLWDH.19 Despite the difference in the age distribution, our analysis showed a lower median age at death in PLWDH who aged 50 and older than that of individuals of all ages without HIV (64.9 years).
In NYS, 57% of PLWDH were aged 50 and older as of December 31st, 2021, and 18% of new diagnoses in 2021 were among persons aged 50 and older
an increasing number of deaths was observed among persons aged 50 and older, along with a growing median age at death. The median age at death in persons diagnosed with HIV aged 50 and older increased from 58 years in 2012 to 63 years in 2021 (Figure 1).
The result of a growing trend of cardiovascular COD among persons diagnosed with HIV and aged 50 and older from our analysis supports previous finding of an increased risk of aging-associated diseases in PLWDH.
During this same time, an increasing percentage of cardiovascular COD was observed from 15% to 25%. Starting in 2020, COVID-19 accounted for 20% of deaths and dropped to 9% of deaths 2021. During these two years, there was a decreased percentage of COD related to HIV, cardiovascular, cancer and respiratory diseases, however, deaths related to overdose increased (not shown).
There was a greater percentage of females diagnosed with HIV among persons aged 50 and older compared to persons aged less than 50 (32% vs 15%). A higher proportion of non-Hispanic White and a lower proportion of Hispanic individuals was also observed among
persons aged 50 and older newly diagnosed with HIV.
our analysis showed a lower median age at death in PLWDH who aged 50 and older than that of individuals of all ages without HIV (64.9 years). The median age at death in persons diagnosed with HIV aged 50 and older increased from 58 years in 2012 to 63 years in 2021 (Figure 1).
Studies have shown that HIV can accelerate aging in HIV seroconverters11, persons with HIV may be aging at a faster rate,12-13 older persons with HIV may have higher levels of multimorbidity compared with persons of similar age without HIV,2-5
It is crucial to appropriately equip our health care system to meet the needs of the growing population of older persons with HIV, by integrating aging services, HIV prevention and care services, and social support systems.
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WH NY Death Rates/Heart Disease Leading Cause of Death
www.natap.org
HIV Death Rates Almost Double in NYC Compared to General Population; Heart Disease is A Leading Increasing Cause of Death in NYC
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Abstract
Background:
Advanced antiretroviral treatment has led to a growing population of older persons with HIV. To understand the characteristics of persons aging with HIV, this analysis examines epidemiological profiles of persons with diagnosed HIV through 2021 aged 50 and older in New York State.
Methods:
Persons diagnosed with HIV and reported to the NYS HIV registry by December 31, 2021 were included in the analysis. Characteristics of persons aged 50 years and older were compared to persons aged less than 50 years.
Results:
Persons diagnosed with HIV and aged 50 and older more often reported heterosexual transmission risk and were more often females than individuals diagnosed with HIV under age 50. Among new diagnoses in 2021, persons aged 50 and older were more likely to have a stage 3 HIV diagnosis. By the end of 2021, 57% of persons living with diagnosed HIV were aged 50 and older. There was an upward trend of deaths with cardiovascular disease as an underlying cause of death among persons aged 50 years and older.
Conclusions:
More females diagnosed with HIV and a higher percent of persons who reported heterosexual transmission risk among persons aged 50 and older suggest a need for enhanced clinician education and sexual health discussions with this adult population. A greater rate of stage 3 HIV diagnoses in persons aged 50 and older emphasizes the need for specialized HIV testing and treatment, care for comorbidities, and social supports for this aging population.
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