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Fostering healthy cognitive ageing in people living with HIV, New Position Paper
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Download the PDF here
Download the PDF here
This Position Paper was developed by the NeuroHIV and Aging Advocacy Group, which was formed through a long-term dialogue between community leaders (most of whom are people living with HIV and some of whom are people living with HIV-associated neurocognitive disorders [HAND]), researchers, and health-care providers with the aim of finding immediate solutions for optimising cognitive, mental, and brain health for people ageing with HIV (appendix p 1)
Summary
Prevalence and incidence of HIV among people aged 50 years and older continue to rise worldwide, generating increasing awareness among care providers, scientists, and the HIV community about the importance of brain health in older adults with HIV. Many age-related factors that adversely affect brain health can occur earlier and more often among people with HIV, including epigenetic ageing, chronic medical conditions (eg, cardiovascular disease), and age-related syndromes (eg, frailty). Extensive dialogue between HIV community leaders, health-care providers, and scientists has led to the development of a multidimensional response strategy to protect and enhance brain health in people ageing with HIV that spans across public health, clinical spaces, and research spaces. This response strategy was informed by integrated ageing care frameworks and is centred on prevention, early detection, and management of brain health issues associated with HIV (eg, neurocognitive disorders), with specific considerations for low-resource or middle-resource countries. A collaborative, international, and data-informed update of the diagnostic criteria for HIV-associated neurocognitive disorders is a cornerstone of the proposed response strategy. The proposed response strategy includes a dynamic, international, online knowledge hub that will provide a crucial community resource for emerging evidence on the brain health of people ageing with HIV.
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