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Original Articles

The aging HIV/AIDS population: Fragile social networks

Pages 246-254 | Received 02 Feb 2003, Accepted 02 Apr 2004, Published online: 19 Oct 2010
 

Abstract

Social support becomes an increasingly critical resource for people as they age. In New York City, 25% of all people living with HIV/AIDS are over age 50, and 64% are over age 40. This study sample (n = 160) reflects current HIV/AIDS epidemiology, with 34% females and 89% people of color. This study provides a detailed profile of this growing, aging cohort and their social networks. Our study finds this growing group of aging adults is isolated from informal networks due to the stigma of HIV/AIDS and ageism. Typically, partners and family members are key sources of informal support, but only 1/3 of respondents had a partner and 71% lived alone. This group relies heavily on friends, many of whom are also HIV-positive. Participants were in primary care and many (86%) utilized Medicaid. The fragile networks of these older adults will be challenged by age-related comorbidities. Without traditional caregivers, these aging adults with HIV/AIDS will have an immense impact on healthcare delivery and community-based programs.

Acknowledgements

This research was supported by the AIDS Community Research Initiative of America (ACRIA) and was approved by the Copernicus Group IRB (ACR01-03-032). The authors gratefully acknowledge the contributions of the research team: Philana Rowell, for her effective recruiting and assistance with testing participants and Brady Berman, for his assistance with data entry.

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