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Journal of HIV/AIDS & Social Services Volume 15, 2016 - Issue 4: HIV Across the Lifespan
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ARTICLES

Neurocognitive functioning in an urban clinic-based sample of adults ages 50 and older living with HIV

Perry N. HalkitisCenter for Health, Identity, Behavior, and Prevention Studies, College of Global Public Health, New York University, New York, NY, USA;Department of Population Health, Langone School of Medicine, New York University, New York, NY, USA;School of Global Public Health, New York University, New York, NY, USA;Department of Applied Psychology, Steinhardt School, New York University, New York, NY, USACorrespondence[email protected]
,
Paul A. D’AvanzoCenter for Health, Identity, Behavior, and Prevention Studies, College of Global Public Health, New York University, New York, NY, USA
,
Christopher B. StultsCenter for Health, Identity, Behavior, and Prevention Studies, College of Global Public Health, New York University, New York, NY, USA
,
Michael D. LevyCenter for Health, Identity, Behavior, and Prevention Studies, College of Global Public Health, New York University, New York, NY, USA
,
Kristen D. KrauseCenter for Health, Identity, Behavior, and Prevention Studies, College of Global Public Health, New York University, New York, NY, USA
,
Sandra A. KuppratCenter for Health, Identity, Behavior, and Prevention Studies, College of Global Public Health, New York University, New York, NY, USA
,
Gerald VoelbelDepartment of Occupational Therapy, New York University, New York, NY, USA
,
Antonio E. UrbinaMount Sinai Health System, New York, NY, USA
&
Farzana KapadiaCenter for Health, Identity, Behavior, and Prevention Studies, College of Global Public Health, New York University, New York, NY, USA;Department of Population Health, Langone School of Medicine, New York University, New York, NY, USA;School of Global Public Health, New York University, New York, NY, USA
 show all
Pages 428-449 | Received 22 Jan 2016, Accepted 10 Aug 2016, Published online: 07 Sep 2016
 
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ABSTRACT

We administered a battery of neurocognitive tests to 100 HIV-positive men and women ages 50 to 70 seeking care at a large Northeastern urban HIV care clinic. Performance on neurocognitive assessments varied by demographic states. Across all assessments, approximately 28% of participants reached the threshold for borderline performance while 13% reached the threshold for impairment. When tests were grouped by domain of neurocognitive functioning, 12% of the sample met the threshold for impairment on executive functioning and 19% for processing speed. The findings demonstrate that neurocognitive declines may vary by domains of functioning, that disparities may exist across subpopulations of the seropositive aging population, and that these challenges may exist even in those actively engaged in HIV care.

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