More than a fifth of people living with HIV in the US President's Emergency Plan for AIDS Relief-supported programmes are older individuals, defined as aged 50 years and older, yet optimal person-centred models of care for older adults with HIV in sub-Saharan Africa, including screening and treatment for geriatric syndromes and common comorbidities associated with ageing, remain undefined. This Position Paper explores the disproportionate burden of comorbidities and geriatric syndromes faced by older adults with HIV, with a special focus on women. We seek to motivate global interest in improving quality of life for older people with HIV by presenting available research and identifying research gaps for common geriatric syndromes, including frailty and cognitive decline, and multimorbidity among older people with HIV in sub-Saharan Africa. We share two successful models of holistic care for older people with HIV that are ongoing in Zimbabwe and Kenya. Lastly, we provide policy, research, and implementation considerations to best serve this growing population.

中文翻译：

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为撒哈拉以南非洲地区感染艾滋病毒的老年人提供以人为本的护理


在美国总统艾滋病紧急救援计划支持的计划中，超过五分之一的艾滋病毒感染者是老年人（定义为 50 岁及以上），但撒哈拉以南地区为感染艾滋病毒的老年人提供了以人为本的最佳护理模式非洲，包括老年综合症和与衰老相关的常见合并症的筛查和治疗，仍然不明确。本立场文件探讨了感染艾滋病毒的老年人所面临的不成比例的合并症和老年综合症负担，特别关注女性。我们通过介绍现有研究并确定常见老年综合症的研究差距，包括撒哈拉以南非洲艾滋病毒感染者的虚弱和认知能力下降以及多种疾病，力求激发全球对改善艾滋病毒感染者生活质量的兴趣。我们分享津巴布韦和肯尼亚正在实施的两种针对艾滋病毒老年人的整体护理的成功模式。最后，我们提供政策、研究和实施考虑因素，以最好地服务于这一不断增长的人口。