Ensuring good quality of life (QoL) among persons with diagnosed HIV (PWH) is a priority of the National HIV/AIDS Strategy (NHAS), which established 2025 goals for improving QoL. Goals are monitored through five indicators: self-rated health, unmet needs for mental health services, unemployment, hunger or food insecurity, and unstable housing or homelessness. Among the growing population of PWH aged ≥50 years, progress toward these goals has not been assessed. Data collected during the 2017-2022 cycles of the Medical Monitoring Project, an annual complex sample survey of U.S. adults with diagnosed HIV, assessed progress toward NHAS 2025 QoL goals among PWH aged ≥50 years, overall and by age group. The recent estimated annual percentage change from baseline (2017 or 2018) to 2022 was calculated for each indicator. Among PWH aged ≥50 years, the 2025 goal of 95% PWH with good or better self-rated health is 46.2% higher than the 2022 estimate. The 2025 goals of a 50% reduction in the other indicators range from 26.3% to 56.3% lower than the 2022 estimates. Decreasing hunger or food insecurity by 50% among PWH aged ≥65 was the only goal met by 2022. If recent trends continue, other NHAS QoL 2025 goals are unlikely to be met. Multisectoral strategies to improve access to housing, employment, food, and mental health will be needed to meet NHAS 2025 goals for QoL among older PWH.

中文翻译：

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实现国家艾滋病毒/艾滋病战略目标（提高 50 岁以上艾滋病毒诊断者的生活质量）的进展 - 医疗监测项目，美国，2017-2023 年。


确保艾滋病毒感染者 (PWH) 的良好生活质量 (QoL) 是国家艾滋病毒/艾滋病战略 (NHAS) 的首要任务，该战略制定了 2025 年改善生活质量的目标。通过五个指标来监测目标：自我评价的健康状况、未满足的心理健康服务需求、失业、饥饿或粮食不安全以及不稳定的住房或无家可归。在年龄≥50 岁的感染者人口不断增长的情况下，这些目标的进展尚未得到评估。医疗监测项目是一项针对美国艾滋病毒感染者的年度复杂抽样调查，该项目在 2017-2022 年周期内收集的数据评估了 50 岁以上的 PWH 的 NHAS 2025 生活质量目标的总体进展情况和按年龄组划分的情况。计算了每个指标从基线（2017 年或 2018 年）到 2022 年的最近估计年度百分比变化。在年龄≥50岁的感染者中，2025年95%的感染者自评健康状况良好或更好的目标比2022年的估计高出46.2%。 2025年其他指标减少50%的目标比2022年的估计低26.3%至56.3%。到 2022 年，将 65 岁以上的感染者饥饿或粮食不安全状况减少 50% 是唯一目标。如果最近的趋势持续下去，NHAS 2025 年生活质量的其他目标就不太可能实现。需要采取多部门战略来改善获得住房、就业、食物和心理健康的机会，以实现 NHAS 2025 年老年感染者生活质量目标。