A new study from South Korea reveals that people aged 50 and older living with HIV continue to face significant health management challenges despite maintaining stable viral suppression through treatment.
Published in BMC Public Health, the qualitative research involved interviews with 12 participants averaging 58 years old, who have been living with HIV for about 19 years. While all had successfully kept their viral loads undetectable through consistent medication, researchers identified major obstacles in managing their overall health as they age.
Participants reported diagnoses of other chronic conditions such as diabetes, hypertension, and dental problems. However, seeking treatment outside infectious disease clinics often proved difficult. Some hospitals reportedly refused surgeries after learning of patients’ HIV status, forcing even those with minor ailments, like nasal allergies, to seek care at university hospitals.
Mental health emerged as a primary concern, with loneliness and living alone contributing to difficulties recognizing psychological issues. Many participants highlighted a lack of appropriate counseling, citing insufficient expertise on HIV and LGBTQ+ issues among healthcare professionals.
Social isolation was another key challenge. Most participants (83%) lived alone, with shrinking social networks and frequent exclusion from wider social circles including friends and family. Prior studies cited by the research note that 45% of Korean HIV patients do not disclose their infection status publicly.
Long-term care options remain scarce, with only a handful of facilities available for HIV-positive individuals, often in poor condition. Participants expressed fears about developing dementia or other age-related disabilities that could impact their independence.
The researchers conclude that while HIV treatment is effective, aging and the combined physical, mental, and social health challenges require comprehensive interventions to better support this growing population.
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