Aging with HIV: challenges and resources to stay healthy

Ageing brings individual challenges for everyone, but for people living with HIV, additional considerations and adjustments may be required. In this article, we look at specific aspects that older people living with HIV should consider, from medical considerations to social aspects and community support. A non-exhaustive list.

Medical aspects of ageing with HIV:

  • Health monitoring: regular medical check-ups and an open dialogue with the healthcare team are crucial to keep track of health status especially for health challenges specific to people living with HIV (consequences of infection or toxicity of treatments, especially the oldest ones) or that affect them more frequently (cardiovascular problems, cancer...)...
  • Medication management: In old age, interactions can occur between HIV medications and other prescription medications. Non-prescription preparations, food supplements, etc. must also be taken into account. Careful coordination is essential.
  • Immune system and vaccinations: Older people living with HIV should take special care to strengthen their immune system. This includes regular vaccinations against diseases such as influenza, herpes zoster and pneumococcus. A balanced diet and, above all, regular exercise are highly recommended!

Social aspects and community support:

  • Stigma awareness: older people living with HIV can face stigmatisation. Raising awareness within the community and providing support can help raise awareness and reduce stigma.
  • Support groups: Sharing with like-minded people in support groups provides not only emotional support, but also practical advice and experience in dealing with HIV in older age.
  • Social support: Open communication within the (chosen) family and among acquaintances is important to create a supportive environment. Understanding the needs and challenges promotes quality of life.

Psychological well-being:

  • Psychotherapy and counselling: Dealing with HIV in old age can bring emotional challenges. Psychotherapy and professional counselling offer help in coping with stress, anxiety and depression.
  • Quality of life: A holistic approach to health should aim to improve quality of life. Maintaining interests, hobbies and social connections helps to lead a fulfilling life.

With the right medical care, social support and a conscious approach to their own mental health, people living with HIV can continue to lead fulfilling and healthy lives as they age. It is important to utilise the variety of resources available to older people living with HIV and to make community efforts to create a supportive environment that promotes well-being.