| Title | Living longer with HIV: Characteristics of persons in long-term care and home care populations |
| Publication Type | Conference Paper |
| Year of Publication | 2015 |
| Authors | Foebel A.D, Hirdes J.P, Lemick R., Tai J.W |
| Conference Name | Canadian Journal of Infectious Diseases and Medical Microbiology |
| Issue | SUPPL. SB |
| Publisher | Pulsus Group Inc. |
| Keywords | *Canadian, *Home care, *human, *Human immunodeficiency virus, *long term care, *population, aging, Canada, chi square test, Comorbidity, Disease Management, Drug Therapy, health, institutional care, Male, married person, physical disease, phytohemagglutinin, psychotropic agent, Public health, Quality Control, Quality of Life, quantitative analysis, Risk, sample size, social isolation |
| Abstract | BACKGROUND: This study describes the sociodemographic, clinical and social attributes of persons living with HIV/AIDS (PHA) in home and institutional care settings in Ontario. Population aging and successful drug therapy in HIV management mean that more people are living longer with HIV presenting an emerging public health trend. As these individuals age, they become more at risk of developing other chronic health conditions which can have implications for disease management. Aging PHA may require more care in both the home and institutional settings. METHOD(S): This quantitative analysis used secondary data collected from the interRAI home care and minimum data set instruments in Ontario between 2003 and 2011. The total sample included 837,652 individuals. Descriptive analysis was used to outline key attributes of people living with and without HIV in long-term care (LTC), complex continuing care (CCC), and home care (HC) settings. Differences between PHA across the three settings were compared using Chi-square analysis. RESULT(S): 1,091 PHA were identified (4.4%, 32.6% and 63.0% in LTC, CCC and HC, respectively). PHA were predominantly male and much younger than others in all three settings; in CCC, more than 70% of PHA were younger than 54 years. PHA were less likely to be married, had less comorbidity and physical impairment and poorer self-rated health than other populations in the same care settings. PHA also exhibited more social isolation, had more conflicts with others and received more psychotropic medications. CONCLUSION(S): Aging PHA represent a complex population with distinctive health needs. A better understanding of these needs will help to develop strategies to provide better care across care settings and improve the quality of life of this group. InterRAI standardized assessment instruments may be important tools for benchmarking, evaluating, and quality measurement. As a continuation of this project, a larger analysis across Canada is underway. |
| Reseach Notes | AM |
