National HIV/AIDS and Aging Awareness Day
On September 18, 2008, the National HIV/AIDS and Aging Awareness Day (NHAAD) was launched by The AIDS Institute. This day brings awareness to the complex issues related to HIV prevention, care, and treatment for adults 50 years old or older. NHAAD emphasizes the need for data focused on the aging population to help understand the medical and science aspects of the aging process and its impact on older people living with and affected by HIV. People with HIV are living longer thanks to treatment with HIV medicines.
According to the Centers for Disease Control and Prevention (CDC), in 2016, nearly half the people in the United States who were living with HIV were aged 50 or older. In 2017, approximately one in six new diagnoses of HIV occurred in this age group. People aging with HIV can face treatment-related challenges, such as drug interactions between HIV medicines and medicines used for other conditions. Also, the risk for comorbidities such as cardiovascular disease, some cancers, bone fractures/osteoporosis, liver disease, kidney disease, cognitive decline, and aging-related frailty is higher among people with HIV than among those without HIV.
Older adults also face HIV testing and prevention and challenges:
Testing. CDC reports that among the adults aged 55 or older who received an HIV diagnosis in 2015, 50% had been living with HIV for 4.5 years before they were diagnosed. A delayed diagnosis means treatment with HIV medicines is also delayed, which gives HIV more time to damage the immune system. Late diagnoses can occur because older adults may not think they are at risk of HIV, and they may mistake HIV symptoms for those of normal aging. Health care providers may not test older people for HIV infection because of misconceptions that they are no longer sexually active. Providers may be less likely to ask older people about sexual activity — including numbers of sexual partners, using protection and other factors related to HIV.
Prevention. If you are 50 years old or older, there are things you can do to keep from getting or transmitting HIV. Take the following steps to lower your risk. If you are having sex, always use protection if you do not know your partner’s sexual or drug history. Before having sex with someone, talk with them about HIV. Ask about their sexual and drug history. See the CDC's HIV Risk Reduction Tool for information about the risk associated with specific sexual behaviors. Use male or female condoms during sexual intercourse and do not share needles or any other equipment used to inject drugs. Ignoring these challenges could contribute to you becoming infected with HIV.
Browse the links below to find National HIV/AIDS and Aging Awareness Day resources and information about HIV and aging.
The U.S. Government recognizes National HIV/AIDS and Aging Awareness Day.
National HIV/AIDS and Aging Awareness Day Webpages:
Research Related to HIV/AIDS and Aging
- NIH Strategic Plan for HIV and HIV-Related Research (FY 2021—2025), from the National Institutes of Health (NIH) Office of AIDS Research (OAR). The Plan describes NIH research priorities to prevent, treat, and eventually cure HIV and AIDS. Two key populations of people living with HIV are emphasized: women and adults aged 50 years or older, who increased from 8% to 16% from 2000 to 2016.
- HIV/AIDS-Related Clinical Trials: Research studies related to HIV and aging from ClinicalTrials.gov. Call HIVinfo at 1-800-448-0440 for assistance with your clinical trials search.
Current Research Related to HIV and AIDS and Aging
- Research within the past one year, from PubMed.gov.
- Research within the past one year, from the Education Resources Information Center (ERIC).
Additional Information and Resources
- HIV/AIDS And Older Populations.
- HIV in the United States by Age.
- Diagnoses of HIV Infection Among Adults Aged 50 Years and Older—United States and 6 Dependent Areas 2014–2018
From the National Resource Center on HIV & Aging:
From the Health Resources & Services Administration:
- Ryan White HIV/AIDS Program (2020). Optimizing HIV Care for People Aging with HIV: Incorporating New Elements of Care (PDF).