ArticleAIDS (London, England)2016
Chronic health conditions in Medicare beneficiaries 65 years old, and older with HIV infection.
Article in AIDS (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.
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Who cites it
36 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Higher cardiovascular disease risks in people living with HIV: A systematic review and meta-analysis.Journal of global health · 2024Pooled it
- Anticipated Protection Overcomes Vaccine Hesitancy and Mistrust Among Women Enrolled in the DC MACS/WIHS Combined Cohort Study.Journal of acquired immune deficiency syndromes (1999) · 2025Article
- Antiretroviral Therapy Changes for Medicare Beneficiaries With HIV Transitioning to Long-Term Care.JAMA network open · 2025Article
- Beyond the high: exploring socioecological influences on cannabis use in older women with and without HIV.The Gerontologist · 2025Article
- Emerging Interventions to Improve Health Outcomes for People Aging With HIV: Protocol for a Mixed Methods Implementation Science Evaluation.JMIR research protocols · 2025Article
- Estimating the Economic Consequences of Leveraging the Novel cobas HIV-1/HIV-2 Qualitative Nucleic Acid Amplification Test in Routine HIV Testing.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025Article
- Prescription opioid use and opioid use disorder among older adults with HIV in the USA from 2008 to 2021: a retrospective repeated cross-sectional study.The Lancet. Primary care · 2025Article
- Frailty, Latent Health Profiles, and Antiretroviral Therapy: Predicting Success of Skilled Nursing Facility Care in an HIV Population.Journal of the American Medical Directors Association · 2025Article
- AIDS patients suffer higher risk of advanced knee osteoarthritis progression due to lopinavir-induced Zmpste24 inhibition.Bone research · 2025Article
- Social needs and hospital readmission in persons living with HIV.Scientific reports · 2025Article
- Exploring the state of evidence on aging with HIV in long-term care: A scoping review protocol.PloS one · 2025Article
- Complexity and Variation in Infectious Disease Birth Cohorts: Findings from HIV+ Medicare and Medicaid Beneficiaries, 1999-2020.Entropy (Basel, Switzerland) · 2024Article
- Multilevel Factors Influencing the Requirement for Geriatric Nursing by Older Adults Living With HIV: A Cross-Sectional Study.International journal of public health · 2024Article
- Longitudinal outcomes following peripheral vascular intervention among older persons living with HIV.Vascular medicine (London, England) · 2023Article
- How Hypertension Rates and HIV Treatment Outcomes Compare between Older Females and Males Enrolled in an HIV Treatment Program in Southern Nigeria: A Retrospective Analysis.Tropical medicine and infectious disease · 2023Article
- The related factors of new HIV infection among older men in Sichuan, China: a case-control study.Epidemiology and infection · 2022Article
- The Association Between Leisure Activity Engagement and Health-Related Quality of Life in Middle-Aged and Older People With HIV.The Gerontologist · 2022Observational
- Categorizing Comorbid Risk for People Living With HIV: A Latent Profile Analysis.Journal of acquired immune deficiency syndromes (1999) · 2022Article
- The Association Of HIV With Health Care Spending And Use Among Medicare Beneficiaries.Health affairs (Project Hope) · 2022Article
- Musculoskeletal Conditions in Persons Living with HIV/AIDS: A Scoping Review.Current medical science · 2022Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
objectivesTo examine sociodemographic factors and chronic health conditions of people living with HIV (PLWHIV/HIV+) at least 65 years old and compare their chronic disease prevalence with beneficiaries without HIV.
designNational fee-for-service Medicare claims data (parts A and B) from 2006 to 2009 were used to create a retrospective cohort of beneficiaries at least 65 years old.
methodsBeneficiaries with an inpatient or skilled nursing facility claim, or outpatient claims with HIV diagnosis codes were considered HIV+. HIV+ beneficiaries were compared with uninfected beneficiaries on demographic factors and on the prevalence of hypertension, hyperlipidemia, ischemic heart disease, rheumatoid arthritis/osteoarthritis, and diabetes. Odds ratios (OR), 95% confidence intervals (CIs), and P values were calculated. Adjustment variables included age, sex, race/ethnicity, end stage renal disease (ESRD), and dual Medicare-Medicaid enrollment. Chronic conditions were examined individually and as an index from zero to all five conditions.
resultsOf 29 060 418 eligible beneficiaries, 24 735 (0.09%) were HIV+. HIV+ beneficiaries were more likely to be Hispanic, African-American, male, and younger (P > 0.0001) and were 1.5-2.1 times as likely to have a chronic disease [diabetes (adjusted OR) 1.51, 95% CI (1.47, 1.55): rheumatoid arthritis/osteoarthritis 2.14, 95% CI (2.08, 2.19)], and 2.4-7 times as likely to have 1-5 comorbid chronic conditions [1 condition (adjusted OR) 2.38, 95% CI (2.21, 2.57): 5 conditions 7.07, 95% CI (6.61, 7.56)].
conclusionOur results show that PLWHIV at least 65 years old are at higher risk of comorbidities than other fee-for-service Medicare beneficiaries. This finding has implications for the cost and health management of PLWHIV 65 years and older.
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