Aging with HIV: Psychological, Social, and Health Issues

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Academic Press, 2002 - Medical - 386 pages
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In 1998, approximately 30 million people worldwide were living with HIV/AIDS, about 5 million of whom became infected that year. The epidemic continues to expand, with an estimated doubling time of 10 years, making AIDS the leading infectious cause of death ahead of tuberculosis and malaria. Even in the U.S.A. where the death rate from AIDS is declining as a result of effective drug therapies, HIV infection rates continue to climb in several population groups. The prevalence of AIDS among people over the age of 50 is steadily increasing, and most older people are unprepared to address it for a number of reasons, including the widespread discomfort with matters sexual and homosexual and the belief that elderly people are not sexually active and therefore not at risk.

This guide for care providers seeks to educate and inform readers about the difficulties and complications that accompany the disease in older people. Thus, while the appendix includes technical descriptions of methodology, data, and results, the narratives in the chapters describing the findings and their practical implications are written in layman's language. Topics covered include biomedical aspects, demographics, sexuality, stressors, mental health, older women, and patient care, all of which are supported by case studies.
 

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Contents

A Research Response
1
Chapter 2 Findings from the West Central Florida Survey of MiddleAged and Older Adults with HIV Disease
15
Chapter 3 The Experience of Older Adults Living with HIV
33
Chapter 4 Overview of the Biomedical Aspects of HIV and Its Impact on Older Adults
83
Chapter 5 HIVRelated Stressors Coping and Social Support
113
Chapter 6 Mental Health and HIV
133
Chapter 7 Providing Services to Older Adults with HIV Disease
157
HIV Prevention and Treatment Issues
197
Chapter 10 Older Adult Sexuality and HIV
247
Chapter 11 End of Life Issues
265
Chapter 12 HIV Prevention and Outreach
285
Chapter 13 In Conclusion
311
West Central Florida Survey Project Description and Results
327
Appendix B Older Adult HIVAIDS Interview Schedule
359
Index
381
Copyright

Chapter 9 Effects of HIV Disease on Women
229

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About the author (2002)

The Louis de la Plarte Florida Mental Health Institute, University of South Florida, Department of Aging and Mental Health, Tampa, Florida, U.S.A.

David Speer (Ph.D., University of Minnesota) is an associate professor and clinical research psychologist at the Florida Mental Health Institute at the University of South Florida in Tampa. His duties include consultation, education, and training services to the public mental health system for older adults, grant writing, and clinical research. Before coming to Tampa, Dr. Speer was a Post Doctoral Fellow at the University of Notre Dame from 1986 to 1988 and was an executive director of the Northeastern Center (a CMHC) in Kendallville, Indiana from 1982 to 1986. He has also served in executive positions at the Quinco Consulting Center in Columbus, Indiana and the Erie County Suicide Prevention and Crisis Services in Buffalo, New York. He has authored or co-authored 45 journal publications and is the editor of Nonverbal Communication, Sage (1972).

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