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HIV Among People Aged 50 and Older

May 12, 2015

Fast Facts
  • Americans aged 50 and older have many of the same HIV risk factors as younger Americans.
  • Persons aged 55 and older accounted for 26% (313,200) of the estimated 1.2 million people living with HIV infection in the United States in 2011.
  • Older Americans are more likely than younger Americans to be diagnosed with HIV infection later in the course of their disease.


HIV Among People Aged 50 and Older

A growing number of people aged 50 and older in the United States are living with HIV infection. People aged 55 and older accounted for over one-quarter (26%, 313,200) of the estimated 1.2 million people living with HIV infection in the United States in 2011.


The Numbers

New HIV Infections1 (Aged 55 and Older)

  • Of an estimated 47,500 new HIV infections in 2010, 5% (2,500) were among Americans aged 55 and older. Of these older Americans:
    • 36% (900) of new infections were in white men, and 4% (110) were in white women;
    • 24% (590) of new infections were in black men, and 15% (370) were in black women;
    • 12% (310) of new infections were in Hispanic/Latino2 men, and 4% (100) were in Hispanic/Latino women.
  • In 2010, 44% (1,100) of the estimated 2,500 new HIV infections among people aged 55 and older were among gay, bisexual, or other men who have sex with men (MSM). Among MSM aged 55 and older, white MSM accounted for an estimated 67% (740) of new HIV infections, Hispanic/Latino MSM 16% (180), and black MSM 15% (160).


Estimated Diagnoses of HIV Infection by Age, 2013, United States

Estimated Diagnoses of HIV Infection


HIV and AIDS Diagnoses3 and Deaths

  • In 2013, there were an estimated 8,575 new HIV diagnoses among people aged 50 and over. Most (44%, 3,747) were among those aged 50-54.
  • In 2013, the estimated rate (per 100,000) of HIV diagnoses for blacks aged 50-54 was 59.3, compared to 23.3 for Hispanics/Latinos, and 8.7 for whites.
  • In 2013, people aged 50 and older accounted for 27% (7,108) of the estimated 26,688 AIDS diagnoses in the United States.
  • Of the estimated 13,712 deaths among people with AIDS in 2012, 8,093 (59%) were among people aged 50 and older.


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Prevention Challenges

Late HIV Diagnoses and Shorter HIV-to-AIDS Intervals

Older Americans are more likely than younger Americans to be diagnosed with HIV infection late in the course of their disease, meaning a late start to treatment and possibly more damage to their immune system. This can lead to poorer prognoses and shorter survival after an HIV diagnosis. For instance, 98% of people aged 25-29 who were diagnosed with HIV infection during 2004-2009 survived more than 12 months after diagnosis, compared with an estimated 86% of people aged 50 to 59, 82% of people aged 60-64, and 73% of people aged 65 and older. Late diagnoses can occur because health care providers may not always test older people for HIV infection, and older people may mistake HIV symptoms for those of normal aging and don't consider HIV as a cause.


Sexual Risk Factors

Many older Americans are sexually active, including those who are infected with HIV, and have many of the same risk factors for HIV infection as younger Americans, including a lack of knowledge about HIV and how to prevent transmission, and multiple partners. Older people also face unique issues, including:

  • Many widowed and divorced people are dating again, and they may be less knowledgeable about HIV than younger people, and less likely to protect themselves.
  • Women who no longer worry about getting pregnant may be less likely to use a condom and to practice safer sex. Age-related thinning and dryness of vaginal tissue may raise older women's risk for HIV infection.
  • The availability of erectile dysfunction medications may facilitate sex for older men who otherwise would not have been capable of vaginal or anal intercourse.
  • Although they visit their doctors more frequently, older Americans are less likely than younger Americans to discuss their sexual habits or drug use with their doctors, who in turn may be less likely to ask their older patients about these issues.


Stigma

Stigma is a particular concern among older Americans because they may already face isolation due to illness or loss of family and friends. Stigma negatively affects people's quality of life, self-image, and behaviors and may prevent them from seeking HIV care and disclosing their HIV status.


What CDC Is Doing

HIV Among Older Americans

couples on a beachCDC and its partners are pursuing a High Impact Prevention approach to advance the goals of the National HIV/AIDS Strategy, maximize the effectiveness of current HIV prevention methods, and improve surveillance among older Americans. Activities include:

Support and technical assistance to health department and community-based organizations to deliver effective prevention and evidence-based interventions for antiretroviral therapy adherence for older Americans.

Act Against AIDS, a national communications initiative that focuses on raising awareness, fighting stigma, and reducing the risk of HIV infection among at-risk populations. AAA includes Let's Stop HIV Together (approximately 40% of campaign participants are aged 50 and older), HIV Screening. Standard Care. (encourages primary care physicians to screen patients of all ages for HIV infection), and Prevention IS Care (provides continuing education and materials for physicians to address complex issues of those living with HIV).

The Care and Prevention in the United States Demonstration Project that supports increased testing and optimizes linkage to, retention in, and re-engagement with care and prevention services for newly diagnosed and previously diagnosed racial and ethnic minorities with HIV.

The Comprehensive Human Immunodeficiency Virus Prevention Programs for Health Departments Funding Opportunity Announcement, a 5-year, $339 million HIV prevention initiative for health departments in states, territories, and select cities, including those serving clients at risk for HIV infection.

For additional information and resources, visit:


Additional Resources

CDC-INFO
1-800-CDC-INFO (232-4636)
Get answers to questions and locate HIV testing sites.

CDC HIV Web Site

National HIV and STD Testing Resources

CDC National Prevention Information Network (NPIN)
1-800-458-5231
Technical assistance and resources.

Act Against AIDS

AIDSInfo
1-800-448-0440
Treatment and clinical trials.

AIDS.gov
Comprehensive government HIV resources.


Footnotes

  1. New HIV infections refer to HIV incidence or the number of people who are newly infected with HIV, whether they are aware of their infection or not.
  2. Hispanics/Latinos can be of any race.
  3. HIV and AIDS diagnoses refer to the estimated number of people diagnosed with HIV infection, regardless of stage of disease at diagnosis and the estimated number of people diagnosed with AIDS, respectively, during a given time period. The terms do not indicate when they were infected.


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This article was provided by U.S. Centers for Disease Control and Prevention. Visit the CDC's website to find out more about their activities, publications and services.
 

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