For women living with HIV 65 and older, these women begin entering another phase of life that traditionally includes many transitions in and out of systems (whether it be personal, financial, work-related, home, etc.). For those who acquired HIV earlier in life, this period may involve adapting to the long-term implications of HIV and its interactions with age-related health concerns. Managing co-occurring health conditions, medication regimens, and coping with potential cognitive changes become critical aspects of their health journey. Additionally, this phase may entail the need to access specialized healthcare services that address the complex medical needs of older adults living with HIV. Social support becomes particularly crucial during this stage, as networks of family, friends, and community play a pivotal role maintaining well-being and support women through the transitions into and through this stage of life.
For women living with HIV 65 and older, key considerations include:
- Adult Development (body, mind, relationships)
- Sexual and Reproductive Health, rights, pleasure, and Justice
- Provider relationships
- Long-term access to healthcare and treatment, including mental healthcare
- Age-related concerns and polypharmacy
- Long-term use of ART
- Bone Density
- Managing multiple health conditions
- Social isolation and community support
- Insurance / Access to Medicaid and Medicare
- Age-related health concerns –
- Menopause and hormonal changes
- Safety, including ageism and HIV discrimination in healthcare/elder care and fraud
- HIV Criminalization
- Laws / decriminalization
- Reporting / Case management / support for Child
- Safely Disclosing / State & Local Laws
- End of Life Planning including: Life/Medicare insurance planning, retirement planning, living will, health directives, Power of Attorney
- Housing and Sustainability: Aging in place, retirement homes, assisted living, etc.