Comparing the care needs of people living with and without HIV in Canadian home and long-term care settings

  • Foebel AD, Hirdes, Boodram, Lemick, Comeau
  • Published 2016

Abstract

Background: With the advent of highly active antiretroviral therapy (HAART), HIV has become a manageable chronic infection and individuals with it are living longer. Older individuals with HIV will begin to seek services across the continuum of health care. Whether their care needs differ from those who are HIV negative has not been well-characterized. Objectives: To compare the demographic characteristics, chronic conditions, presence of infections, and mental health issues among HIV-positive versus HIV-negative individuals in home care, long-term care and complex continuing care settings across Canada. Methods: This cross-sectional study used interRAI data to compare characteristics of HIV-positive and HIV-negative individuals in long-term care, complex continuing care and home care settings. Chi-square analyses explored differences between groups on co-infections, chronic disease and mental health issues. Results: Data from 1,200,073 people were analyzed of whom 1,608 (0.13%) had HIV. Overall, HIV-positive individuals had more co-infections but fewer chronic diseases than their HIV-negative counterparts. Depression, social isolation and the use of psychotropic medications were generally more prevalent in the HIV-positive cohort. Conclusion: People living with HIV make up a small cohort of people with complex needs in home care and institutional settings and their care needs differ from those who are HIV negative. As HIV-positive people age, a better understanding of the context in which these issues are experienced will support appropriate interventions. Affiliations 1School of Public Health and Health Systems, University of Waterloo, Waterloo, ON 2 Centre for Communicable Diseases and Infection Control, Public Health Agency of Canada, Ottawa, ON 3 Ontario Region, Public Health Agency of Canada, Toronto, ON *Correspondence: adfoebel@ uwaterloo.ca

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Cite this paper

@inproceedings{AD2016ComparingTC, title={Comparing the care needs of people living with and without HIV in Canadian home and long-term care settings}, author={Foebel AD and Hirdes and Boodram and Lemick and Comeau}, year={2016} }