HIV in the 50+ Crowd

iStock_000068724623_MediumIf you're over the age of fifty you may think you're at low risk to become infected with HIV, but new data published in the Lancet this week that Rick and I discuss on PodMed may cause you to rethink that notion. This huge dataset looks at new cases of HIV infection in adults aged fifty or older from 31 European countries, between 2004 and 2015. The study found that one in six new cases of HIV infection over this time period occurred in those over the age of 50, and that such new cases were more likely to be advanced at the time of diagnosis, as evidenced by a low CD4 count, and that the most common means of transmission was heterosexual sex.

Well. As we discuss in the podcast, most older people think they're not at risk to acquire HIV, and the authors note that services directed toward testing and HIV-related care are skewed toward younger people. Even clinicians, or especially clinicians, don't think about the fifty+ crowd when considering the infection. This in spite of the WHO and the CDC advocating for universal testing for HIV status. That's everyone, folks.

Other topics this week include Low-Dose Aspirin Discontinuation and Risk of Cardiovascular Events in Circulation, and two from JAMA: Effect of Genotype-Guided Warfarin Dosing on Events and Anticoagulation Control and Trends and Patterns of Differences in Chronic Respiratory Disease Mortality Among US Counties, 1980-2014. Until next week, y'all live well.

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