Considerations and discussions about later life among people living with HIV
Insights from a nationwide cross-sectional study in Japan
Bibliographic Data
| ID | 19439714 |
|---|---|
| Authors | Ruiko Yakuwa (Tokyo Health Care University, corresponding author), Soichiro Hotta (0000-0002-1336-8459, Tokyo Medical University), Aki Kawakami (0000-0003-0903-9537, Institute of Science Tokyo), Makoto Tanaka (0000-0002-8606-865X, Institute of Science Tokyo) |
| Year | 2026 |
| Volume | 38 |
| Issue | 4 |
| Pages | 832-845 |
| Publication date | 2026-04-03 |
| Open Access | No |
| Type | ARTICLE |
| Venue | AIDS Care (JOURNAL) |
| Journal identifiers | ISSN: 0954-0121 • E-ISSN: 1360-0451 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1080/09540121.2026.2614343 |
| PMID | 41543121 |
| OpenAlex | W7124468492 |
| Language | EN |
| References cited | 33 |
The increasing population of older people living with human immunodeficiency virus (PLWH) highlights the importance of advance care planning (ACP) and tailored approaches to later life and end-of-life care. This study examined the extent to which PLWH consider their own aging and end-of-life stage, their discussion of these topics with healthcare providers, and factors associated with such discussions. PLWH aged ≥50 years were recruited from nine hospitals and one clinic in Japan. Among 715 eligible participants, 48.9% had considered the person they would like to entrust with important decisions, and 47.8% had considered the preferred medical treatments at the end of life. However, fewer than 10% of the participants had discussed their own aging and end-of-life stage with healthcare providers. In the multivariate analysis, the following factors were significantly associated with such discussions: consideration of late-life and end-of-life planning (β = 0.226, p < 0.001), shared decision-making (β = 0.157, p < 0.001), over 70 years of age, very good perceived health status, highest educational level, and social support. These findings emphasize the need to create opportunities for PLWH to concretely reflect on their aging and end-of-life preferences and to facilitate communication with healthcare providers to promote ACP
Health care · Human immunodeficiency virus (HIV) · Multivariate analysis · Older people · Population · Population ageing · Frailty in Older Adults · HIV-related health complications and treatments · HIV/AIDS Research and Interventions
Impact on life expectancy of HIV-1 positive individuals of CD4+ cell count and viral load response to antiretroviral therapy
An Examination of the Social Networks and Social Isolation in Older and Younger Adults Living with HIV/Aids
Defining Advance Care Planning for Adults
The PHQ-9
Multilevel Analysis
Comparing advance care planning between older adults with and without HIV
Advance directives among people living with HIV
Caregiving preferences and advance care planning among older adults living with HIV
The Multidimensional Scale of Perceived Social Support
Perceived Barriers to Social Support from Family and Friends among Older Adults with HIV/Aids
| Highly cited | No |
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