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Systematic Reviews
Published in: Systematic Reviews 1/2018

Open Access 01-12-2018 | Research

Strategies for improving the lives of US women aged 40 and above living with HIV/AIDS: an evidence map

Authors: Gaelen P. Adam, Mengyang Di, Susan Cu-Uvin, Christopher Halladay, Bryant T. Smith, Suchitra Iyer, Thomas A. Trikalinos

Published in: Systematic Reviews | Issue 1/2018

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Abstract

Background

While in its early years the HIV epidemic affected primarily the male and the young, nowadays, the population living with HIV/AIDS is approximately 24% women, and its age composition has shifted towards older ages. Many of the older women who live with HIV/AIDS also live with the medical and social conditions that accompany aging. This work aims to identify and characterize empirical studies of strategies for the comprehensive management of women over 40, including transgender women, who live with HIV/AIDS. Forty was chosen as an operational age cutoff to identify premenopausal women who are less likely to bear children, as well as peri- and postmenopausal women.

Methods

We conducted a literature search after discussions with a diverse panel of content experts and other stakeholders and developed an evidence map that identified 890 citations that address questions having to do with programs and barriers to engaging with programs, as well as the role of insurance and comorbidities, and have enrolled older women who live with HIV/AIDS.

Results

Of these, only 37 (4%) reported results of interest for women over 40 who live with HIV/AIDS, or examined interactions between gender and older age that would allow predictions in this subgroup. Few of the 37 eligible studies focused on women facing obvious challenges, such as immigrants, transgender, physically abused, or those recently released from prison. No studies focused on women caring for dependents, including children and grandchildren, or those diagnosed after age 40.

Conclusion

The evidence base that is directly applicable to women over 40 who live with HIV/AIDS in the USA is limited, and the research need is broad. We propose research prioritization strategies for this population.
Appendix
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Metadata
Title
Strategies for improving the lives of US women aged 40 and above living with HIV/AIDS: an evidence map
Authors
Gaelen P. Adam
Mengyang Di
Susan Cu-Uvin
Christopher Halladay
Bryant T. Smith
Suchitra Iyer
Thomas A. Trikalinos
Publication date
01-12-2018
Publisher
BioMed Central
Published in
Systematic Reviews / Issue 1/2018
Electronic ISSN: 2046-4053
DOI
https://doi.org/10.1186/s13643-018-0684-y

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