2126. Assessing the needs of older HIV+ adults; Initial data from the CORE Healthy Aging initiative (CHAI).
Session: Poster Abstract Session: HIV and Aging
Saturday, October 29, 2016
Room: Poster Hall
Posters
  • IDWeek2016_CHAI FINAL.pdf (363.8 kB)
  • Background:  <span">With aging comes a myriad of medical and psychosocial needs which are accentuated in HIV infected patients. Data on the needs of older HIV infected patients are sparse, especially among minority populations not enrolled in research studies.

    Methods:  <span">We administered a survey over 8 weeks (March-May 2016) at the Ruth M. Rothstein CORE Center, an infectious diseases clinic in Chicago. Spanish and English versions of a paper survey were handed out by Peer Educators to all interested Primary Care Clinic patients >50 years.

    Results: 282 patients completed the surveys; 254 (90%) in English and 28 (10%) in Spanish. Median age was 57 (50-73) years, 44% female, 60% African American, 19% Hispanic and 18% Caucasian. 74% were diagnosed with HIV >10 years ago with 44% diagnosed >20 years ago. 45% completed high school, 24% some college. 25% were employed part or full time. 79% were their own main caregiver and 46% lived alone. 96% were on HIV medications. 53% were taking >4 prescribed medications daily; 26% taking >6 medications/day.46% were also taking non-prescribed supplements/vitamins. Co-morbidities reported were; hyperlipidemia 27%, hypertension 27%, diabetes 14%, cancer 14%. 32% had fallen within the last year with 8% having >3 falls. 30% never reported the falls. 46% were current smokers, of whom 72% were interested in quitting. Patient concerns and self-rated health are shown in the table (*p<0.05).75% had a cell phone and 70% of those use texting. 84% used social media >2-3 times/ week. 59% expressed interest in participating in aging studies, attending classes for exercise (49%) or ntrition (42%) at CORE.Conclusion:  Older HIV infected minority patients in our urban clinic have many concerns, HIV and non-HIV related. These patients are not a homogenous group and differences by primary language and gender will be explored further. Many live alone and the interplay of co-morbidities, poly-pharmacy, memory issues and falls place them at increased risk for non-independent living at an earlier age than the general population. Text messaging and social media to promote healthy aging initiatives in older HIV infected adults should be utilized to address these concerns.

    Oluwatoyin Adeyemi, MD1, Jennifer Catrambone, MA2, Wendy Rebolledo, BA2, Kerianne Burke, MPH2, Mieoak Bahk, BA, BS2 and Anne Carmack, MPH2, (1)Ruth M Rothstein CORE Center, Cook County Health and Hospitals System (CCHHS) and Rush University Medical Center, Chicago, IL, (2)Ruth M Rothstein CORE Center, CCHHS, Chicago, IL

    Disclosures:

    O. Adeyemi, None

    J. Catrambone, None

    W. Rebolledo, None

    K. Burke, None

    M. Bahk, None

    A. Carmack, None

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