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Record W4410617595 · doi:10.1111/hiv.70047

“They didn't think we'd live this long”: A qualitative exploration of older adults living with <scp>HIV</scp> perspectives on geriatric care in Ontario

2025· article· en· W4410617595 on OpenAlexaffabout
Kristina M. Kokorelias, Dean Valentine, Andrew D. Eaton, Erica Dove, Esther Su, Christine Sheppard, Stuart McKinlay, Paige Brown, Hardeep K. Singh, Marina B. Wasilewski, Ashley Flanagan, Alice Zhabokritsky, Reham Abdelhalim, Rabea Parpia, Rahel T Zewude, Laura Jamieson, Sharon Walmsley, Luxey Sirisegaram

Bibliographic record

VenueHIV Medicine · 2025
Typearticle
Languageen
FieldMedicine
TopicHIV-related health complications and treatments
Canadian institutionsJoseph Brant HospitalSinai Health SystemUniversity of ReginaHIV Legal NetworkUniversity Health NetworkToronto Metropolitan UniversityHealth Sciences CentreSt. Joseph's HospitalSt. Michael's HospitalSunnybrook Health Science CentreToronto Rehabilitation InstituteUniversity of Toronto
Fundersnot available
KeywordsMedicineFocus groupLife expectancyNonprobability samplingGerontologyQualitative researchHealth careStigma (botany)Human immunodeficiency virus (HIV)NursingFamily medicinePsychiatryPopulation

Abstract

fetched live from OpenAlex

INTRODUCTION: Advances in human immunodeficiency virus (HIV) care have increased life expectancy, leading to more older adults living with HIV. This study examines older adults' perspectives on geriatric healthcare needs. METHODS: A community-based qualitative study in Ontario, Canada, recruited some adults aged 50+ years living with HIV through quota and purposive sampling. Quota sampling was used to include individuals of different ages, genders and ethno-racial backgrounds to capture a range of experiences. Data were collected via semi-structured interviews and focus groups, analyzed using the Qualitative Analysis Guide of Leuven. RESULTS: Participants included interviewees (n = 14) and focus group attendees (n = 12). Four themes emerged: (1) lack of knowledge and access to geriatric care, highlighting service challenges; (2) healthcare providers' understanding of HIV and ageing, with stigma concerns; (3) role of social support networks for emotional/practical support; and (4) requirements for improved geriatric care, advocating provider education and greater social care access. CONCLUSIONS: Gaps in geriatric care for older adults with HIV highlight stigma, access issues and the need for education, virtual care and tailored, inclusive healthcare solutions.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: Qualitative
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.338
Threshold uncertainty score0.994

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.019
GPT teacher head0.318
Teacher spread0.299 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designQualitative
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2025
Admission routes2
Has abstractyes

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