Advancing integration in the approach to older adults with HIV: perspectives from geriatric and HIV specialists
Bibliographic record
Abstract
BACKGROUND: The aging of people with HIV (PWH) is a growing public health concern, with projections indicating that by 2030, up to 70% of this population will be aged 50 years or older. Despite the increasing prevalence of age-related comorbidities and geriatric syndromes in older adults with HIV (OAWH), the integration of geriatric expertise into HIV care remains limited. This study aimed to assess geriatricians' knowledge and involvement in the care of OAWH and to explore HIV specialists' attitudes toward collaborative, multidisciplinary care. METHODS: A cross-sectional, descriptive study was conducted using two structured online surveys-one for geriatricians and one for HIV specialists-disseminated through national scientific societies in Spain, Italy, Mexico, and Canada. The surveys assessed clinical experience, knowledge, and attitudes toward OAWH care, and were developed by experts with over 15 years of clinical experience. Data were collected anonymously via the REDCap platform and analyzed descriptively. RESULTS: A total of 348 responses were received: 200 from geriatricians and 148 from HIV specialists. Among geriatricians, 42% correctly identified the age threshold for OAWH, and 73% reported seeing one or no OAWH in the previous year. Furthermore, 92.5% indicated a need for further training. HIV specialists largely recognized the importance of adapting care for OAWH, with 91.2% acknowledging frailty as clinically relevant. However, only 38% routinely performed frailty screening. Both groups expressed support for increased collaboration, though only around half believed that geriatricians should be systematically involved in OAWH care. CONCLUSIONS: This study highlights significant gaps in knowledge, training, and interdisciplinary collaboration in the care of OAWH. While both geriatricians and HIV specialists recognize the unique needs of this population, barriers such as insufficient training and role ambiguity hinder progress. Our findings support earlier, biologically informed interventions and integration of geriatrics into routine HIV care; targeted training and institutional support appear warranted.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
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".