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Sexual risk behaviors and HIV risk among Americans aged 50 years or older: a review.

dc.contributor.author Pilowsky, DJ
dc.contributor.author Wu, LT
dc.coverage.spatial New Zealand
dc.date.accessioned 2016-06-04T23:00:22Z
dc.date.issued 2015
dc.identifier http://www.ncbi.nlm.nih.gov/pubmed/25960684
dc.identifier sar-6-051
dc.identifier.uri http://hdl.handle.net/10161/12089
dc.description.abstract Although HIV-related sexual risk behaviors have been studied extensively in adolescents and young adults, there is limited information about these behaviors among older Americans, which make up a growing segment of the US population and an understudied population. This review of the literature dealing with sexual behaviors that increase the risk of becoming HIV-infected found a low prevalence of condom use among older adults, even when not in a long-term relationship with a single partner. A seminal study by Schick et al published in 2010 reported that the prevalence of condom use at last intercourse was highest among those aged 50-59 years (24.3%; 95% confidence interval, 15.6-35.8) and declined with age, with a 17.1% prevalence among those aged 60-69 years (17.1%; 95% confidence interval, 7.3-34.2). Studies have shown that older Americans may underestimate their risk of becoming HIV-infected. Substance use also increases the risk for sexual risk behaviors, and studies have indicated that the prevalence of substance use among older adults has increased in the past decade. As is the case with younger adults, the prevalence of HIV infections is elevated among ethnic minorities, drug users (eg, injection drug users), and men who have sex with men. When infected, older adults are likely to be diagnosed with HIV-related medical disorders later in the course of illness compared with their younger counterparts. Physicians are less likely to discuss sexual risk behaviors with older adults and to test them for HIV compared with younger adults. Thus, it is important to educate clinicians about sexual risk behaviors in the older age group and to design preventive interventions specifically designed for older adults.
dc.language eng
dc.relation.ispartof Subst Abuse Rehabil
dc.relation.isversionof 10.2147/SAR.S78808
dc.subject HIV/AIDS
dc.subject aging
dc.subject condom use
dc.subject older adults
dc.subject sexual risk behaviors
dc.title Sexual risk behaviors and HIV risk among Americans aged 50 years or older: a review.
dc.type Journal article
pubs.author-url http://www.ncbi.nlm.nih.gov/pubmed/25960684
pubs.begin-page 51
pubs.end-page 60
pubs.organisational-group Center for Child and Family Policy
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Duke
pubs.organisational-group Duke Clinical Research Institute
pubs.organisational-group Duke Institute for Brain Sciences
pubs.organisational-group Institutes and Centers
pubs.organisational-group Institutes and Provost's Academic Units
pubs.organisational-group Medicine
pubs.organisational-group Medicine, General Internal Medicine
pubs.organisational-group Psychiatry & Behavioral Sciences
pubs.organisational-group Psychiatry & Behavioral Sciences, Social and Community Psychiatry
pubs.organisational-group Sanford School of Public Policy
pubs.organisational-group School of Medicine
pubs.organisational-group University Institutes and Centers
pubs.publication-status Published online
pubs.volume 6


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