Factors associated with social deprivation among older persons living with HIV

• Published in: AIDS care 2019-07, Vol.31 (7), p.809-815
• Main Authors: Enel, Patricia, Retornaz, Frederique, Ravaux, Isabelle, Jaureguiberry, Jean-Pierre de, Philibert, Patrick, Allegre, Thierry, Chadapaud, Stephane, Cohen-Valensi, Rolande, Granet-Brunello, Patricia, Pelissier, Laurence, Pichancourt, Gilles, Bregigeon, Sylvie, Tollinchi, Frank, Darque, Albert, Petit, Nathalie
• Format: Article
• Language: English
• Subjects: Adult; Age; Age differences; Aged; Aged, 80 and over; Aging; AIDS/HIV; alcohol; Alcohol use; Alcoholic beverages; Anti-HIV Agents - therapeutic use; Blood diseases; Body mass index; Body size; Body weight; Chronic obstructive pulmonary disease; Chronic pain; Cross-Sectional Studies; depression; Depression - epidemiology; Depression - psychology; Deprivation; Drinking behavior; Female; France - epidemiology; Health disparities; Health indicators; Health problems; Health status; Health Status Disparities; Health Status Indicators; Health Surveys; Hepatitis C; HIV; HIV Infections - complications; HIV Infections - drug therapy; HIV Infections - epidemiology; HIV Infections - psychology; Human immunodeficiency virus; Humans; Indicators; Inequality; Lung diseases; Male; Medicine; Mental depression; Mental disorders; Mental Health; Middle Aged; Obstructive lung disease; Older people; Pain; Patients; Physicians; Prevalence; Psychosocial Deprivation; Regression analysis; social deprivation; Social factors; Social groups; Social isolation; Social workers; Workers
• ISSN: 0954-0121; 1360-0451
• DOI: 10.1080/09540121.2018.1549719

Aging persons living with HIV may develop multiple health problems, including comorbidities, and altered physical and mental health, earlier than non-infected people. They may also experience social deprivation. We assessed the prevalence of social deprivation and its relationship with health indicators in older persons living with HIV. An 18-month, multicenter, cross-sectional study was carried out between 2013 and 2014 focusing on patients ≥50-years of age followed-up in 12 dedicated HIV medical hospital units located in the South of France and involved the VISAGE study group. Social deprivation was measured with the EPICES (Evaluation of Deprivation and Inequalities in Health Examination Centers) score (ES) and defined as ES ≥30.17. The following data were recorded: health indicators (gender, age, body mass index), comorbidities, frailty markers, socioeconomic, behavioral and age-related variables. Among 509 patients recruited, 494 completed the ES social deprivation evaluation. Mean age was 58.5 ± 7.0 years and 72.9% were male. The prevalence of social deprivation was 49.0%. Multivariable logistic regression analysis showed that higher social deprivation was significantly linked to alcohol consumption (OR = 4.07 [95%CI: 1.23-13.48]), risk of depression (OR = 3.59 [95%CI: 2.26-5.70]), chronic obstructive pulmonary disease (OR = 3.10 [95%CI: 1.36-7.09]), hepatitis C (OR = 1.96 [95%CI: 1.10-3.52]), and chronic pain (OR = 1.11 [95%CI: 1.01-1.21]). Social deprivation was not related to HIV status. Our study showed that not only did older patients with HIV suffer from social deprivation, but they also received little support from social workers. Physicians should be aware of this situation and should systematically evaluate social deprivation in order to provide comprehensive targeted care involving global, social, and psychological support to reduce the burden of social deprivation.