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People Living With HIV in U.S. Nursing Homes in the Fourth Decade of the Epidemic

Olivieri-Mui, Brianne, MPH*; McGuire, Jean, PhD; Cahill, Sean, PhD; Griffith, John, PhD; Briesacher, Becky, PhD

Journal of the Association of Nurses in AIDS Care: January-February 2019 - Volume 30 - Issue 1 - p 20–34
doi: 10.1097/JNC.0000000000000033
Research Article

As the number of persons living with HIV (PLWH) will continue to increase in the coming years, it is critical to understand factors influencing appropriate nursing home (NH) care planning. This study described the sociodemographic characteristics as well as the antiretroviral therapy treatment and physical and mental health among Medicare-eligible PLWH in NHs. Persons living with HIV were identified and summarized using a 2011–2013 nationwide data set of Medicare claims linked to NH resident health assessments and a prescription dispensing database, comparing new admissions in 2011–2013 with those from 1998 to 2000. We identified 7,188 PLWH from 2011 to 2013 in NHs of whom 4,031 were newly admitted. Of the total, 79% were prescribed antiretroviral therapy. Most were male (73%), Black/African American (51.1%), and a plurality resided in southern NHs (47%). Comparing the data sets, new admissions were older (60 vs. 44), had higher prevalence of viral hepatitis (16.2% vs. 7.5%), and anemia (31.1% vs. 25.1%) but had less pneumonia (11.0% vs. 13.6%) and dementia (8.7% vs. 21.0%). NH nurses can better anticipate health care needs of PLWH using these health profiles, understanding that there have been changes in the health of PLWH at admission over time.

Brianne Olivieri-Mui, MPH, is a Graduate Student Researcher and candidate for PhD in Population Health, Department of Health Sciences, Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts, USA. Jean McGuire, PhD, is a Professor of Practice, Department of Health Sciences, Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts, USA. Sean Cahill, PhD, is Director of Health Policy Research, The Fenway Institute, Boston, and is Affiliate Associate Clinical Professor and Visiting Scholar, Department of Health Sciences, Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts, USA. John Griffith, PhD, is a Clinical Professor, Department of Health Sciences, Bouvé College of Health Sciences, Northeastern University, and Adjunct Associate Professor of the Practice, Department of Health Law, Policy and Management, Boston University School of Public Health, Boston, Massachusetts, USA. Becky Briesacher, PhD, is an Associate Professor, Department of Pharmacy and Health Systems Sciences, Bouvé College of Health Sciences, Northeastern University, Boston, Massachusetts, USA.

Corresponding author: Brianne Olivieri-Mui, e-mail: mui.b@husky.neu.edu

Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article.

Supplemental digital content is available for this article. Direct URL citations appear in the printed text and in the HTML and PDF versions of the article at www.janacnet.org.

© 2019 Association of Nurses in AIDS Care
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