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Geriatric Assessments and Association With VACS Index Among HIV-Infected Older Adults in San Francisco.
J Acquir Immune Defic Syndr
August 2016
*Division of Infectious Diseases, Department of Medicine, University of California San Francisco, San Francisco, CA; †Division of Geriatrics, Department of Medicine, University of California San Francisco, San Francisco, CA; ‡Section of Geriatrics and Palliative Medicine, San Francisco Veterans Affairs Medical Center, San Francisco, CA; Departments of §Clinical Pharmacy; ‖Psychiatry, University of California San Francisco, San Francisco, CA; and ¶Division of Infectious Diseases, Kaiser Permanente Medical Group San Francisco Medical Center, San Francisco, CA.
Objectives: To perform geriatric assessments in older HIV-infected adults in San Francisco and examine the association with age and the Veterans Aging Cohort Study (VACS) index scores.
Methods: A cross-sectional study was conducted from 2012 to 2014 among HIV-infected patients ≥50 years at 2 San Francisco-based HIV clinics. We evaluated 4 health domains: (1) physical health and function (activities of daily living), instrumental activities of daily living (IADL), falls, gait speed, (2) social support (physical and perceived support, loneliness), (3) mental health (depression, anxiety, posttraumatic stress disorder) and cognition, and (4) behavioral and general health (antiretroviral adherence and quality of life).