The Perspectives of People With HIV on Aging in a Non-urban Setting: A Cross-sectional Qualitative Study

ABSTRACT: People with HIV (PWH) are living longer lives and can encounter challenges, including a lack of social and emotional support. This prospective study explored the experiences of English-speaking PWH over age 50 years to better understand aging with HIV. Although participants (n = 20) reported generally good health and effective HIV care, many still faced loneliness, isolation, and stigma. Supportive relationships with health care providers, characterized by clear communication and consistency, were highly valued and helped reduce emotional distress. Participants identified protective factors such as access to community resources, peer support, and positive relationships with providers, which reduced the negative impacts of HIV. They emphasized the importance of holistic care that addresses medical needs and emotional and social well-being. To improve outcomes for older PWH, clinics and programs should adopt or continue to support multidisciplinary care models that include clinicians, case managers, and peer coaches trained to support aging individuals and connect them to essential non-Ryan White HIV/AIDS Program services.