AutomedicationFrancoV1, Main, Exploration, bibRecord, 000576

Factors associated with social deprivation among older persons living with HIV.

Identifieur interne : 000576 ( Main/Exploration ); précédent : 000575; suivant : 000577

Factors associated with social deprivation among older persons living with HIV.

Auteurs : Patricia Enel [France] ; Frederique Retornaz [France] ; Isabelle Ravaux [France] ; Jean-Pierre De Jaureguiberry [France] ; Patrick Philibert [France] ; Thierry Allegre [France] ; Stephane Chadapaud [France] ; Rolande Cohen-Valensi [France] ; Patricia Granet-Brunello [France] ; Laurence Pelissier [France] ; Gilles Pichancourt [France] ; Sylvie Bregigeon [France] ; Frank Tollinchi [France] ; Albert Darque [France] ; Nathalie Petit [France]

Source :

AIDS care [ 1360-0451 ] ; 2019.

RBID : pubmed:30466319

Descripteurs français

KwdFr :
- Adulte (MeSH), Adulte d'âge moyen (MeSH), Agents antiVIH (usage thérapeutique), Carence psychosociale (MeSH), Disparités de l'état de santé (MeSH), Dépression (psychologie), Dépression (épidémiologie), Enquêtes de santé (MeSH), Femelle (MeSH), France (épidémiologie), Humains (MeSH), Indicateurs d'état de santé (MeSH), Infections à VIH (complications), Infections à VIH (psychologie), Infections à VIH (traitement médicamenteux), Infections à VIH (épidémiologie), Mâle (MeSH), Prévalence (MeSH), Santé mentale (MeSH), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Vieillissement (MeSH), Études transversales (MeSH).
MESH :
- psychologie : Dépression, Infections à VIH.
- traitement médicamenteux : Infections à VIH.
- usage thérapeutique : Agents antiVIH, Infections à VIH.
- épidémiologie : Dépression, France, Infections à VIH.
- Adulte, Adulte d'âge moyen, Carence psychosociale, Disparités de l'état de santé, Enquêtes de santé, Femelle, Humains, Indicateurs d'état de santé, Mâle, Prévalence, Santé mentale, Sujet âgé, Sujet âgé de 80 ans ou plus, Vieillissement, Études transversales.
Wicri :
- geographic : France.

English descriptors

KwdEn :
- Adult (MeSH), Aged (MeSH), Aged, 80 and over (MeSH), Aging (MeSH), Anti-HIV Agents (therapeutic use), Cross-Sectional Studies (MeSH), Depression (epidemiology), Depression (psychology), Female (MeSH), France (epidemiology), HIV Infections (complications), HIV Infections (drug therapy), HIV Infections (epidemiology), HIV Infections (psychology), Health Status Disparities (MeSH), Health Status Indicators (MeSH), Health Surveys (MeSH), Humans (MeSH), Male (MeSH), Mental Health (MeSH), Middle Aged (MeSH), Prevalence (MeSH), Psychosocial Deprivation (MeSH).
MESH :
- chemical , therapeutic use : Anti-HIV Agents.
- geographic , epidemiology : France.
- complications : HIV Infections.
- drug therapy : HIV Infections.
- epidemiology : Depression, HIV Infections.
- psychology : Depression, HIV Infections.
- Adult, Aged, Aged, 80 and over, Aging, Cross-Sectional Studies, Female, Health Status Disparities, Health Status Indicators, Health Surveys, Humans, Male, Mental Health, Middle Aged, Prevalence, Psychosocial Deprivation.

Abstract

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.

DOI: 10.1080/09540121.2018.1549719
PubMed: 30466319

Affiliations:

France

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000650
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Le document en format XML

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<author><name sortKey="Retornaz, Frederique" sort="Retornaz, Frederique" uniqKey="Retornaz F" first="Frederique" last="Retornaz">Frederique Retornaz</name>
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<affiliation wicri:level="1"><nlm:affiliation>c Silvermed Institute and Division of Geriatric Medicine , State Geriatric Center , Marseille , France.</nlm:affiliation>
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<affiliation wicri:level="1"><nlm:affiliation>d Department of Internal Medicine and Infectious Diseases , European hospital , Marseille , France.</nlm:affiliation>
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<affiliation wicri:level="1"><nlm:affiliation>e Institut Hospitalo-Universitaire Méditerranée Infection , Marseille , France.</nlm:affiliation>
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<author><name sortKey="Jaureguiberry, Jean Pierre De" sort="Jaureguiberry, Jean Pierre De" uniqKey="Jaureguiberry J" first="Jean-Pierre De" last="Jaureguiberry">Jean-Pierre De Jaureguiberry</name>
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<author><name sortKey="Philibert, Patrick" sort="Philibert, Patrick" uniqKey="Philibert P" first="Patrick" last="Philibert">Patrick Philibert</name>
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<author><name sortKey="Allegre, Thierry" sort="Allegre, Thierry" uniqKey="Allegre T" first="Thierry" last="Allegre">Thierry Allegre</name>
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<wicri:noRegion>Aix-en-Provence </wicri:noRegion>
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<author><name sortKey="Chadapaud, Stephane" sort="Chadapaud, Stephane" uniqKey="Chadapaud S" first="Stephane" last="Chadapaud">Stephane Chadapaud</name>
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<wicri:noRegion>Hyères-les-Palmiers </wicri:noRegion>
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<author><name sortKey="Cohen Valensi, Rolande" sort="Cohen Valensi, Rolande" uniqKey="Cohen Valensi R" first="Rolande" last="Cohen-Valensi">Rolande Cohen-Valensi</name>
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<wicri:noRegion>Martigues </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Granet Brunello, Patricia" sort="Granet Brunello, Patricia" uniqKey="Granet Brunello P" first="Patricia" last="Granet-Brunello">Patricia Granet-Brunello</name>
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<country xml:lang="fr">France</country>
<wicri:regionArea>j Department of Cardiology and Pneumology , Digne-les-Bains public hospital , Digne-les-Bains </wicri:regionArea>
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<wicri:noRegion>Digne-les-Bains </wicri:noRegion>
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<author><name sortKey="Pelissier, Laurence" sort="Pelissier, Laurence" uniqKey="Pelissier L" first="Laurence" last="Pelissier">Laurence Pelissier</name>
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<country xml:lang="fr">France</country>
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<author><name sortKey="Pichancourt, Gilles" sort="Pichancourt, Gilles" uniqKey="Pichancourt G" first="Gilles" last="Pichancourt">Gilles Pichancourt</name>
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<wicri:regionArea>l Department of Clinical Hematology and Medical Oncology , Avignon public hospital , Avignon </wicri:regionArea>
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</affiliation>
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<author><name sortKey="Bregigeon, Sylvie" sort="Bregigeon, Sylvie" uniqKey="Bregigeon S" first="Sylvie" last="Bregigeon">Sylvie Bregigeon</name>
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<author><name sortKey="Tollinchi, Frank" sort="Tollinchi, Frank" uniqKey="Tollinchi F" first="Frank" last="Tollinchi">Frank Tollinchi</name>
<affiliation wicri:level="1"><nlm:affiliation>m Department of Dermatology , Saint-Joseph foundation hospital , Marseille , France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>m Department of Dermatology , Saint-Joseph foundation hospital , Marseille </wicri:regionArea>
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<author><name sortKey="Darque, Albert" sort="Darque, Albert" uniqKey="Darque A" first="Albert" last="Darque">Albert Darque</name>
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<author><name sortKey="Petit, Nathalie" sort="Petit, Nathalie" uniqKey="Petit N" first="Nathalie" last="Petit">Nathalie Petit</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Factors associated with social deprivation among older persons living with HIV.</title>
<author><name sortKey="Enel, Patricia" sort="Enel, Patricia" uniqKey="Enel P" first="Patricia" last="Enel">Patricia Enel</name>
<affiliation wicri:level="1"><nlm:affiliation>a Assistance Publique, Hôpitaux de Marseille (AP-HM) , Marseille , France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>a Assistance Publique, Hôpitaux de Marseille (AP-HM) , Marseille </wicri:regionArea>
<wicri:noRegion>Marseille </wicri:noRegion>
<wicri:noRegion>Marseille </wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>b Department of Public Health , Self-Perceived Health Assessment Research Unit EA3279, Aix-Marseille University , Marseille , France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>b Department of Public Health , Self-Perceived Health Assessment Research Unit EA3279, Aix-Marseille University , Marseille </wicri:regionArea>
<wicri:noRegion>Marseille </wicri:noRegion>
<wicri:noRegion>Marseille </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Retornaz, Frederique" sort="Retornaz, Frederique" uniqKey="Retornaz F" first="Frederique" last="Retornaz">Frederique Retornaz</name>
<affiliation wicri:level="1"><nlm:affiliation>b Department of Public Health , Self-Perceived Health Assessment Research Unit EA3279, Aix-Marseille University , Marseille , France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>b Department of Public Health , Self-Perceived Health Assessment Research Unit EA3279, Aix-Marseille University , Marseille </wicri:regionArea>
<wicri:noRegion>Marseille </wicri:noRegion>
<wicri:noRegion>Marseille </wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>c Silvermed Institute and Division of Geriatric Medicine , State Geriatric Center , Marseille , France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>c Silvermed Institute and Division of Geriatric Medicine , State Geriatric Center , Marseille </wicri:regionArea>
<wicri:noRegion>Marseille </wicri:noRegion>
<wicri:noRegion>Marseille </wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>d Department of Internal Medicine and Infectious Diseases , European hospital , Marseille , France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>d Department of Internal Medicine and Infectious Diseases , European hospital , Marseille </wicri:regionArea>
<wicri:noRegion>Marseille </wicri:noRegion>
<wicri:noRegion>Marseille </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ravaux, Isabelle" sort="Ravaux, Isabelle" uniqKey="Ravaux I" first="Isabelle" last="Ravaux">Isabelle Ravaux</name>
<affiliation wicri:level="1"><nlm:affiliation>a Assistance Publique, Hôpitaux de Marseille (AP-HM) , Marseille , France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>a Assistance Publique, Hôpitaux de Marseille (AP-HM) , Marseille </wicri:regionArea>
<wicri:noRegion>Marseille </wicri:noRegion>
<wicri:noRegion>Marseille </wicri:noRegion>
</affiliation>
<affiliation wicri:level="1"><nlm:affiliation>e Institut Hospitalo-Universitaire Méditerranée Infection , Marseille , France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>e Institut Hospitalo-Universitaire Méditerranée Infection , Marseille </wicri:regionArea>
<wicri:noRegion>Marseille </wicri:noRegion>
<wicri:noRegion>Marseille </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Jaureguiberry, Jean Pierre De" sort="Jaureguiberry, Jean Pierre De" uniqKey="Jaureguiberry J" first="Jean-Pierre De" last="Jaureguiberry">Jean-Pierre De Jaureguiberry</name>
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<country xml:lang="fr">France</country>
<wicri:regionArea>f Department of Internal Medicine and Oncology , Sainte-Anne Military hospital , Toulon </wicri:regionArea>
<wicri:noRegion>Toulon </wicri:noRegion>
<wicri:noRegion>Toulon </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Philibert, Patrick" sort="Philibert, Patrick" uniqKey="Philibert P" first="Patrick" last="Philibert">Patrick Philibert</name>
<affiliation wicri:level="1"><nlm:affiliation>d Department of Internal Medicine and Infectious Diseases , European hospital , Marseille , France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>d Department of Internal Medicine and Infectious Diseases , European hospital , Marseille </wicri:regionArea>
<wicri:noRegion>Marseille </wicri:noRegion>
<wicri:noRegion>Marseille </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Allegre, Thierry" sort="Allegre, Thierry" uniqKey="Allegre T" first="Thierry" last="Allegre">Thierry Allegre</name>
<affiliation wicri:level="1"><nlm:affiliation>g Department of Internal Medicine and Hemato-Oncology , Aix-en-Provence public hospital , Aix-en-Provence , France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>g Department of Internal Medicine and Hemato-Oncology , Aix-en-Provence public hospital , Aix-en-Provence </wicri:regionArea>
<wicri:noRegion>Aix-en-Provence </wicri:noRegion>
<wicri:noRegion>Aix-en-Provence </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Chadapaud, Stephane" sort="Chadapaud, Stephane" uniqKey="Chadapaud S" first="Stephane" last="Chadapaud">Stephane Chadapaud</name>
<affiliation wicri:level="1"><nlm:affiliation>h Department of Internal Medicine , Hyères-les-Palmiers public hospital , Hyères-les-Palmiers , France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>h Department of Internal Medicine , Hyères-les-Palmiers public hospital , Hyères-les-Palmiers </wicri:regionArea>
<wicri:noRegion>Hyères-les-Palmiers </wicri:noRegion>
<wicri:noRegion>Hyères-les-Palmiers </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Cohen Valensi, Rolande" sort="Cohen Valensi, Rolande" uniqKey="Cohen Valensi R" first="Rolande" last="Cohen-Valensi">Rolande Cohen-Valensi</name>
<affiliation wicri:level="1"><nlm:affiliation>i Department of Internal Medicine , Martigues public hospital , Martigues , France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>i Department of Internal Medicine , Martigues public hospital , Martigues </wicri:regionArea>
<wicri:noRegion>Martigues </wicri:noRegion>
<wicri:noRegion>Martigues </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Granet Brunello, Patricia" sort="Granet Brunello, Patricia" uniqKey="Granet Brunello P" first="Patricia" last="Granet-Brunello">Patricia Granet-Brunello</name>
<affiliation wicri:level="1"><nlm:affiliation>j Department of Cardiology and Pneumology , Digne-les-Bains public hospital , Digne-les-Bains , France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>j Department of Cardiology and Pneumology , Digne-les-Bains public hospital , Digne-les-Bains </wicri:regionArea>
<wicri:noRegion>Digne-les-Bains </wicri:noRegion>
<wicri:noRegion>Digne-les-Bains </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Pelissier, Laurence" sort="Pelissier, Laurence" uniqKey="Pelissier L" first="Laurence" last="Pelissier">Laurence Pelissier</name>
<affiliation wicri:level="1"><nlm:affiliation>k Department of Internal Medicine , Gap public hospital , Gap , France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>k Department of Internal Medicine , Gap public hospital , Gap </wicri:regionArea>
<wicri:noRegion>Gap </wicri:noRegion>
<wicri:noRegion>Gap </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Pichancourt, Gilles" sort="Pichancourt, Gilles" uniqKey="Pichancourt G" first="Gilles" last="Pichancourt">Gilles Pichancourt</name>
<affiliation wicri:level="1"><nlm:affiliation>l Department of Clinical Hematology and Medical Oncology , Avignon public hospital , Avignon , France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>l Department of Clinical Hematology and Medical Oncology , Avignon public hospital , Avignon </wicri:regionArea>
<wicri:noRegion>Avignon </wicri:noRegion>
<wicri:noRegion>Avignon </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Bregigeon, Sylvie" sort="Bregigeon, Sylvie" uniqKey="Bregigeon S" first="Sylvie" last="Bregigeon">Sylvie Bregigeon</name>
<affiliation wicri:level="1"><nlm:affiliation>a Assistance Publique, Hôpitaux de Marseille (AP-HM) , Marseille , France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>a Assistance Publique, Hôpitaux de Marseille (AP-HM) , Marseille </wicri:regionArea>
<wicri:noRegion>Marseille </wicri:noRegion>
<wicri:noRegion>Marseille </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Tollinchi, Frank" sort="Tollinchi, Frank" uniqKey="Tollinchi F" first="Frank" last="Tollinchi">Frank Tollinchi</name>
<affiliation wicri:level="1"><nlm:affiliation>m Department of Dermatology , Saint-Joseph foundation hospital , Marseille , France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>m Department of Dermatology , Saint-Joseph foundation hospital , Marseille </wicri:regionArea>
<wicri:noRegion>Marseille </wicri:noRegion>
<wicri:noRegion>Marseille </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Darque, Albert" sort="Darque, Albert" uniqKey="Darque A" first="Albert" last="Darque">Albert Darque</name>
<affiliation wicri:level="1"><nlm:affiliation>a Assistance Publique, Hôpitaux de Marseille (AP-HM) , Marseille , France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>a Assistance Publique, Hôpitaux de Marseille (AP-HM) , Marseille </wicri:regionArea>
<wicri:noRegion>Marseille </wicri:noRegion>
<wicri:noRegion>Marseille </wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Petit, Nathalie" sort="Petit, Nathalie" uniqKey="Petit N" first="Nathalie" last="Petit">Nathalie Petit</name>
<affiliation wicri:level="1"><nlm:affiliation>a Assistance Publique, Hôpitaux de Marseille (AP-HM) , Marseille , France.</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>a Assistance Publique, Hôpitaux de Marseille (AP-HM) , Marseille </wicri:regionArea>
<wicri:noRegion>Marseille </wicri:noRegion>
<wicri:noRegion>Marseille </wicri:noRegion>
</affiliation>
</author>
</analytic>
<series><title level="j">AIDS care</title>
<idno type="eISSN">1360-0451</idno>
<imprint><date when="2019" type="published">2019</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Aged, 80 and over (MeSH)</term>
<term>Aging (MeSH)</term>
<term>Anti-HIV Agents (therapeutic use)</term>
<term>Cross-Sectional Studies (MeSH)</term>
<term>Depression (epidemiology)</term>
<term>Depression (psychology)</term>
<term>Female (MeSH)</term>
<term>France (epidemiology)</term>
<term>HIV Infections (complications)</term>
<term>HIV Infections (drug therapy)</term>
<term>HIV Infections (epidemiology)</term>
<term>HIV Infections (psychology)</term>
<term>Health Status Disparities (MeSH)</term>
<term>Health Status Indicators (MeSH)</term>
<term>Health Surveys (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Mental Health (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Prevalence (MeSH)</term>
<term>Psychosocial Deprivation (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte (MeSH)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Agents antiVIH (usage thérapeutique)</term>
<term>Carence psychosociale (MeSH)</term>
<term>Disparités de l'état de santé (MeSH)</term>
<term>Dépression (psychologie)</term>
<term>Dépression (épidémiologie)</term>
<term>Enquêtes de santé (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>France (épidémiologie)</term>
<term>Humains (MeSH)</term>
<term>Indicateurs d'état de santé (MeSH)</term>
<term>Infections à VIH (complications)</term>
<term>Infections à VIH (psychologie)</term>
<term>Infections à VIH (traitement médicamenteux)</term>
<term>Infections à VIH (épidémiologie)</term>
<term>Mâle (MeSH)</term>
<term>Prévalence (MeSH)</term>
<term>Santé mentale (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Vieillissement (MeSH)</term>
<term>Études transversales (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Anti-HIV Agents</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>France</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>HIV Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>HIV Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Depression</term>
<term>HIV Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Dépression</term>
<term>Infections à VIH</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Depression</term>
<term>HIV Infections</term>
</keywords>
<keywords scheme="MESH" qualifier="traitement médicamenteux" xml:lang="fr"><term>Infections à VIH</term>
</keywords>
<keywords scheme="MESH" qualifier="usage thérapeutique" xml:lang="fr"><term>Agents antiVIH</term>
<term>Infections à VIH</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Dépression</term>
<term>France</term>
<term>Infections à VIH</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Aging</term>
<term>Cross-Sectional Studies</term>
<term>Female</term>
<term>Health Status Disparities</term>
<term>Health Status Indicators</term>
<term>Health Surveys</term>
<term>Humans</term>
<term>Male</term>
<term>Mental Health</term>
<term>Middle Aged</term>
<term>Prevalence</term>
<term>Psychosocial Deprivation</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Carence psychosociale</term>
<term>Disparités de l'état de santé</term>
<term>Enquêtes de santé</term>
<term>Femelle</term>
<term>Humains</term>
<term>Indicateurs d'état de santé</term>
<term>Mâle</term>
<term>Prévalence</term>
<term>Santé mentale</term>
<term>Sujet âgé</term>
<term>Sujet âgé de 80 ans ou plus</term>
<term>Vieillissement</term>
<term>Études transversales</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>France</term>
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<front><div type="abstract" xml:lang="en">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.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" IndexingMethod="Curated" Owner="NLM"><PMID Version="1">30466319</PMID>
<DateCompleted><Year>2020</Year>
<Month>03</Month>
<Day>04</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>03</Month>
<Day>04</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1360-0451</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>31</Volume>
<Issue>7</Issue>
<PubDate><Year>2019</Year>
<Month>07</Month>
</PubDate>
</JournalIssue>
<Title>AIDS care</Title>
<ISOAbbreviation>AIDS Care</ISOAbbreviation>
</Journal>
<ArticleTitle>Factors associated with social deprivation among older persons living with HIV.</ArticleTitle>
<Pagination><MedlinePgn>809-815</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1080/09540121.2018.1549719</ELocationID>
<Abstract><AbstractText>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.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Enel</LastName>
<ForeName>Patricia</ForeName>
<Initials>P</Initials>
<Identifier Source="ORCID">0000-0003-1932-0533</Identifier>
<AffiliationInfo><Affiliation>a Assistance Publique, Hôpitaux de Marseille (AP-HM) , Marseille , France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>b Department of Public Health , Self-Perceived Health Assessment Research Unit EA3279, Aix-Marseille University , Marseille , France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Retornaz</LastName>
<ForeName>Frederique</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>b Department of Public Health , Self-Perceived Health Assessment Research Unit EA3279, Aix-Marseille University , Marseille , France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>c Silvermed Institute and Division of Geriatric Medicine , State Geriatric Center , Marseille , France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>d Department of Internal Medicine and Infectious Diseases , European hospital , Marseille , France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Ravaux</LastName>
<ForeName>Isabelle</ForeName>
<Initials>I</Initials>
<AffiliationInfo><Affiliation>a Assistance Publique, Hôpitaux de Marseille (AP-HM) , Marseille , France.</Affiliation>
</AffiliationInfo>
<AffiliationInfo><Affiliation>e Institut Hospitalo-Universitaire Méditerranée Infection , Marseille , France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Jaureguiberry</LastName>
<ForeName>Jean-Pierre de</ForeName>
<Initials>JP</Initials>
<AffiliationInfo><Affiliation>f Department of Internal Medicine and Oncology , Sainte-Anne Military hospital , Toulon , France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Philibert</LastName>
<ForeName>Patrick</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>d Department of Internal Medicine and Infectious Diseases , European hospital , Marseille , France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Allegre</LastName>
<ForeName>Thierry</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>g Department of Internal Medicine and Hemato-Oncology , Aix-en-Provence public hospital , Aix-en-Provence , France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chadapaud</LastName>
<ForeName>Stephane</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>h Department of Internal Medicine , Hyères-les-Palmiers public hospital , Hyères-les-Palmiers , France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Cohen-Valensi</LastName>
<ForeName>Rolande</ForeName>
<Initials>R</Initials>
<AffiliationInfo><Affiliation>i Department of Internal Medicine , Martigues public hospital , Martigues , France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Granet-Brunello</LastName>
<ForeName>Patricia</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>j Department of Cardiology and Pneumology , Digne-les-Bains public hospital , Digne-les-Bains , France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pelissier</LastName>
<ForeName>Laurence</ForeName>
<Initials>L</Initials>
<AffiliationInfo><Affiliation>k Department of Internal Medicine , Gap public hospital , Gap , France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pichancourt</LastName>
<ForeName>Gilles</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>l Department of Clinical Hematology and Medical Oncology , Avignon public hospital , Avignon , France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bregigeon</LastName>
<ForeName>Sylvie</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>a Assistance Publique, Hôpitaux de Marseille (AP-HM) , Marseille , France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Tollinchi</LastName>
<ForeName>Frank</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>m Department of Dermatology , Saint-Joseph foundation hospital , Marseille , France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Darque</LastName>
<ForeName>Albert</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>a Assistance Publique, Hôpitaux de Marseille (AP-HM) , Marseille , France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Petit</LastName>
<ForeName>Nathalie</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>a Assistance Publique, Hôpitaux de Marseille (AP-HM) , Marseille , France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><CollectiveName>VISAGE Study Group</CollectiveName>
<AffiliationInfo><Affiliation>a Assistance Publique, Hôpitaux de Marseille (AP-HM) , Marseille , France.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2018</Year>
<Month>11</Month>
<Day>22</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>England</Country>
<MedlineTA>AIDS Care</MedlineTA>
<NlmUniqueID>8915313</NlmUniqueID>
<ISSNLinking>0954-0121</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D019380">Anti-HIV Agents</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>IM</CitationSubset>
<CitationSubset>X</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000375" MajorTopicYN="Y">Aging</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019380" MajorTopicYN="N">Anti-HIV Agents</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="N">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003430" MajorTopicYN="N">Cross-Sectional Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003863" MajorTopicYN="N">Depression</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="Y">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015658" MajorTopicYN="N">HIV Infections</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="Y">complications</QualifierName>
<QualifierName UI="Q000188" MajorTopicYN="N">drug therapy</QualifierName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D054624" MajorTopicYN="Y">Health Status Disparities</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006305" MajorTopicYN="N">Health Status Indicators</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006306" MajorTopicYN="N">Health Surveys</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008603" MajorTopicYN="N">Mental Health</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015995" MajorTopicYN="N">Prevalence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011610" MajorTopicYN="Y">Psychosocial Deprivation</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="Y">HIV</Keyword>
<Keyword MajorTopicYN="Y">aging</Keyword>
<Keyword MajorTopicYN="Y">alcohol</Keyword>
<Keyword MajorTopicYN="Y">depression</Keyword>
<Keyword MajorTopicYN="Y">social deprivation</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2018</Year>
<Month>11</Month>
<Day>24</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>3</Month>
<Day>5</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2018</Year>
<Month>11</Month>
<Day>24</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
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<ArticleId IdType="doi">10.1080/09540121.2018.1549719</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>France</li>
</country>
</list>
<tree><country name="France"><noRegion><name sortKey="Enel, Patricia" sort="Enel, Patricia" uniqKey="Enel P" first="Patricia" last="Enel">Patricia Enel</name>
</noRegion>
<name sortKey="Allegre, Thierry" sort="Allegre, Thierry" uniqKey="Allegre T" first="Thierry" last="Allegre">Thierry Allegre</name>
<name sortKey="Bregigeon, Sylvie" sort="Bregigeon, Sylvie" uniqKey="Bregigeon S" first="Sylvie" last="Bregigeon">Sylvie Bregigeon</name>
<name sortKey="Chadapaud, Stephane" sort="Chadapaud, Stephane" uniqKey="Chadapaud S" first="Stephane" last="Chadapaud">Stephane Chadapaud</name>
<name sortKey="Cohen Valensi, Rolande" sort="Cohen Valensi, Rolande" uniqKey="Cohen Valensi R" first="Rolande" last="Cohen-Valensi">Rolande Cohen-Valensi</name>
<name sortKey="Darque, Albert" sort="Darque, Albert" uniqKey="Darque A" first="Albert" last="Darque">Albert Darque</name>
<name sortKey="Enel, Patricia" sort="Enel, Patricia" uniqKey="Enel P" first="Patricia" last="Enel">Patricia Enel</name>
<name sortKey="Granet Brunello, Patricia" sort="Granet Brunello, Patricia" uniqKey="Granet Brunello P" first="Patricia" last="Granet-Brunello">Patricia Granet-Brunello</name>
<name sortKey="Jaureguiberry, Jean Pierre De" sort="Jaureguiberry, Jean Pierre De" uniqKey="Jaureguiberry J" first="Jean-Pierre De" last="Jaureguiberry">Jean-Pierre De Jaureguiberry</name>
<name sortKey="Pelissier, Laurence" sort="Pelissier, Laurence" uniqKey="Pelissier L" first="Laurence" last="Pelissier">Laurence Pelissier</name>
<name sortKey="Petit, Nathalie" sort="Petit, Nathalie" uniqKey="Petit N" first="Nathalie" last="Petit">Nathalie Petit</name>
<name sortKey="Philibert, Patrick" sort="Philibert, Patrick" uniqKey="Philibert P" first="Patrick" last="Philibert">Patrick Philibert</name>
<name sortKey="Pichancourt, Gilles" sort="Pichancourt, Gilles" uniqKey="Pichancourt G" first="Gilles" last="Pichancourt">Gilles Pichancourt</name>
<name sortKey="Ravaux, Isabelle" sort="Ravaux, Isabelle" uniqKey="Ravaux I" first="Isabelle" last="Ravaux">Isabelle Ravaux</name>
<name sortKey="Ravaux, Isabelle" sort="Ravaux, Isabelle" uniqKey="Ravaux I" first="Isabelle" last="Ravaux">Isabelle Ravaux</name>
<name sortKey="Retornaz, Frederique" sort="Retornaz, Frederique" uniqKey="Retornaz F" first="Frederique" last="Retornaz">Frederique Retornaz</name>
<name sortKey="Retornaz, Frederique" sort="Retornaz, Frederique" uniqKey="Retornaz F" first="Frederique" last="Retornaz">Frederique Retornaz</name>
<name sortKey="Retornaz, Frederique" sort="Retornaz, Frederique" uniqKey="Retornaz F" first="Frederique" last="Retornaz">Frederique Retornaz</name>
<name sortKey="Tollinchi, Frank" sort="Tollinchi, Frank" uniqKey="Tollinchi F" first="Frank" last="Tollinchi">Frank Tollinchi</name>
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   |wiki=    Sante
   |area=    AutomedicationFrancoV1
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   |type=    RBID
   |clé=     pubmed:30466319
   |texte=   Factors associated with social deprivation among older persons living with HIV.
}}

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Factors associated with social deprivation among older persons living with HIV.

Factors associated with social deprivation among older persons living with HIV.

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