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AIDS Increasing Among Older Adults

January 22, 1998

ATLANTA (AP) _ Between 1991 and 1996, new AIDS cases rose twice as fast among older people as they did among young adults, the government said Thursday.

That suggests that older adults may not be protecting themselves against the disease and that their doctors aren’t looking for it, the Centers for Disease Control and Prevention said.

In 1996, 6,400 AIDS cases were diagnosed in the United States among people 50 and older, up 22 percent from 5,260 new cases in 1991, the CDC said.

New AIDS cases for the 13-to-49 age group rose 9 percent in the same period, from 46,000 cases to 50,300.

The CDC said most older adults who got AIDS in the early days of the epidemic probably contracted it from a tainted blood transfusion. Now, more are being infected by unprotected sex and injecting drugs.

``These are older adults who are engaging in some risky behaviors because they don’t perceive themselves to be at risk,″ said Dr. Kimberly Holding of the CDC.

Among older women, the number of new AIDS cases linked to unprotected sex more than doubled between 1991 and 1996 _ from 340 to 700. In older men, that increase was almost as sharp _ from 360 to 700.

New cases among older men who inject drugs jumped 53 percent, from 850 to 1,300. Among older women, the increase was 75 percent, from 160 to 280.

Doctors may be less likely to consider the possibility of HIV infection among older adults, so they don’t counsel them on the risks or discuss protection, the CDC said.

Diseases that signal an AIDS infection often mimic the illnesses of aging, Ms. Holding said. For example, dementia associated with HIV could be misread as Alzheimer’s disease, and dramatic weight loss could be mistaken for age-related depression.

That means that when older people are diagnosed with AIDS, it’s more often in the later stages.

In 1996, 13 percent of people 50 and older died within a month of their AIDS diagnosis, compared with 6 percent of those between 13 and 49.

``Physicians who are caring for older people should discuss HIV risk factors with them and look for these diseases,″ Ms. Holding said. ``They need to be included in AIDS education. You don’t see any messages targeted to them.″

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