One of the first areas that needs to be focused on is creating a prevention plan tailored specifically to the at-risk older adult population. This population was found to have several risky behaviors. History of drug use and current substance abuse was found to be higher in older individuals who were HIV-positive versus HIV-negative. (Green et al., 2010). In addition, older drug users were found to share needles less than younger drug users however, older drug users were just as likely as younger drug users to participate in risky sexual behavior (Linley et al., 2012). An interesting area of research would be to better understand risk behaviors between younger and older drug users and how this affects HIV infection and transmission rates. Addition information that could be gained from this subject area is more information on the older drug user population; including what was the effect of their drug use on their clinical outcomes, taking into account adherence and risk of comorbidities.
In a study examining sexual practices of older adults, it was found that the majority of adults who were having sexual relations with an individual, who was a casual date, a friend or a new acquaintances (Schick ...
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... actually excluded from participation in drug trials due to their multiple other medical issues and long list of other medications that they are on (Biasi et al., 2011). However, as a result there is very little knowledge on how ART drugs interact with many of the comorbidity medications. There needs to be increased knowledge on how ART medications interact with the commonly prescribed comorbidity medications (De Biasi et al., 2012). Without studying which drugs work better in individuals from this cohort it is impossible to really know how age-related body changes can influence the pharmacokinetics (De Biasi et al., 2012). Research on this subject area will tell vast information not only on how medications can be used to treat aging patients, but also to find the right drug cocktails to best manage these complex cases of HIV and comorbidities in an aging population.
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