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| Preface | |
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| About the Authors | |
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| HIV/AIDS in Middle-Aged and Older Adults: A Research Response | |
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| Incidence of HIV Disease Among Older Adults | |
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| Importance of Studying the Impact of HIV on Older Adults | |
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| Development of the West Central Florida Research Project | |
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| Suggested Resources | |
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| References | |
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| Findings from the West Central Florida Survey of Middle-Aged and Older Adults with HIV Disease | |
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| Overview | |
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| Background | |
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| Survey Findings | |
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| Demographic Characteristics | |
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| HIV/AIDS Variables | |
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| Medical Problems, Functioning Status, and Medications | |
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| Difficulties Living with HIV/AIDS: Stressors, Coping, and Social Support | |
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| Mental Health | |
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| Historical Risk Events and Behaviors | |
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| Conclusions | |
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| References | |
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| The Experience of Older Adults Living with HIV | |
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| Overview | |
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| The HIV-Testing Experience | |
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| Stigma | |
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| Disclosing the HIV Diagnosis to Others | |
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| Psychosocial Aspects of Living With HIV | |
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| Significance of the HIV Diagnosis | |
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| Life Changes Following HIV Diagnosis | |
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| Life Assessment | |
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| Conclusions | |
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| Overview of the Biomedical Aspects of HIV and Its Impact on Older Adults | |
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| Overview | |
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| Natural History of HIV Infection | |
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| HIV Infection and Antibody Testing | |
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| Prevention Aspects of HIV Disease Treatment | |
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| Assessment of Nutritional Status and Dietary Counseling | |
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| Historical Perspective of HIV Disease and Its Treatment | |
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| Interactions of HIV Disease and Aging | |
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| Conclusions | |
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| Suggested Resources | |
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| References | |
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| HIV-Related Stressors, Coping, and Social Support | |
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| Overview | |
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| A Review of Stress, Coping, and Social Support | |
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| Stress, Coping, and Social Support Findings from the West Central Florida Project | |
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| Conclusions | |
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| Crisis Intervention | |
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| Recommendations | |
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| Suggested Resource | |
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| References | |
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| Mental Health and HIV | |
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| Overview | |
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| Background | |
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| Additional Mental Health Issues in Relationship to HIV Disease | |
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| Mental Health Issues Among Older Adults with HIV Disease | |
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| The West Central Florida Older Adult HIV/AIDS Project | |
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| Treatment and Interventions for Mental Health Problems among PLWHIV or Persons at Risk for HIV Infection | |
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| Conclusions | |
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| Recommendations | |
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| Suggested Resources | |
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| References | |
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| Providing Services to Older Adults with HIV Disease | |
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| Overview | |
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| Challenges Presented in Caring for Older PLWHIV | |
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| Case Management | |
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| Models of Case Management | |
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| Providing Health Care to Older PLWHIV | |
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| Ambulatory Care | |
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| Hospital Care | |
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| Rural Health Care | |
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| Providing Spiritual Care | |
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| Enhancing Quality of Care | |
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| Barriers to Accessing Health and Social Services | |
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| Narrative Research Findings Related to the Service Experience of Older Adult PLWHIV | |
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| Getting Information | |
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| Accessing Services | |
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| Evaluation of Service Experience | |
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| Specific Concerns in Getting Needs Met | |
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| Advice for Service Providers Dealing with Older PLWHIV | |
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| The Perspective of Service Providers: Common Themes | |
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| Observed Effects of Age | |
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| Improving Services to Older PLWHIV | |
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| Additional Resources | |
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| References | |
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| People of Color: HIV Prevention and Treatment Issues | |
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| Overview | |
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| Ethnic Disparities Relating to HIV Disease | |
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| African Americans | |
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| Latinos/Hispanics in the United States | |
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| Additional Considerations Regarding People of Color | |
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| Conclusions | |
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| Suggested Resources | |
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| References | |
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| Effects of HIV Disease on Women | |
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| Overview | |
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| Counting Women among the HIV-Affected | |
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| Gender and Disease Progression | |
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| Medical Aspects of HIV in Women | |
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| Social Management of HIV | |
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| Psychosocial Issues Related to HIV Infection and Management | |
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| Stigma, Blame, and Prejudice | |
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| Sex, Drugs, and Money | |
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| Domestic Violence | |
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| Women Who Have Sex with Women | |
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| Living with HIV/AIDS | |
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| Prevention Programming for Women | |
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| The Affected Women | |
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| Conclusions | |
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| Suggested Resources | |
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| References | |
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| Older Adult Sexuality and HIV | |
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| Overview | |
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| Background | |
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| What Seniors are Saying about Sex and Sexuality | |
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| Sexual Concerns and Problems of Older Adults | |
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| Sex and Sexuality in the Institutional Setting | |
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| Importance of Sex Education | |
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| Recommendations for Better Sex in Later Life | |
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| Conducting a Sexual History | |
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| Conclusions | |
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| Suggested Resources | |
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| References | |
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| End of Life Issues | |
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| Overview | |
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| Death as a Potential Growth Experience | |
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| Theories about Death and Dying | |
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| Philosophy of Life | |
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| Resolution of Lingering Issues at the End of Life | |
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| Exercising Control Over Death and Dying | |
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| Support for the Terminally Ill | |
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| Legal Issues | |
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| Helping and Healing the Survivors | |
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| Suggested Resources | |
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| References | |
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| HIV Prevention and Outreach | |
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| Overview | |
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| Characteristics of HIV Risk among Older Adults | |
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| Need for Prevention Education Targeting Older Adults | |
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| Barriers to Effective Prevention Education | |
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| Levels of Prevention | |
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| Strategies for Effective Prevention Education Programs | |
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| Developing Effective Messages | |
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| Outreach | |
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| Collaboration and Coalition Building | |
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| Education for Care Providers | |
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| Florida Initiatives | |
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| Conclusions | |
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| Suggested Resources | |
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| References | |
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| In Conclusion | |
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| Overview | |
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| Here and Now | |
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| Older Adults Living with HIV | |
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| The Economics and Stressors of HIV/AIDS and Prejudice and Discrimination | |
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| Overarching Mental Health Issues | |
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| Ethnicity and Cultural Issues | |
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| Service Issues | |
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| Prevention and Advocacy | |
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| Health Care Costs | |
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| Recommendations | |
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| Conclusions | |
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| Middle-Aged and Older Adults with HIV Disease: West Central Florida Survey Project Description and Results | |
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| Background | |
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| Methodology | |
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| Results | |
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| References | |
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| Older Adult HIV/AIDS Interview Schedule | |
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| Index | |