{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T23:34:47Z","timestamp":1788564887594,"version":"build-2803163510"},"reference-count":34,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2019,5,7]],"date-time":"2019-05-07T00:00:00Z","timestamp":1557187200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01MH102202"],"award-info":[{"award-number":["R01MH102202"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["agsjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J American Geriatrics Society"],"published-print":{"date-parts":[[2019,7]]},"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVES<\/jats:title>\n                    <jats:p>Given an aging human immunodeficiency virus (HIV) population, we aimed to determine the prevalence of HIV for long\u2010stay residents in US nursing homes (NHs) between 2001 and 2010 and to compare characteristics and diagnoses of HIV\u2010positive (HIV+) and negative (HIV\u2010) residents. Also, for residents with dementia diagnoses, we compared antipsychotic (APS) medication receipt by HIV status.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DESIGN<\/jats:title>\n                    <jats:p>A cross\u2010sectional comparative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>SETTING<\/jats:title>\n                    <jats:p>NHs in the 14 states accounting for 75% of persons living with HIV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PARTICIPANTS<\/jats:title>\n                    <jats:p>A total of 9 245 009 long\u2010stay NH residents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MEASUREMENTS<\/jats:title>\n                    <jats:p>Using Medicaid fee\u2010for\u2010service claims data in the years 2001 to 2010, together with Medicare resident assessment and Chronic Condition Warehouse data, we identified long\u2010stay (more than 89\u2009days) NH residents by HIV status and dementia presence. We examined dementia presence by age groups and APS medication receipt by younger (aged younger than 65 years) vs older (aged 65 years or older) residents, using logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Between 2001 and 2010, the prevalence of long\u2010stay residents with HIV in NHs increased from 0.7% to 1.2%, a 71% increase. Long\u2010stay residents with HIV were younger and less often female or white. For younger NH residents, rates of dementia were 20% and 16% for HIV+ and HIV\u2010 residents, respectively; they were 53% and 57%, respectively, for older residents. In adjusted analyses, younger HIV+ residents with dementia had greater odds of APS medication receipt than did HIV\u2010 residents (AOR = 1.3; 95% confidence interval [CI] = 1.2\u20101.4), but older HIV residents had lower odds (AOR = 0.9; 95% CI = 0.8\u20100.9).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>The prevalence of long\u2010stay HIV+ NH residents has increased over time, and given the rapid aging of the HIV population, this increase is likely to have continued. This study raises concern about potential differential quality of care for (younger) residents with HIV in NHs, but not for those aged 65 years and older. These findings contribute to the evidence base needed to ensure high\u2010quality care for younger and older HIV+ residents in NHs.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jgs.15949","type":"journal-article","created":{"date-parts":[[2019,5,7]],"date-time":"2019-05-07T17:37:21Z","timestamp":1557250641000},"page":"1353-1360","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Nursing Home Residents by Human Immunodeficiency Virus Status: Characteristics, Dementia Diagnoses, and Antipsychotic Use"],"prefix":"10.1111","volume":"67","author":[{"given":"Susan C.","family":"Miller","sequence":"first","affiliation":[{"name":"Department of Health Services, Policy &amp; Practice, Brown University School of Public Health  Providence Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shubing","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, School of Medicine and Dentistry, University of Rochester Medical Center  Rochester New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori A.","family":"Daiello","sequence":"additional","affiliation":[{"name":"Department of Health Services, Policy &amp; Practice, Brown University School of Public Health  Providence Rhode Island"},{"name":"Department of Neurology Warren Alpert Medical School of Brown University  Providence Rhode Island"},{"name":"Alzheimer's Disease and Memory Disorders Center Rhode Island Hospital  Providence Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa I.","family":"Shireman","sequence":"additional","affiliation":[{"name":"Department of Health Services, Policy &amp; Practice, Brown University School of Public Health  Providence Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ira B.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Health Services, Policy &amp; Practice, Brown University School of Public Health  Providence Rhode Island"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,5,7]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Centers for Disease Control and Prevention.HIV Among People Aged 50 and Over (online).https:\/\/www.cdc.gov\/hiv\/group\/age\/olderamericans\/index.html. 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