{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T20:22:37Z","timestamp":1791490957956,"version":"4.3.4"},"reference-count":52,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2025,7,9]],"date-time":"2025-07-09T00:00:00Z","timestamp":1752019200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"the Fogarty International Center of the National Institutes of Health","award":["D43TW009608"],"award-info":[{"award-number":["D43TW009608"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAL"],"abstract":"<jats:p>The COVID-19 pandemic has illuminated and intensified pre-existing structural vulnerabilities among older adults living with HIV\/AIDS in sub-Saharan Africa, particularly Nigeria. Within already overstretched healthcare infrastructures, these individuals faced heightened economic precarity, disrupted HIV care, and pronounced psychosocial distress. Exploring their lived experiences critically advances an understanding of resilience and informs contextually responsive interventions that can mitigate future health crises. This study employed a narrative qualitative approach to explore the lived experiences of older adults (aged 50 and above) attending the Infectious Diseases Institute (IDI) clinic in Ibadan, Nigeria, during the pandemic lockdown. Purposive sampling guided by maximum variation principles enabled the selection of 26 participants who provided detailed accounts through in-depth interviews. Reflective thematic analysis identified complex narratives illustrating intensified financial hardships, disrupted access to antiretroviral therapy (ART), and heightened psychological distress, including anxiety, depression, and profound isolation. Conversely, participants also articulated experiences of resilience, manifesting in improved medication adherence, strengthened family bonds, and introspective growth fostered by enforced isolation. These nuanced findings highlights the necessity of developing an adaptive, integrated healthcare interventions that addresses economic vulnerabilities, psychosocial wellbeing, and ART continuity, thereby better preparing resource-constrained health systems to support older adults with HIV\/AIDS in future public health crises.<\/jats:p>","DOI":"10.3390\/jal5030023","type":"journal-article","created":{"date-parts":[[2025,7,10]],"date-time":"2025-07-10T09:38:27Z","timestamp":1752140307000},"page":"23","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["\u201cLiving Through Two Storms\u201d: A Narrative Enquiry of Older Adults\u2019 Experiences with HIV\/AIDS During the COVID-19 Pandemic in Nigeria"],"prefix":"10.3390","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3221-1323","authenticated-orcid":false,"given":"Olufisayo O.","family":"Elugbadebo","sequence":"first","affiliation":[{"name":"Department of Psychiatry, College of Medicine, University of Ibadan, Ibadan 200005, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2745-645X","authenticated-orcid":false,"given":"Oluwagbemiga","family":"Oyinlola","sequence":"additional","affiliation":[{"name":"School of Social Work, McGill University, Montreal, QC H3A 2T5, Canada"},{"name":"Medical Social Services Department, University College Hospital, Ibadan 200005, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baiba","family":"Berzins","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Northwestern University Feinberg School of Medicine Chicago, IL 60611, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bibilola","family":"Oladeji","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, College of Medicine, University of Ibadan, Ibadan 200005, Nigeria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa M.","family":"Kuhns","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Feinberg School of Medicine & Ann & Robert H. Lurie Children\u2019s Hospital of Chicago, Division of Adolescent and Young Adult Medicine, Northwestern University, Chicago, IL 60611, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Babafemi O.","family":"Taiwo","sequence":"additional","affiliation":[{"name":"Division of Infectious Diseases, Northwestern University Feinberg School of Medicine Chicago, IL 60611, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"315","DOI":"10.4314\/ahs.v17i2.4","article-title":"Demographic and epidemiological characteristics of HIV opportunistic infections among older adults in Nigeria","volume":"17","author":"Akinyemi","year":"2017","journal-title":"Afr. Health Sci."},{"key":"ref_2","doi-asserted-by":"crossref","unstructured":"Autenrieth, C.S., Beck, E.J., Stelzle, D., Mallouris, C., Mahy, M., and Ghys, P. (2018). 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