{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T20:40:31Z","timestamp":1770064831524,"version":"3.49.0"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2013,7,23]],"date-time":"2013-07-23T00:00:00Z","timestamp":1374537600000},"content-version":"vor","delay-in-days":203,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"funder":[{"name":"Stephanie Nixon for Health Research"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of the International AIDS Society"],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Research investigating HIV, neurocognition and ageing is well developed using neuropsychometric or other quantitative approaches; however, little is known about individuals\u2019 subjective experiences. The purpose of this article is to explore the experiences of men aged 50 and older who self\u2010identify as having HIV\u2010associated neurocognitive challenges. In particular, this study uses the Episodic Disability Framework (EDF) to explore participants\u2019 perceptions regarding: 1) symptoms\/impairments, difficulties with day\u2010to\u2010day activities, challenges with social inclusion and uncertainty; 2) ageing as related to their HIV\u2010associated neurocognitive challenges, and 3) the episodic nature of their HIV\u2010associated neurocognitive challenges.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This qualitative, interpretive study involved in\u2010depth, semi\u2010structured interviews with 12 men aged 50 years and older who self\u2010identified as having HIV\u2010associated neurocognitive challenges. Participants were recruited from a neurobehavioural research unit (NBRU) at a large hospital in Toronto, Canada. Data were analyzed thematically and with reference to the EDF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants\u2019 experiences reflected all concepts within the EDF to some extent. Difficulties with daily activities were diverse but were addressed using similar living strategies. Participants described challenges with work and social relationships resulting from neurocognitive challenges. Participants downplayed the significance of uncertainty in their lives, which they attributed to effective living strategies. Most men reported confusion regarding the link between their neurocognitive challenges and ageing. Others discussed ageing as an asset that helped with coping.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This is the first study to use a disability framework to examine the subjective experiences of men ageing with HIV\u2010associated neurocognitive challenges. Findings reframe the episodic disability experienced by these individuals as being predictably linked to certain triggers. As such, support for managing neurocognitive challenges could focus on triggers that exacerbate the condition in addition to the impairments themselves. The study also describes ageing as not only a source of problems but also as an asset among men growing older with HIV.<\/jats:p><\/jats:sec>","DOI":"10.7448\/ias.16.1.18506","type":"journal-article","created":{"date-parts":[[2013,7,22]],"date-time":"2013-07-22T04:45:11Z","timestamp":1374468311000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["\u201cMy body\u2019s a 50 year\u2010old but my brain is definitely an 85 year\u2010old\u201d: exploring the experiences of men ageing with HIV\u2010associated neurocognitive challenges"],"prefix":"10.1002","volume":"16","author":[{"given":"Lisa","family":"Hopcroft","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Bester","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Clement","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Adria","family":"Quigley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manisha","family":"Sachdeva","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean B","family":"Rourke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephanie A","family":"Nixon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,7,23]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnen\/62.5.429"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11481-009-9155-5"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1089\/aid.2006.22.386"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2007.02.004"},{"key":"e_1_2_9_6_1","doi-asserted-by":"crossref","unstructured":"StoffDM.Mental health research in HIV\/AIDS and aging: problems and prospects.AIDS.2004;18 Suppl 1:S3\u201310.","DOI":"10.1097\/00002030-200401001-00002"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/ana.22053"},{"key":"e_1_2_9_8_1","volume-title":"The Canadian \u201cCHARTER\u201d report: prevalence and determinants of HIV\u2010associated neuropsychological impairment in the OHTN Cohort Study","author":"Rourke SB"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e318200d727"},{"key":"e_1_2_9_10_1","doi-asserted-by":"crossref","unstructured":"BeckerJT LopezOL DewMA AizensteinHJ.Prevalence of cognitive disorders differs as a function of age in HIV virus infection.AIDS.2004;18 Suppl 1:S11\u20138.","DOI":"10.1097\/00002030-200401001-00003"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000287431.88658.8b"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1037\/0894-4105.22.1.110"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1355617704102130"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1176\/jnp.2009.21.2.189"},{"key":"e_1_2_9_15_1","first-page":"8","article-title":"Neuropsychological impairment in human immunodeficiency virus\u2010infection: implications for employment","volume":"56","author":"Heaton RK","journal-title":"HNRC Group. 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