Description:
Summary
Late presentation for care is a major impediment to prevention and effective treatment of HIV
infection. Older individuals are at increased risk for late presentation, represent a growing
proportion of all those with late presentation, and may require interventions tailored to their age
group. We provide a summary of the worldwide literature published between 2016-21 (reporting
data from 1984-2018) quantifying the association of age with delayed presentation. Using the
most common definitions of late presentation and older age from these earlier studies, we
update this work with data from the International epidemiology Databases to Evaluate AIDS
(IeDEA) consortium focusing on data from 2000 to 2019 encompassing 4 continents. Finally, we
consider how late presentation among older individuals might be more effectively addressed as
electronic medical records become widely adopted.