Lancet Report Recommends Paradigm Shift in Care for Older Adults with HIV

A new Lancet HIV report advocates for a paradigm shift in care for the aging HIV-positive population, moving beyond standard antiretroviral therapy. Researchers emphasize the need for comprehensive health management to address the physiological aging associated with chronic infection.
Why it matters
As the population of people living with HIV ages, healthcare systems must adapt to manage multi-morbidity and functional decline to ensure long-term quality of life.
Expanding care beyond essential antiretroviral therapy will help support growing older population with HIV expected to reach 20.2 million worldwide by 2040.
July 28, 2026 • By Johns Hopkins Bloomberg School of Public Health
A new report by a group of HIV researchers in the journal Lancet HIV recommends that health systems caring for older individuals with HIV should move beyond the standard antiretroviral therapy to a more comprehensive, healthy-aging approach. The report was led by researchers at the Johns Hopkins Bloomberg School of Public Health and Yale School of Medicine, with colleagues at more than 40 institutions and nine persons living with HIV.
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