@article{fdi:010091104, title = {{T}he burden of secrecy in the management of multimorbidity in older people living with {HIV} aged 70 and over}, author = {{S}ambou, {C}. and {P}ourette, {D}olores and {B}eaudrap, {P}ierre de and {S}lama, {L}. and {K}atlama, {C}. and {C}azanave, {C}. and {B}onnet, {F}. and {M}eyer, {L}. and {A}llavena, {C}.}, editor = {}, language = {{ENG}}, abstract = {{T}he secrecy surrounding {HIV} continues to be a major concern for older people living with {HIV} ({OPWH}) despite their long-term experience of {HIV} and the presence of other chronic diseases. {O}ur study aims to highlight how the secrecy surrounding {HIV} can affect the management of the other conditions. {T}he results of this socio-anthropological sub-study of the {ANRS} {EP}66 {SEPTAVIH} study, which assesses frailty in {OPWH}, are based on in-depth interviews conducted with 20 {OPWH} with multimorbidities aged 70 years and over and 9 caregivers. {B}ased on a cross-sectional thematic analysis, this study shows that {HIV} infection differs from other chronic diseases due to the secrecy and stigma associated with {HIV}. {T}hese specific issues associated with {HIV} complicate the lives of {OPWH}, depriving them of support from loved ones and forcing them to exclude their general practitioner from their care system. {T}his then causes {OPWH} with multiple chronic diseases to become socially vulnerable and isolated. {I}nterventions that support the sharing of information on {HIV} among {OPWH} and also among caregivers need to be identified as a matter of urgency in order to improve the lives and management of {OPWH} with multimorbidities.}, keywords = {{HIV} ; multimorbidity ; secrecy ; care ; older people ; stigma ; {FRANCE}}, booktitle = {}, journal = {{AIDS} {C}are}, volume = {36}, numero = {8}, pages = {1094--1101}, ISSN = {0954-0121}, year = {2024}, DOI = {10.1080/09540121.2024.2372723}, URL = {https://www.documentation.ird.fr/hor/fdi:010091104}, }