Abstract
This review was conducted to illustrate how the emerging recognition of sexual health in the older adult is informed by research on the growing aging HIV population in the USA and globally. Assessing the sexual health needs of the older adult through the prism of HIV prevention is not ideal. But, there are data and “lessons learned” that advance our understanding of the barriers and needs of older adults’ sexual health. Data confirm many of these older adults with HIV remain sexually active and do engage in risky behaviors as do their younger counterparts. HIV and other STI testing in older adults is not being done adequately as these individuals carry the disproportionate burden of AIDS diagnoses in the USA. Under the duress of persistent HIV and AIDS stigma, marginalized older adults living with HIV try to embrace that most elemental human characteristic of sexuality.
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