***TASK*** the task is to summarize an input biomedical literature in six sentences 
    ***INPUT*** the input is a biomedical literature 
    ***OUTPUT*** the output is the summary of an input biomedical literature in six sentences 
    ***DOCUMENTATION*** 
    ***EXAMPLES*** 
    Input: Background In sub-Saharan Africa , little is known about the health and functional status of older people who either themselves are HIV infected or are affected by HIV and AIDS in the family . This aim of this study was to describe health among older people in association with the HIV epidemic . Methods The cross-sectional survey consisted of 510 participants aged 50 years and older , equally divided into five study groups including ; 1 ) HIV infected and on antiretroviral therapy ( ART ) for at least 1 year ; 2 ) HIV infected and not yet eligible for ART ; 3 ) older people who had lost a child due to HIV/AIDS ; 4 ) older people who have an adult child with HIV/AIDS ; 5 ) older people not known to be infected or affected by HIV in the family . The participants were r and omly selected from ongoing studies in a rural and peri-urban area in Ug and a. Data were collected using a WHO st and ard question naire and performance tests . Eight indicators of health and functioning were examined in an age-adjusted bivariate and multivariate analyses . Results In total , 198 men and 312 women participated . The overall mean age was 65.8 and 64.5 years for men and women respectively . Men had better self-reported health and functional status than women , as well as lower self-reported prevalence of chronic diseases . In general , health problems were common : 35 % of respondents were diagnosed with at least one of the five chronic conditions , including 15 % with depression , based on algorithms ; 31 % of men and 35 % of women had measured hypertension ; 25 % of men and 21 % of women had poor vision test results .  HIV-positive older people , irrespective of being on ART , and HIV-negative older people in the other study groups had very similar results for most health status and functioning indicators . The main difference was a significantly lower BMI among HIV-infected older people . Conclusion The systematic exploration of health and well being among older people , using eight self-reported and objective health indicators , showed that basic health problems are very common at older ages and poorly addressed by existing health services . HIV-infected older people , however , whether on ART or not yet on ART , had a similar health and functional status as other older people 
    Output:
    
In Ug and a , WLHIV reported lower rates of sexual activity and rated sex as less important than men .
A single intervention , the “ ROADMAP ” intervention , demonstrated significant increases in HIV knowledge and decreases in HIV stigma and high risk sexual behaviour .
WLHIV face ageist discrimination and other barriers to remaining sexually active and maintaining healthy sexual relationships , including challenges procuring condoms and seeking advice on safe sex practice s , reduced ability to negotiate safer sex , physical and social changes associated with menopause , and sexual health challenges due to disability and comorbidities .
Résumé Partout dans le monde , la population vieillit rapidement et un traitement efficace du VIH signifie que les femmes séropositives peuvent vivre plus longtemps et en meilleure santé .
Une seule intervention autour de la santé sexuelle pour les femmes âgées séropositives , le projet ROADMAP , a sensiblement augmenté la connaissance du VIH et diminué la stigmatisation due au VIH et les comportements sexuels à haut risque .
Elles sont moins à même de négocier des rapports sexuels sans risque et connaissent des changements physiques et sociaux associés avec la ménopause et des risques de santé sexuelle dus à l’invalidité et aux comorbidités .
Les conseils normatifs n’abordent pas correctement la santé et les droits sexuels et génésiques des femmes âgées séropositives , et si cette analyse systématique met en lumière la pénurie de données , elle montre aussi qu’il est nécessaire de poursuivre les recherches et de se pencher sur ce domaine important .
En Ug and a , las MVV informaron menores tasas de actividad sexual y calificaron el sexo como menos importante que los hombres .
En Estados Unidos , el estigma relacionado con el VIH , la divulgación e inquietudes relacionadas con la imagen corporal , entre otros asuntos , fueron descritos como que inhiben la formación de relaciones y las prácticas sexuales más seguras .
Asimismo , la actividad sexual disminuyó a lo largo del tiempo para todas las mujeres , incluidas las MVV que informaron tener sexo más protegido , mientras que una minoría significativa de MVV informó tener sexo sin protección .
Una sola intervención en salud sexual para MVV mayores , la intervención " ROADMAP " , demostró aumentos significativos en el conocimiento del VIH y disminución del estigma en torno al VIH y el comportamiento sexual de alto riesgo .