WHO defines ageism as stereotypes, prejudice, and discrimination based on age. Ageism is a multidimensional concept that encompasses multiple components related to the individual, the social group, and the institution in different cultural and environmental settings. In people ageing with HIV these elements include self-stigma, discrimination in society, and experiences in care, many of which are unique to older people. In this Position Paper, we use experience of people with HIV and clinicians taking care of them to explore these issues in high-income countries. The intersectionality of multiple -isms, which affect the lives of older people living with HIV, and ageism enhance several HIV-related issues, including self-inflicted stigma, and loneliness. Research is needed to explore how ageism contributes to worse physical, mental, and social wellbeing outcomes for people with HIV. The model of care for older people living with HIV needs to go beyond virological success by adopting a geriatric mindset, which is attentive to the challenge of ageism and is proactive in promoting a comprehensive approach for the ageing population. All stakeholders and the community should work together to co-create institutional strategies and educational programmes and enable respectful intergenerational dialogue to foster a stigma-free future for older people living with HIV.

世界卫生组织将年龄歧视定义为基于年龄的刻板印象、偏见和歧视。年龄歧视是一个多维概念，包含与不同文化和环境背景下的个人、社会群体和机构相关的多个组成部分。对于感染艾滋病毒的老年人来说，这些因素包括自我耻辱、社会歧视和护理经历，其中许多是老年人所独有的。在本立场文件中，我们利用艾滋病毒感染者和照顾他们的临床医生的经验来探讨高收入国家的这些问题。多种主义的交叉性影响着艾滋病毒感染者的老年人的生活，而年龄歧视则加剧了一些与艾滋病毒相关的问题，包括自我造成的耻辱和孤独感。需要进行研究来探索年龄歧视如何导致艾滋病毒感染者的身体、心理和社会福祉恶化。对感染艾滋病毒的老年人的护理模式需要超越病毒学的成功，采用老年思维方式，关注年龄歧视的挑战，并积极推动针对老龄化人口的综合方法。所有利益攸关方和社区应共同努力，共同制定机构战略和教育计划，并开展相互尊重的代际对话，为艾滋病毒感染者的老年人创造一个无耻辱的未来。