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HIV/AIDS is usually viewed as a disease affecting reproductive-age adults and their infant children. Discussions rarely consider the impact on older persons and, when they do, they typically focus on those who are infected themselves. Not only can older adults contract HIV themselves but a far greater number of older persons are affected through the infection of significant others, especially their adult children. The pathways through which they are affected include caregiving, coresidence and providing financial and material support during the illness, paying funeral expenses, fostering orphaned grandchildren, losing current and old-age support that the child would have provide, and suffering grief and emotional stress. These in turn can have profound consequences for their economic, social, psychological, and physical well-being. At the same time, by playing a major role in caregiving, older persons make significant contributions to the well-being of their infected sons and daughters and, by assuming the role of foster parents, to the grandchildren who are left behind.
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