I joined ACRIA (AIDS Community Research Initiative of America)  in 2002 to supervise their clinical trials program, and to initiate a research program on HIV and Aging.

After an initial research effort and publications I launched ROAH (Research on Older Adults with HIV).This study sampled 1,000 New York City older adults with HIV. These data became a catalyst for bringing HIV and aging onto radar screens locally, nationally and globally by focusing on the psychosocial characteristics of the emerging populations aging with HIV.


ROAH fueled multiple research, training and  advocvacy efforts. These include:

  • Collaborative research papers, abstracts and presentations, including 4 International AIDS Conference Satellites (Melbourne, Washington D.C., Vienna, S Africa) and 4 New York City HIV and Aging Conferences with NYU.

  • Evidence base for 8 years of NYC Council funding for HIV Prevention Programs for older adults called 

      Age is Not a Condom

  • Support for National Training & Technical Assistance (NOAH) on Aging and HIV.

  • ROAH positioned ACRIA to advance HIV and aging policies at local, state, national, and international levels.

  • ROAH was the basis for The White House Conference on HIV & Aging, 2 U.S. Congressional hearings, and ongoing advocacy with the CDC, NIH, & UNAIDS.

  • ACRIA’s research was part of the impetus  for the NIH HIV & Aging Working Group.

  • As a model ROAH has been used in Canada, the U.K, Brazil, Uganda, and South Africa.

  • ROAH allowed ACRIA to join in a collaborative effort with the American Academy of HIV Medicine and the American Geriatrics Society to provide guidelines for the clinical management of older adults with HIV and the clinical resource website HIV-Age.org.

  • ROAH data was the basis for developing patient centered publications for older adults with HIV that assists them in engaging health issues.

  • ROAH data informed the development of 30+ curriculum modules on issues related to HIV & Aging.

HIV and Aging Research at 

Training senior service providers about HIV and aging: Evaluation of a multiyear, multicity initiative. Seidel, Karpiak, Brennan-Ing. Gerontol Geriatr Educ 2017; 38(2):188-203.

Stigma and Psychological Well-being Among Older Adults With HIV: The Impact of Spirituality and Integrative Health Approaches. Porter, Brennan-Ing, Burr , Dugan, Karpiak. Gerontologist 2017; 57(2):219-228.

Are HIV-Infected Older Adults Aging Differently? Karpiak, Havlik. Interdiscip Top Gerontol Geriatr 2017; 42:11-27.

Adapting a telephone support intervention to address depression in older adults with HIV.  Brennan-Ing, Seidela, Geddes, Freemana, Figueroae, Havlik, Karpiak.  J of HIV AIDS & Social Services 2017:1-16

Social Support Systems and Social Network Characteristics of Older Adults with HIV. Brennan-Ing, Seidel, Karpiak. Interdiscip Top Gerontol Geriatr 2017; 42:159-172.

HIV Stigma and Older Men's Psychological Well-Being: Do Coping Resources Differ for Gay/Bisexual and Straight Men? Porter KE, Brennan-Ing M, Burr JA, Dugan E, Karpiak SE. The Journal of Gerontology. The Journals of Gerontology: Series B 2017.

"The Pleasure Is Better as I've Gotten Older": Sexual Health, Sexuality, and Sexual Risk Behaviors Among Older Women Living With HIV. Taylor TN, Munoz-Plaza CE, Goparaju L, Martinez O, Holman S, Minkoff HL, Karpiak, SE. Arch Sex Behav 2017; 46(4):1137-1150.

Sexual Behavior of Older Adults Living with HIV in Uganda. Negin, Geddes, Brennan-Ing, Kuteesa, Karpiak, Seeley. Arch Sex Behav 2016; 45(2):441-449.

Aging with HIV: The Challenges of Providing Care and Social Supports. Karpiak, Brennan-Ing. Generations 2016; 40(2):23-25.

Addressing Sexual Health in Geriatrics Education. Brennan-Ing M, Seidel L, Ansell P, Raik BL, Greenberg D, Nicastri C, Karpiak, Adelman, R. Gerontology & Geriatrics Education 2017.

The Impact of Comprehensive Case Management on HIV Client Outcomes. Brennan-Ing, Seidel, Rodgers, Ernst, Wirth, Tietz, Karpiak. PLoS One 2016; 11(2):e0148865.

Longitudinal Trends in Sexual Behaviors with Advancing Age & Menopause Among Women With & Without HIV-1 Infection. Taylor, Weedon, Golub, Karpiak, Gandhi, AIDS & Behavior 2015; 19(5):931-940.

HIV Prevention in Persons 50 and Older. Taylor T, Karpiak S. Encyclopedia of AIDS 2015.

Hepatitis C Direct Acting Antiviral Therapies in a New York City HIV/AIDS Special Needs Plan: Uptake and Barriers. Kuniholm, Leach, Lunievicz, Olivo, Anastos, Vazquez, Karpiak. AIDS Patient Care STDS 2015; 29(12):643-645.

Adherence to antiretroviral therapy (ART) in older adults living with HIv/AIDS. Karpiak. APA Psychology and AIDS Exchange 2014; January.

Health outcomes for older Hispanics with HIV in New York City using the Oaxaca Decomposition Approach. Dela Cruz, Karpiak, Brennan-Ing. Glob J Health Sci 2014; 7(1):133-143.

Service utilization among older adults with HIV: the joint association of sexual identity and gender. Brennan-Ing, Seidel, London, Cahill, Karpiak. J Homosex 2014; 61(1):166-196.

Social care networks and older LGBT adults: challenges for the future. Brennan-Ing, Seidel, Larson, Karpiak. J Homosex 2014; 61(1):21-52.

Substance use and sexual risk differences among older bisexual and gay men with HIV. Brennan-Ing, Porter, Seidel, Karpiak. Behav Med 2014; 40(3):108-115.


Using a happiness index to measure the benefits for a cost-benefit analysis of antiretrovirals for older adults in New York City Brent RJ, Brennan M, Karpiak S. Clin Res HIV/AIDS 2014:1009-1021.

HIV-Related Stigma as a Mediator of the Relation Between Multiple-Minority Status and Mental Health Burden in an Aging HIV-Positive Population. Storholm, Halkitis, Kupprat, Hampton, Palamar, Brennan-Ing, Karpiak. Journal of HIV/AIDS & Social Services 2013; 12(1):9-25.

Grandparents with Hiv in South Africa Caring for Grandchildren: Vulnerabilities and Resilience. Innovation in Aging.  Porter, Brennan-Ing, MacPhail, Minichiellp, Karpiak, Negin 2017;  Innovation in Aging 1(suppl_1):714-714.


Psychosocial and demographic correlates of drug use in a sample of HIV-positive adults ages 50 and older. Siconolfi, Halkitis, Barton, Perez-Figueroa, Arias-Martinez, Karpiak Prev Sci 2013;14(6):618-627.

More years with HIV/AIDS can mean multimorbidity and complex care. Karpiak. Aging Today: American Society on Aging 2013; 34(6).


“I'm Created in God's Image, and God Don't Create Junk”: Religious Participation and Support Among Older GLBT Adults. Brennan-Ing, Seidel, Larson, Karpiak. Journal of Religion, Spirituality & Aging 2013; 25(2):70-92.

Summary report from the Human Immunodeficiency Virus and Aging Consensus Project: treatment strategies for clinicians managing older individuals with the human immunodeficiency virus. Appelbaum...Karpiak et al. J Am Geriatr Soc 2012; 60(5):974-979.

Financial Hardship and Life Satisfaction Among Aging African Americans With HIV. Longmire-Avital B, Golub SA, Parsons JT, Brennan-Ing M, Karpiak SE. Journal of HIV/AIDS & Social Services 2012; 11(4):363-374.

Success with HIV Provides an Opportuntiy for Leadership. Karpiak. Aging Today: American Society on Aging 2012.

Comorbidities and depression in older adults with HIV. Havlik RJ, Brennan M, Karpiak SE. Sex Health 2011; 8(4):551-559

Dimensions of Psychological Well-being Predict Consistent Condom Use among Older Adults Living with HIV. Golub SA, Botsko M, Gamarel KE, Parsons JT, Brennan M, Karpiak SE Ageing International 2011; 36(3):346-360.


Age is No Barrier: Responding to HIV/AIDS Issues for Older Adults.Sanchez C, Karpiak SE, Bermudez D, Barrett H, Shaw E.In: Diversity & Aging in the 21st Century: The Power of Inclusion. Stanford E, Koskovich G (editors). Washington, DC: AARP; 2010.

Loneliness and HIV-related stigma explain depression among older HIV-positive adults. Grov C, Golub SA, Parsons JT, Brennan M, Karpiak SE. AIDS Care 2010; 22(5):630-639.

Prevalence and Correlates of Sexual Behavior and Risk Management Among HIV-Positive Adults Over 50. Golub SA, Tomassilli JC, Pantalone DW, Brennan M, Karpiak SE, Parsons JT. Sexually Transmitted Diseases 2010:1. 45-55

Economic evaluations of HIV prevention in rich countries and the need to focus on the aging of the HIV-positive population. Brent RJ, Brennan M, Karpiak SE. Curr Opin HIV AIDS 2010; 5(3):255-260.

Religious Congregations and the Growing Needs of Older Adults with HIV. Brennan M, Strauss SM, Karpiak SE. Journal of Religion, Spirituality & Aging 2010; 22(4):307-328.

Older Adults with HIV: An In-Depth Examination of an Emerging Population. Brennan M, Karpiak S, Shippy R, Cantor M.  Nova Science 2009.

Factors affecting disclosure of HIV status among older adults. Brennan M, Cantor M, Karpiak S, Shippy R. GERONTOLOGIST 2008; 48:644-644.

Contributors to Depressive Symptoms in Older Women with HIV: Health and Psychosocial Stressors. In: In Women and Depression. Brennan M, Applebaum A, Cantor M, Shippy A, Karpiak SE. Columbus F (editor). Hauppauge, NY: Nova Science; 2008.

The Impact of HIV-Related Stigma on HIV Care and Prevention Providers. Reece M, Tanner AE, Karpiak SE, Coffey K. Journal of HIV/AIDS & Social Services 2007; 6(3):55-73.

Reality demands change: people over age 50 living with HIV continues to increase. Karpiak S. GMHC Treat Issues 2007; 21(2):1-3.

Perceptions of Support Among Older Adults With HIV. Shippy RA, Karpiak SE. Research on Aging 2005; 27(3):290-306.

S-adenosylmethionine (SAM-e) for the treatment of depression in people living with HIV/AIDS. Shippy RA, Mendez D, Jones K, Cergnul I, Karpiak SE. BMC Psychiatry 2004; 4:38.

The aging HIV/AIDS population: fragile social networks. Shippy RA, Karpiak SE. Aging Ment Health 2005; 9(3):246-254.

Significant Publications **

**A complete listing of all my publications which includes over 140 peer reviewed articles.can be found in my CV upon request, and  most are on the 2 publication pages of this site.

Multi-site ROAH 2.0 Launched

It is 10 years since ACRIA launched its comprehensive study ROAH – Research on Older Adults with HIV. (supra), In 2015 ACRIA began to raised funds and assemble a National Research Advisory group to assemble a new survey for ROAH 2.0. 

in 2016 we launched ROAH 2.0  on which I am the Co-PI with Mark Brennan-Ing:

  • Cornell Medical (HIV and Geriatrics) sample of 500 older adults with HIV whose ROAH 2.0 survey responses will be matched with their clinical electronic records.

  • New York City sample of 500 older adults with HIV

  • Upstate Rural and Small Urban New York - N=450

  • San Francisco CA N=250

  • Oakland CA N=250

  • Palm Springs – Focus Group Stage

  • Los Angeles – Focus Group Stage

I am on faculty  at