Of the estimated 40 million people living with HIV, the vast majority are adults in their prime working years, but as this middle generation dies of AIDS, a generation of young children and a generation of elderly ages 50 and older are left behind (UNAIDS and WHO 2006). The elderly not only lose the support of their adult children, but they must increasingly take on additional familial responsibilities— with potentially adverse effects for their own well-being. Despite extensive amounts of research on the AIDS epidemic,relatively few studies have focused on the elderly.