 This study examined the perceptions of adults living with HIV aged greater than or equal to 50 years, known as older adults living with HIV OLWH, in a low literacy setting on the coast of Kenya. The study found that participants experienced a range of physical, mental, and psychosocial health challenges, such as common mental disorders, comorbidities, somatic symptoms, financial difficulties, stigma, and discrimination. Additionally, there was an overlap of perceived risk factors across all three domains, including family conflicts and poverty. This article was authored by Patrick N. Wangala, Patrick N. Wangala, Patrick N. Wangala, and others.