The Role of Comorbidity on Retention in HIV Care

Bulsara, Shiraze M.; Wainberg, Milton L.; Rogers, Kris; McAloon, John; Grove, Rachel; Newton‐John, Toby

doi:10.1007/s10461-020-02992-1

Cited by 3 publications

(3 citation statements)

References 22 publications

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“…The 2014 Joint United Nations Programme on HIV/AIDS (UNAIDS) global ‘90–90–90’ target for HIV management [ 8 ], particularly achieving viral suppression, is traditionally used to measure treatment success and has a clear biomedical focus [ 9 , 10 ]. These targets are progressively being achieved globally; in Australia, HIV has largely been controlled through ART with recent estimates suggesting Australia’s Cascade is currently 90–92–97 [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Quality of Life of People Living with HIV in Australia: The Role of Stigma, Social Disconnection and Mental Health

et al. 2022

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HIV is a manageable chronic illness, due to advances in biomedical management. However, many people living with HIV (PLHIV) continue to experience psychosocial challenges, which have been associated with poorer quality of life (QoL). This study aimed to explore how psychosocial factors contributed to the QoL of PLHIV in Australia; specifically, the relationship between HIV-related stigma, social connectedness, mental health, and QoL. Participants were 122 PLHIV attending The Albion Centre (a tertiary HIV clinic in Sydney, Australia), who completed questionnaires which measured HIV-related stigma, social support, mental health symptomology and QoL. Results indicated that HIV-related stigma predicted poorer QoL, as did mental health symptomology. Conversely, social connectedness improved QoL. Additionally, social connectedness was found to mediate the relationship between HIV-related stigma and QoL, whereas the hypothesized moderating role of mental health symptomology on this model was not significant. These findings provide insight into the impact of psychosocial factors on QoL, offering practitioners various points of clinical intervention.

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Section: Introductionmentioning

confidence: 99%

Quality of Life of People Living with HIV in Australia: The Role of Stigma, Social Disconnection and Mental Health

et al. 2022

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“…crystal methamphetamine use) and physical (e.g. Hepatitis C, cancer) comorbidities associated with poorer HIV care retention among PLHIV [35].…”

Section: Resultsmentioning

confidence: 99%

Context, COVID-19 and comorbidities: exploring emergent directions in syndemics and HIV research

Logie

Coelho

Kohrt

et al. 2022

Current Opinion in HIV and AIDS

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Purpose of reviewThe purpose of this review is to identify themes across articles that aimed to explore HIV-related syndemics in 2020 and 2021 and to discuss their implications for research on syndemics. Recent findingsWe identified 189 articles on syndemics between 2020 and 2021. Key themes across studies included COVID-19; mental health and psychosocial challenges; substance use; socio-structural factors; protective factors; and methodological approaches. COVID-19's implications for HIV syndemic research were discussed. Mental health and substance use research largely examined linkages with sexual practices or reduced HIV care retention. Researchers examined associations between socio-structural variables (e.g. poverty) and elevated HIV exposure, reduced HIV testing and poorer health. Concepts of water insecurity and 'ecosyndemics' were also raised, as was the importance of attending to noncommunicable diseases and comorbidities. Most studies did not assess interactions between health conditions, signalling the need for methodological grounding in the foundational concepts of syndemic theory.

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“… 22 In the context of an aging cohort of PLWHIV, it is necessary to fully assess comorbidities, allocate resources appropriately, and make targeted interventions. 23 …”

Section: Discussionmentioning

confidence: 99%

Polypharmacy, Medication-Related Burden and Antiretroviral Therapy Adherence in People Living with HIV Aged 50 and Above: A Cross-Sectional Study in Hunan, China

Zheng¹,

Meng²,

Xiao³

et al. 2022

PPA

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Purpose People living with HIV (PLWHIV) are susceptible to non-communicable diseases (NCDs) because of aging and infections. This means that the number of non-HIV medications increases, along with issues of polypharmacy and medication-related burden. The purpose of this study was to identify the current situation of polypharmacy and medication-related burden among PLWHIV aged 50 and above, as well as the relation between medication-related burden and antiretroviral therapy (ART) adherence. Patients and Methods A cross-sectional study was conducted with 185 participants recruited from two HIV clinics in Yuelu District Center for Disease Control (CDC) and Changsha First Hospital in Hunan, China. Participants filled questionnaires about comorbidities, polypharmacy, medication-related burden, ART adherence and sociodemographic characteristics. Results Among the participants, 40% were receiving polypharmacy, and PLWHIV, who were female ( β = 5.946; 95% CI = 1.354, 10.541), had a lower monthly income ( β = −4.777; 95% CI = −6.923, −2.632), and took more drugs ( β = 2.200; 95% CI = 1.167, 3.233) were more likely to report a higher level of medication-related burden. The score of ART adherence was negatively associated with medication-related burden ( r s = −0.250 p = 0.001). Conclusion The findings suggest that more attention should be paid to the issues of polypharmacy and targeted interventions should be developed to reduce medication-related burden among older PLWHIV.

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The Role of Comorbidity on Retention in HIV Care

Cited by 3 publications

References 22 publications

Quality of Life of People Living with HIV in Australia: The Role of Stigma, Social Disconnection and Mental Health

Quality of Life of People Living with HIV in Australia: The Role of Stigma, Social Disconnection and Mental Health

Context, COVID-19 and comorbidities: exploring emergent directions in syndemics and HIV research

Polypharmacy, Medication-Related Burden and Antiretroviral Therapy Adherence in People Living with HIV Aged 50 and Above: A Cross-Sectional Study in Hunan, China

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