Consensus statement on the role of health systems in advancing the long-term well-being of people living with HIV

被引：91

作者：

Lazarus, Jeffrey V. ^{[1
]}

Safreed-Harmon, Kelly ^{[1
]}

Kamarulzaman, Adeeba ^{[2
,3
]}

Anderson, Jane ^{[4
]}

Leite, Ricardo Baptista ^{[5
]}

Behrens, Georg ^{[6
]}

Bekker, Linda-Gail ^{[7
]}

Bhagani, Sanjay ^{[8
,9
]}

Brown, Darren ^{[10
]}

Brown, Graham ^{[11
]}

Buchbinder, Susan ^{[12
]}

Caceres, Carlos ^{[13
]}

Cahn, Pedro E. ^{[14
]}

Carrieri, Patrizia ^{[15
]}

Caswell, Georgina ^{[16
]}

Cooke, Graham S. ^{[17
]}

Monforte, Antonella d'Arminio ^{[18
]}

Dedes, Nikos ^{[19
]}

del Amo, Julia ^{[20
]}

Elliott, Richard ^{[21
]}

El-Sadr, Wafaa M. ^{[22
]}

Fuster-Ruiz de Apodaca, Maria Jose ^{[23
,24
]}

Guaraldi, Giovanni ^{[25
]}

Hallett, Tim ^{[17
]}

Harding, Richard ^{[26
]}

Hellard, Margaret ^{[27
]}

Jaffar, Shabbar ^{[28
]}

Kall, Meaghan ^{[29
]}

Klein, Marina ^{[30
]}

Lewin, Sharon R. ^{[31
,32
]}

Mayer, Ken ^{[33
,34
]}

Perez-Molina, Jose A. ^{[35
]}

Moraa, Doreen ^{[36
]}

Naniche, Denise ^{[1
]}

Nash, Denis ^{[37
]}

Noori, Teymur ^{[38
]}

Pozniak, Anton ^{[39
]}

Rajasuriar, Reena ^{[2
]}

Reiss, Peter ^{[40
]}

Rizk, Nesrine ^{[41
]}

Rockstroh, Juergen ^{[42
]}

Romero, Diana ^{[37
]}

Sabin, Caroline ^{[43
]}

Serwadda, David ^{[44
]}

Waters, Laura ^{[45
]}

机构：

[1] Univ Barcelona, Hosp Clin, Barcelona Inst Global Hlth ISGlobal, Barcelona, Spain

[2] Univ Malaya, Kuala Lumpur, Malaysia

[3] Int AIDS Soc IAS, Geneva, Switzerland

[4] Homerton Univ Hosp NHS Fdn Trust, London, England

[5] Portuguese Natl Parliament, Lisbon, Portugal

[6] Med Hsch Hannover MHH, Hannover, Germany

[7] Desmond Tutu HIV Ctr, Cape Town, South Africa

[8] Royal Free London NHS Trust, London, England

[9] UCL, London, England

[10] Chelsea & Westminster NHS Fdn Trust, London, England

[11] Univ New South Wales, Ctr Social Impact, Sydney, NSW, Australia

[12] Bridge HIV, San Francisco Dept Publ Hlth, San Francisco, CA USA

[13] Univ Peruana Cayetano Heredia, Ctr Res Sexual AIDS & Soc, Lima, Peru

[14] Fundac Huesped, Buenos Aires, DF, Argentina

[15] Aix Marseille Univ, INSERM, IRD,SESSTIM,ISSPAM, Sci Econ & Soci Sante & Traitement Informat Med, Marseilles, France

[16] Global Network People Living HIV GNP, Cape Town, South Africa

[17] Imperial Coll London, London, England

[18] Univ Milan, Milan, Italy

[19] Posit Voice, Athens, Greece

[20] Natl Plan AIDS, Minist Hlth, Madrid, Spain

[21] HIV Legal Network, Toronto, ON, Canada

[22] Columbia Univ, ICAP, New York, NY USA

[23] Spanish AIDS Interdisciplinary Soc SEISIDA, Madrid, Spain

[24] Univ Nacl Educ Distancia, Madrid, Spain

[25] Univ Modena & Reggio Emilia, Modena HIV Metab Clin, Modena, Italy

[26] Kings Coll London, London, England

[27] Burnet Inst, Melbourne, Vic, Australia

[28] Univ Liverpool Liverpool Sch Trop Med, Liverpool, Merseyside, England

[29] Publ Hlth England, London, England

[30] McGill Univ, Hlth Ctr Res Inst, Montreal, PQ, Canada

[31] Univ Melbourne, Peter Doherty Inst Infect & Immun, Dept Infect Dis, Melbourne, Vic, Australia

[32] Royal Melbourne Hosp, Peter Doherty Inst Infect & Immun, Victorian Infect Dis Serv, Melbourne, Vic, Australia

[33] Fenway Hlth, Boston, MA USA

[34] Harvard Med Sch, Boston, MA 02115 USA

[35] Hosp Univ Ramon & Cajal, Infectious Dis Dept, Madrid, Spain

[36] ESA YOUTH 2030, Nairobi, Kenya

[37] CUNY, Grad Sch Publ Hlth & Hlth Policy, New York, NY 10021 USA

[38] European Ctr Dis Control & Prevent, Solna, Sweden

[39] London Sch Hyg & Trop Med, London, England

[40] Univ Amsterdam, Amsterdam Univ Med Ctr, Amsterdam, Netherlands

[41] Amer Univ Beirut, Beirut, Lebanon

[42] Univ Hosp Bonn, Bonn, Germany

[43] UCL, London, England

[44] Makerere Univ, Sch Publ Hlth, Kampala, Uganda

[45] Cent & North West London NHS Trust, London, England

来源：

NATURE COMMUNICATIONS | 2021年 / 12卷 / 01期

关键词：

QUALITY-OF-LIFE; HUMAN-IMMUNODEFICIENCY-VIRUS; ANTIRETROVIRAL THERAPY; STIGMA REDUCTION; CARE; IMPACT; VALIDATION; SYMPTOMS; DISEASE; RISK;

D O I：

10.1038/s41467-021-24673-w

中图分类号：

O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];

学科分类号：

07 ; 0710 ; 09 ;

摘要：

Health systems have improved their abilities to identify, diagnose, treat and, increasingly, achieve viral suppression among people living with HIV (PLHIV). Despite these advances, a higher burden of multimorbidity and poorer health-related quality of life are reported by many PLHIV in comparison to people without HIV. Stigma and discrimination further exacerbate these poor outcomes. A global multidisciplinary group of HIV experts developed a consensus statement identifying key issues that health systems must address in order to move beyond the HIV field's longtime emphasis on viral suppression to instead deliver integrated, person-centered healthcare for PLHIV throughout their lives.

引用

页数：14

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