Ability to Monitor National Responses to the HIV Epidemic "Beyond Viral Suppression": Findings From Six European Countries

被引：2

作者：

Safreed-Harmon, Kelly ^{[1
]}

Kall, Meaghan ^{[2
]}

Anderson, Jane ^{[3
]}

Azzopardi-Muscat, Natasha ^{[4
]}

Behrens, Georg M. N. ^{[5
]}

Monforte, Antonella d'Arminio ^{[6
]}

Davidovich, Udi ^{[7
,8
]}

Noori, Teymur ^{[9
]}

Lazarus, Jeffrey, V ^{[1
]}

机构：

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

[2] Publ Hlth England, Natl Infect Serv, London, England

[3] Homerton Univ Hosp NHS Fdn Trust, Jonathan Mann Clin, London, England

[4] Univ Malta, Fac Hlth Sci, Dept Hlth Serv Management, Msida, Malta

[5] Hannover Med Sch, Dept Clin Immunol & Rheumatol, Hannover, Germany

[6] Univ Milan, Inst Infect & Trop Dis, Dept Hlth Sci, ASST Santi Paolo & VCarlo, Milan, Italy

[7] Publ Hlth Serv Amsterdam, Dept Infect Dis, Amsterdam, Netherlands

[8] Univ Amsterdam, Dept Infect Dis, Amsterdam UMC, Amsterdam Infect & Immun Inst, Amsterdam, Netherlands

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

来源：

FRONTIERS IN PUBLIC HEALTH | 2020年 / 8卷

关键词：

comorbidity; Europe; health-related quality of life; HIV; indicator; monitoring; HEALTH-CARE; NONCOMMUNICABLE DISEASES; INFECTED PERSONS; PEOPLE; STIGMA; DISCRIMINATION; ASSOCIATIONS;

D O I：

10.3389/fpubh.2020.00036

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: With more people living with HIV (PLHIV) ageing into their 50s and beyond in settings where antiretroviral therapy is widely available, non-AIDS comorbidities and health-related quality of life (HRQoL) are becoming major challenges. Information is needed about whether national HIV monitoring programmes have evolved to reflect the changing focus of HIV care. Methods: We created a 56-item English-language survey to assess whether health systems report on common health-related issues for people with HIV including physical and mental health comorbidities, HRQoL, psychosocial needs, and fertility desires. One expert was identified via purposive sampling in each of six countries (Estonia, Italy, the Netherlands, Slovenia, Sweden, and Turkey) and was asked to participate in the survey. Results: Three respondents reported that the current monitoring systems in their countries do not monitor any of four specified aspects of 10 comorbidities including bone loss, cardiovascular disease, and neurocognitive disorders. Two respondents stated that their countries potentially can report on leading causes of hospital admission among PLHIV, and five on leading cases of death. In three countries, respondents reported that there was the ability to report on the HRQoL of PLHIV. In two countries, respondents provided data on the percentage of PLHIV denied health services because of HIV status in the past 12 months. Conclusions: This study identified areas for potential HIV monitoring improvements in six European countries in relation to comorbidities, HRQoL, discrimination within health systems, and other issues associated with the changing nature of the HIV epidemic. It also indicated that some countries either currently monitor or have the ability to monitor some of these issues. There are opportunities for health information systems in European countries to expand the scope of their HIV monitoring in order to support decision-making about how the long-term health-related needs of PLHIV can best be met.

引用

页数：8