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Women with HIV - CDC: Over- Estimated Viral Suppression ...30-40% WIHS Women with Detectable Viral Load - that Doubles the MORTALITY Rate
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Love with HIV: a latent class analysis of intimate relationships among women living with HIV enrolled in Canada's largest multisite community-based research study...."Nearly half of Canadian WLWH were not in relationships" - (07/25/16) 20% report long-term happy relationships .....Take a look at Table 2 where you will see depression & stigma are preset in around 50% of all women; viral load undetectable in about 80%. How many people tell me - oh HIV is under control today, its not a problem, tell this to HIV men & women who are unable to form relationships & suffer with the stigma & depression associated with having HIV !....27% Depressed / 20% Detectable Viral Load / 40% High Stigma / 16% Illicit Drug Use
47% no relationship
9% relationship without love
short-term casual 16%
long-term unhappy 7%
long term happy 22%
CROI: LONGITUDINAL VIRAL TRAJECTORY [and Comorbidities] AMONG WOMEN IN THE WOMEN'S INTERAGENCY HIV STUDY - (02/26/17)....20% are on HAART, 39% on ART & 30.47% of women on HAART & 38% on ART are reported here to have undetectable viral load..........5% to 11% have AIDS-associated cancer malignancies which doubled if detectable viral load, 13-15% had Non-AIDS associated cancer malignancies, 64-73% have risk factors for cardiovascular disease, 11-15% have CVD, 20% with HCV, death rate 14-30% which doubled with detectable viral load / AIDS cancer malignancies associated with detectable VL
HIV & Aging - Mental Needs: Policy, Mental Health Services Program, Comorbidities, Services for Aging/Older HIV+
- inability to function: loss of income/housing, depression, increased substance abuse, emotional instability, suicide, non-adherence
- increased comorbidities vs HIV-neg but less coping capacities
-The more medical comorbidities someone experiences, the poorer their quality of life
-Integration of HIV primary care and mental health
-healthcare providers, front-line workers, and policy makers should have a greater understanding of the experience of aging with HIV......policy makers......HAND can have damaging effects on older adults' psychosocial well being
- ......many research gaps need to be addressed, including a better conceptualization and measurement of successful aging and the development of high-quality integrated care, programs, and services tailored to the needs of older people with HIV. A more integrated policy response is needed to improve the psychosocial and economic well being of older people with HIV. The process of aging may be more challenging for people living with HIV than for the general population. This is because of the detrimental effects that HIV and its treatment have on normal aging processes as well as other factors, such as HIV-related stigma, loss of friends and social
networks.....http://www.natap.org/2014/HIV/092914_02.htm
9-YEAR TRENDS IN NON-LIPID CARDIOVASCULAR DISEASE PREVENTION STRATEGIES IN HIV+ WOMEN in WIHS-women have poor control of diabetes & hypertension
"Use of hypertensive and diabetes medications increased among both HIV+ and HIV- women but coincided with only small or no improvements in risk factor control""HIV+ women more effectively manage hypertension and diabetes than HIV- women from the same risk population - However, more than 40% of hypertensive and 25% of diabetic HIV+ women still did not achieve target control levels"
Depression and Social Isolation Mediate Effect of HIV Stigma on Women's ART Adherence - (02/26/16)
"findings suggest that potential predictors of adherence may operate differently by race.....contribute to our understanding of different rates of adherence and health outcomes by race among women living with HIV.....also suggest that interconnected psychosocial mechanisms affect ART adherence.....internalized stigma was a significant predictor of sub-optimal adherence....Predictors of better adherence included non-Hispanic white race/ethnicity, older age, less years on ART, and nonuse of non-injection drugs.....the association between internalized stigma and adherence was significant for those in racial and ethnic minority groups.....Depressive symptoms, loneliness, and low perceived social support mediated the association between internalized stigma and sub-optimal adherence in the whole sample, as well as in the subsample of minority participants.....internalized stigma predicted less perceived social support (or higher loneliness), which in turn predicted more depressive symptoms, which in turn predicted suboptimal medication adherence."
Aging & HIV - an unaddressed timebomb waiting to explode - slide presentation by Jules Levin, NATAP - (03/14/17)
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