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An observational study of comorbidity and healthcare utilisation among HIV-positive patients aged 50 years and over.
Patel, Roshani; Moore, Thomas; Cooper, Vanessa; McArdle, Conor; Perry, Nicky; Cheek, Elizabeth; Gainsborough, Nicola; Fisher, Martin.
Afiliación
  • Patel R; HIV/GUM Research, Brighton and Sussex University Hospitals NHS Trust, London, UK.
  • Moore T; HIV/GUM Research, Brighton and Sussex University Hospitals NHS Trust, London, UK.
  • Cooper V; HIV/GUM Research, Brighton and Sussex University Hospitals NHS Trust, London, UK vanessa.cooper@bsuh.nhs.uk.
  • McArdle C; HIV/GUM Research, Brighton and Sussex University Hospitals NHS Trust, London, UK.
  • Perry N; Brighton and Sussex Medical School, Brighton, UK.
  • Cheek E; School of Computing, Engineering and Mathematics, University of Brighton, Brighton, UK.
  • Gainsborough N; HIV/GUM Research, Brighton and Sussex University Hospitals NHS Trust, London, UK Brighton and Sussex Medical School, Brighton, UK.
  • Fisher M; HIV/GUM Research, Brighton and Sussex University Hospitals NHS Trust, London, UK Brighton and Sussex Medical School, Brighton, UK.
Int J STD AIDS ; 27(8): 628-37, 2016 07.
Article en En | MEDLINE | ID: mdl-26068965
The number of HIV-positive people aged ≥50 years is rising each year. We measured the prevalence of non-infectious illnesses and their risk factors and described healthcare use in this UK population. A cross-sectional, observational study was conducted at an outpatient HIV specialist clinic in south east England. Patients age ≥50 years were invited to complete questionnaires measuring demographics, non-infectious illnesses, medication use, lifestyle and healthcare utilisation. The response rate was 67%. Of 299 participants, 84% reported ≥1 comorbid condition and 61% reported ≥2 (multimorbidity). Most commonly reported were high cholesterol, sexual dysfunction, hypertension and depression. In multivariate analyses, age, number of years HIV-positive and duration of antiretroviral therapy remained significant predictors of comorbidity when controlling for lifestyle factors (exercise, smoking and use of recreational drugs and alcohol). Use of non-HIV healthcare services was associated with increasing comorbidity, a longer duration of HIV and recreational drug use. The majority of HIV-patients aged ≥50 years reported multiple comorbidities and this was associated with polypharmacy and increased use of non-HIV services. Further research examining the quality, safety and patient experience of healthcare is needed to inform development of services to optimally meet the needs of older HIV-positive patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Disfunciones Sexuales Fisiológicas / Aceptación de la Atención de Salud / Infecciones por VIH / Depresión / Hipercolesterolemia / Hipertensión Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Int J STD AIDS Asunto de la revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2016 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Disfunciones Sexuales Fisiológicas / Aceptación de la Atención de Salud / Infecciones por VIH / Depresión / Hipercolesterolemia / Hipertensión Tipo de estudio: Etiology_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Aged / Aged80 / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Int J STD AIDS Asunto de la revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Año: 2016 Tipo del documento: Article Pais de publicación: Reino Unido