Womack Julie A, Brandt Cynthia A, Justice Amy C
J Midwifery Womens Health. 2015 Mar-Apr;60(2):146-57; quiz 225. doi: 10.1111/jmwh.12236.
Women are living longer with HIV infection, but their life expectancy remains shorter than for women in the general population. How best to manage the multiple comorbidities and polypharmacy that are common in individuals wtih HIV has not been studied. This article explores areas where the primary care of women with HIV may differ from that of aging women in the general population. We also discuss aspects of care that may not commonly be considered in those under the age of 65, specifically multimorbidity and polypharmacy. Incorporating a gerontologic approach in the care of these women may optimize outcomes until research provides more definitive answers for how best to collaborate with women with HIV in order to provide them with optimal care.
感染艾滋病毒的女性寿命在延长,但她们的预期寿命仍低于普通女性人群。如何最好地管理艾滋病毒感染者中常见的多种合并症和多种药物治疗情况尚未得到研究。本文探讨了感染艾滋病毒女性的初级保健可能与普通老年女性不同的领域。我们还讨论了65岁以下人群中可能不常考虑的护理方面,特别是多重疾病和多种药物治疗情况。在这些女性的护理中纳入老年病学方法可能会优化治疗效果,直到研究为如何最好地与感染艾滋病毒的女性合作以提供最佳护理提供更明确的答案。