School of Nursing, Bouvé College of Health Sciences, Northeastern University, Boston, MA, USA.
School of Nursing, Columbia University, New York, NY, USA.
AIDS Care. 2022 Feb;34(2):135-144. doi: 10.1080/09540121.2021.1951646. Epub 2021 Jul 12.
It is critical to understand health care engagement and utilization among older persons living with HIV (OPWH) who may have greater burden for non-communicable diseases. Following the PRISMA guidelines, a systematic review using 5 electronic databases was conducted to appraise and synthesize the current literature on the relationship of non-communicable diseases on engagement in care and health care utilization among OPWH. Original studies published in English between 2009 and 2019 were included, yielding 16 relevant articles. Overall, having co-morbid non-communicable diseases was associated with a decreased likelihood of initiating and adhering to ART. Being on ART and viral suppression were associated with better engagement in non-communicable disease care. Findings also suggest that an increasing number of co-morbidities is associated with higher health care utilization and financial burden. This review underscores the need for preventing and managing co-morbidities to enhance engagement in HIV care and that health care practitioners need to ensure that OPWH are engaged in care for both HIV and their co-morbid conditions by providing coordinated and integrated care.
了解患有 HIV 的老年人群（OPWH）的医疗保健参与度和利用率至关重要，因为他们可能面临更大的非传染性疾病负担。本研究遵循 PRISMA 指南，通过 5 个电子数据库进行了系统评价，以评估和综合目前关于非传染性疾病对 OPWH 参与护理和卫生保健利用的关系的文献。纳入了 2009 年至 2019 年间发表的英文原始研究，共得到 16 篇相关文章。总体而言，患有合并的非传染性疾病与开始和坚持接受抗逆转录病毒治疗的可能性降低有关。接受抗逆转录病毒治疗和病毒抑制与更好地参与非传染性疾病护理相关。研究结果还表明，合并症数量的增加与更高的医疗保健利用率和经济负担有关。本综述强调了预防和管理合并症以增强 HIV 护理参与度的必要性，并且医疗保健从业者需要通过提供协调和综合的护理来确保 OPWH 参与 HIV 和合并症的护理。
