Heer Emily, Kaida Angela, O'Brien Nadia, Kleiner Bluma, Pierre Alie, Rouleau Danielle, Burchell Ann N, Skerritt Lashanda, Proulx-Boucher Karène, Nicholson Valerie, Loutfy Mona, de Pokomandy Alexandra
Department of Public Health, McGill University, Montreal, QC H3A 1G1, Canada.
Faculty of Health Sciences, Simon Fraser University, Vancouver, BC V5A 1S6, Canada.
J Pers Med. 2022 Aug 6;12(8):1294. doi: 10.3390/jpm12081294.
Life expectancy for people living with HIV has increased, but management of HIV is now more complex due to comorbidities. This study aimed to measure the prevalence of comorbidities among women living with HIV in Canada. We conducted a cross-sectional analysis using data from the 18-months survey (2014−2016) of the Canadian HIV Women’s Sexual and Reproductive Health Cohort Study (CHIWOS). Self-report of diagnosed conditions was used to measure lifetime prevalence of chronic physical conditions, current mental health conditions, and disabilities. We examined frequency of overlapping conditions and prevalence stratified by gender identity, ethnicity, and age. Among 1039 participants, 70.1% reported a physical health diagnosis, 57.4% reported a current mental health diagnosis, 19.9% reported a disability, and 47.1% reported both physical and mental health comorbidities. The most prevalent comorbidities were depression (32.3%), anxiety (29.5%), obesity (26.7%, defined as body mass index >30 kg/m2), asthma/chronic obstructive pulmonary disease (23.3%), sleep disorder (22.0%), drug addiction (21.9%), and arthritis/osteoarthritis (20.9%). These results highlight the complexity of HIV care and the important prevalence of comorbidities. Personalized health care that integrates care and prevention of all comorbidities with HIV, with attention to social determinants of health, is necessary to optimize health and well-being of women living with HIV.
感染艾滋病毒者的预期寿命有所增加，但由于合并症，目前艾滋病毒的管理更加复杂。本研究旨在测量加拿大感染艾滋病毒女性中合并症的患病率。我们使用加拿大艾滋病毒女性性与生殖健康队列研究（CHIWOS）18个月调查（2014 - 2016年）的数据进行了横断面分析。通过自我报告确诊疾病来测量慢性身体疾病、当前心理健康状况和残疾的终生患病率。我们研究了重叠疾病的频率以及按性别认同、种族和年龄分层的患病率。在1039名参与者中，70.1%报告有身体健康诊断，57.4%报告有当前心理健康诊断，19.9%报告有残疾，47.1%报告有身体和心理健康合并症。最常见的合并症是抑郁症（32.3%）、焦虑症（29.5%）、肥胖症（26.7%，定义为体重指数>30 kg/m²）、哮喘/慢性阻塞性肺疾病（23.3%）、睡眠障碍（22.0%）、药物成瘾（21.9%）和关节炎/骨关节炎（20.9%）。这些结果凸显了艾滋病毒护理的复杂性以及合并症的重要患病率。将所有合并症的护理和预防与艾滋病毒护理相结合，并关注健康的社会决定因素的个性化医疗保健，对于优化感染艾滋病毒女性的健康和福祉是必要的。
