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oai:recercat.cat:2445/1626662025-11-19T22:20:51Zcom_2072_1057col_2072_478917

Ability to Monitor National Responses to the HIV Epidemic "Beyond Viral Suppression": Findings From Six European Countries. Safreed-Harmon, Kelly Kall, Meaghan Anderson, Jane Azzopardi-Muscat, Natasha Behrens, Georg M.N. Arminio Monforte, Antonella d' Davidovich, Udi Noori, Teymur Lazarus, Jeffrey V. VIH (Virus) Comorbiditat Europa HIV (Viruses) Comorbidity Europe With more people living with HIV (PLHIV) ageing into their 50s and beyond in settings where antiretroviral therapy is widely available, non-AIDS comorbidities and health-related quality of life (HRQoL) are becoming major challenges. Information is needed about whether national HIV monitoring programmes have evolved to reflect the changing focus of HIV care. " - " We created a 56-item English-language survey to assess whether health systems report on common health-related issues for people with HIV including physical and mental health comorbidities, HRQoL, psychosocial needs, and fertility desires. One expert was identified via purposive sampling in each of six countries (Estonia, Italy, the Netherlands, Slovenia, Sweden, and Turkey) and was asked to participate in the survey. " - " Three respondents reported that the current monitoring systems in their countries do not monitor any of four specified aspects of 10 comorbidities including bone loss, cardiovascular disease, and neurocognitive disorders. Two respondents stated that their countries potentially can report on leading causes of hospital admission among PLHIV, and five on leading cases of death. In three countries, respondents reported that there was the ability to report on the HRQoL of PLHIV. In two countries, respondents provided data on the percentage of PLHIV denied health services because of HIV status in the past 12 months. " - " This study identified areas for potential HIV monitoring improvements in six European countries in relation to comorbidities, HRQoL, discrimination within health systems, and other issues associated with the changing nature of the HIV epidemic. It also indicated that some countries either currently monitor or have the ability to monitor some of these issues. There are opportunities for health information systems in European countries to expand the scope of their HIV monitoring in order to support decision-making about how the long-term health-related needs of PLHIV can best be met. 2020-05-27T17:04:00Z 2020-05-27T17:04:00Z 2020-03-20 2020-05-22T18:01:33Z info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Reproducció del document publicat a: http://dx.doi.org/ 10.3389/fpubh.2020.00036 Frontiers in Public Health , 2020 , vol. 8 , article 36 http://dx.doi.org/ 10.3389/fpubh.2020.00036 cc by (c) Safreed-Harmon et al., 2020 http://creativecommons.org/licenses/by/3.0/es/ info:eu-repo/semantics/openAccess Frontiers Articles publicats en revistes (ISGlobal)