Ongoing Healthcare Disparities in neuroHIV: Addressing Gaps in the Care Continuum.

IF 3.7 2区医学 Q2 INFECTIOUS DISEASES Current HIV/AIDS Reports Pub Date : 2023-12-01 Epub Date: 2023-11-24 DOI:10.1007/s11904-023-00683-9

Dan Tong Jia, Paloma M Carcamo, Monica M Diaz

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Abstract

Purpose of review: We aim to review the neurological complications of HIV and the social, cultural, and economic inequalities that contribute to disparities in neuroHIV care.

Recent findings: Disparities in diagnostics and care of patients with neurological infections and non-infectious conditions associated with HIV in both high-income and low-to-middle-income countries (LMIC) are common. The COVID-19 pandemic has exacerbated these disparities. Factors, such as HIV-related stigma, may deter people from accessing HIV treatment. First-line recommended treatments for neurological infections are not available in many LMICs, leading to inadequate treatment and exposure to agents with more harmful side effect profiles. Access-related factors, such as lack of transportation, lack of health insurance, and inadequate telehealth access, may increase the risk of HIV-related neurological complications. Further research is needed to increase awareness of neurological complications among providers and PWH, and regional guidelines should be considered to better address these complications.

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正在进行的医疗保健差距神经艾滋病毒:解决差距的护理连续性。

综述目的:我们旨在回顾HIV的神经系统并发症以及导致神经HIV护理差异的社会、文化和经济不平等。最近的发现:在高收入国家和中低收入国家(LMIC)，与艾滋病毒相关的神经系统感染和非传染性疾病患者的诊断和护理存在差异。2019冠状病毒病大流行加剧了这些差距。与艾滋病毒有关的污名等因素可能阻碍人们获得艾滋病毒治疗。许多中低收入国家没有推荐的神经系统感染一线治疗方法，导致治疗不足和暴露于具有更有害副作用的药物。与获取相关的因素，如缺乏交通工具、缺乏医疗保险和远程医疗获取不足，可能会增加与艾滋病毒相关的神经系统并发症的风险。需要进一步研究以提高提供者和PWH对神经系统并发症的认识，并应考虑区域指南以更好地解决这些并发症。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current HIV/AIDS Reports INFECTIOUS DISEASES-

CiteScore

8.10

自引率

2.20%

发文量

期刊介绍： This journal intends to provide clear, insightful, balanced contributions by international experts that review the most important, recently published clinical findings related to the diagnosis, treatment, management, and prevention of HIV/AIDS. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas, such as antiretroviral therapies, behavioral aspects of management, and metabolic complications and comorbidity. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. An international Editorial Board reviews the annual table of contents, suggests articles of special interest to their country/region, and ensures that topics are current and include emerging research. Commentaries from well-known figures in the field are also provided.