为撒哈拉以南非洲感染艾滋病毒的老年人提供以人为本的护理。

IF 12.8 1区 医学 Q1 IMMUNOLOGY
Lancet Hiv Pub Date : 2024-08-01 Epub Date: 2024-07-09 DOI:10.1016/S2352-3018(24)00123-1
Deborah Goldstein, Jepchirchir Kiplagat, Charlotte Taderera, Erin R Whitehouse, Cleophas Chimbetete, Sylvester Kimaiyo, Sarah Urasa, Stella-Maria Paddick, Catherine Godfrey
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引用次数: 0

摘要

在美国总统艾滋病紧急救援计划支持的项目中,超过五分之一的艾滋病病毒感染者是老年人,即 50 岁及以上的人,但在撒哈拉以南非洲地区,针对感染艾滋病病毒的老年人的以人为本的最佳护理模式,包括老年综合症和与老龄化相关的常见并发症的筛查和治疗,仍未确定。本立场文件探讨了感染艾滋病毒的老年人所面临的不成比例的合并症和老年综合症负担,并特别关注女性。我们介绍了现有的研究,并确定了撒哈拉以南非洲地区感染艾滋病病毒的老年人中常见的老年综合症(包括虚弱、认知能力下降和多病症)的研究缺口,从而激发全球对改善感染艾滋病病毒的老年人生活质量的兴趣。我们分享了津巴布韦和肯尼亚正在开展的两种成功的艾滋病感染老年人整体护理模式。最后,我们提供了政策、研究和实施方面的考虑因素,以便为这一日益增长的人群提供最佳服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Person-centred care for older adults living with HIV in sub-Saharan Africa.

More than a fifth of people living with HIV in the US President's Emergency Plan for AIDS Relief-supported programmes are older individuals, defined as aged 50 years and older, yet optimal person-centred models of care for older adults with HIV in sub-Saharan Africa, including screening and treatment for geriatric syndromes and common comorbidities associated with ageing, remain undefined. This Position Paper explores the disproportionate burden of comorbidities and geriatric syndromes faced by older adults with HIV, with a special focus on women. We seek to motivate global interest in improving quality of life for older people with HIV by presenting available research and identifying research gaps for common geriatric syndromes, including frailty and cognitive decline, and multimorbidity among older people with HIV in sub-Saharan Africa. We share two successful models of holistic care for older people with HIV that are ongoing in Zimbabwe and Kenya. Lastly, we provide policy, research, and implementation considerations to best serve this growing population.

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来源期刊
Lancet Hiv
Lancet Hiv IMMUNOLOGYINFECTIOUS DISEASES&-INFECTIOUS DISEASES
CiteScore
19.90
自引率
4.30%
发文量
368
期刊介绍: The Lancet HIV is an internationally trusted source of clinical, public health, and global health knowledge with an Impact Factor of 16.1. It is dedicated to publishing original research, evidence-based reviews, and insightful features that advocate for change in or illuminates HIV clinical practice. The journal aims to provide a holistic view of the pandemic, covering clinical, epidemiological, and operational disciplines. It publishes content on innovative treatments and the biological research behind them, novel methods of service delivery, and new approaches to confronting HIV/AIDS worldwide. The Lancet HIV publishes various types of content including articles, reviews, comments, correspondences, and viewpoints. It also publishes series that aim to shape and drive positive change in clinical practice and health policy in areas of need in HIV. The journal is indexed by several abstracting and indexing services, including Crossref, Embase, Essential Science Indicators, MEDLINE, PubMed, SCIE and Scopus.
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