The same lesson over and over: drugs alone will not get us to 90--90--90.
AIDS
; 34(6): 943-946, 2020 05 01.
Article
em En
| MEDLINE
| ID: mdl-32028330
ABSTRACT
Addressing social determinants of health (SDH) has far greater potential to improve the real-world effectiveness of HIV treatment than expensive, incremental changes in antiretroviral therapy. The ADVANCE study demonstrates that SDH is more impactful than medication regimen on health outcomes. Younger patients and unemployed patients experience heightened precarity, which can have pervasive effects on adherence and suppression. Enhanced adherence counselling can help socioeconomically precarious patients maintain suppression, but in order to improve treatment effectiveness and population health, we should move beyond the short-term solution of helping patients 'cope' with insecurity toward tackling the underlying factors that lead to precarity. Data on intention-to-treat populations are critical to this effort, yet medical researchers and publications continue to obscure the influence of SDH by focusing on per-protocol populations.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Infecções por HIV
/
Adesão à Medicação
/
Determinantes Sociais da Saúde
Tipo de estudo:
Guideline
Aspecto:
Determinantes_sociais_saude
Limite:
Humans
Idioma:
En
Revista:
AIDS
Ano de publicação:
2020
Tipo de documento:
Article