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Associations between social determinants of health and comorbidity and multimorbidity in people of black ethnicities with HIV.
Dominguez-Dominguez, Lourdes; Campbell, Lucy; Barbini, Birgit; Fox, Julie; Nikiphorou, Elena; Goff, Louise; Lempp, Heidi; Tariq, Shema; Hamzah, Lisa; Post, Frank A.
Afiliação
  • Dominguez-Dominguez L; Department of Sexual Health and HIV, Kings College Hospital NHS Foundation Trust.
  • Campbell L; Department of Sexual Health and HIV, Kings College Hospital NHS Foundation Trust.
  • Barbini B; HIV Research Group.
  • Fox J; Department of Sexual Health and HIV, Kings College Hospital NHS Foundation Trust.
  • Nikiphorou E; HIV Research Group.
  • Goff L; Department of Infectious Diseases, King's College London.
  • Lempp H; Guy's and St Thomas' Hospital NHS Foundation Trust.
  • Tariq S; Department of Rheumatology, Kings College Hospital NHS Foundation Trust.
  • Hamzah L; Centre for Rheumatic Diseases.
  • Post FA; Department of Nutritional Sciences, King's College London, London.
AIDS ; 38(6): 835-846, 2024 05 01.
Article em En | MEDLINE | ID: mdl-38265411
ABSTRACT

OBJECTIVE:

Social determinants of health (SDH) are important determinants of long-term conditions and multimorbidity in the general population. The intersecting relationship between SDH and multimorbidity in people with HIV remains poorly studied.

DESIGN:

A cross-sectional study investigating the relationships between eight socio-economic parameters and prevalent comorbidities of clinical significance and multimorbidity in adults of African ancestry with HIV aged 18-65 years in South London, UK.

METHODS:

Multivariable logistic regression analysis was used to evaluate associations between SDH and comorbidities and multimorbidity.

RESULTS:

Between September 2020 and January 2022, 398 participants (median age 52 years, 55% women) were enrolled; 85% reported at least one SDH and 72% had at least one comorbidity. There were no associations between SDH and diabetes mellitus or kidney disease, few associations between SDH (job and food insecurity) and cardiovascular or lung disease, and multiple associations between SDH (financial, food, housing and job insecurity, low educational level, social isolation, and discrimination) and poor mental health or chronic pain. Associations between SDH and multimorbidity mirrored those for constituent comorbidities.

CONCLUSION:

We demonstrate strong associations between SDH and poor mental health, chronic pain and multimorbidity in people of black ethnicities living with HIV in the UK. These findings highlight the likely impact of enduring socioeconomic hardship in these communities and underlines the importance of holistic health and social care for people with HIV to address these adverse psychosocial conditions.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções por HIV / Dor Crônica Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: AIDS Assunto da revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções por HIV / Dor Crônica Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: AIDS Assunto da revista: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Ano de publicação: 2024 Tipo de documento: Article