Experience of chronic noncommunicable disease in people living with HIV: a systematic review and meta-aggregation of qualitative studies

Autor:	Lucylynn Lizarondo, Yan Hu, Weijie Xing, Bei Wu, Zheng Zhu, Shuyu Han, Zhongfang Yang, Hui Hu
Jazyk:	angličtina
Rok vydání:	2021
Předmět:	Gerontology medicine.medical_specialty Health Personnel Stigma (botany) HIV Infections Comorbidity Chronic noncommunicable disease Acquired immunodeficiency syndrome (AIDS) Epidemiology medicine Humans Noncommunicable Diseases Qualitative Research Polypharmacy business.industry Public health Research Public Health Environmental and Occupational Health medicine.disease Chronic Disease Systematic review HIV/AIDS Biostatistics Public aspects of medicine RA1-1270 business Qualitative research
Zdroj:	BMC Public Health, Vol 21, Iss 1, Pp 1-19 (2021) BMC Public Health
ISSN:	1471-2458
Popis:	Background An increasing number of people living with HIV (PLWH) have had chronic noncommunicable diseases (NCDs) over the last 5 years. However, robust evidence regarding the perception and challenges of having NCDs among PLWH is limited. Therefore, this study aimed to synthesize qualitative evidence regarding the experiences of PLWH with NCDs. Methods We used a meta-aggregation approach to synthesize qualitative studies. Peer-reviewed and gray literature published in English and Chinese from 1996 to November 2020 was searched using electronic databases. Two reviewers independently appraised the methodological quality and extracted data from the included studies. The Joanna Briggs Institute (JBI) meta-aggregation approach was used to synthesize the findings. Results In total, 10,594 studies were identified in the initial database search. Fourteen eligible studies were included in the meta-synthesis. Among these studies, nine synthesized findings regarding the following topics were identified: fragmented healthcare systems, care continuity, manifestations of multiple conditions, financial hardship, stigma and discrimination, polypharmacy burden and adherence, reciprocal relationships between HIV and NCDs, and coping strategies. Conclusions In recent years, attempts have been made to institutionalize NCD preventive and control services in HIV long-term care. However, considering the growing problem of HIV and NCD comorbidity globally, integrated primary health care systems are needed to address the problems of PLWH with NCDs. Healthcare professionals should help PLWH develop strategies to better monitor their polypharmacy burden and adherence, stigma and discrimination, financial hardship, and manifestations of multiple conditions to achieve high levels of care continuity.
Databáze:	OpenAIRE
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