Influence of Material Deprivation on Clinical Outcomes Among People Living with HIV in High-Income Countries: A Systematic Review and Meta-analysis.
Despite developments in HIV treatment and care, disparities persist with some not fully benefiting from improvements in the HIV care continuum. We conducted a systematic review to explore associations between social determinants and HIV treatment outcomes (viral suppression and treatment adherence)...
| Publicado en: | AIDS & Behavior Vol. 26; no. 6; pp. 2026 - 2055 |
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| Autores principales: | , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Springer Nature
Jun2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156548265&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156548265 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Jun2022 vid: 26 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 156548265 154042458 156548265 156548265 10.1007/s10461-021-03551-y 156548265 ppf: 2026 ppct: 29 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Influence of Material Deprivation on Clinical Outcomes Among People Living with HIV in High-Income Countries: A Systematic Review and Meta-analysis. aug: au: Papageorgiou, Vasiliki Davies, Bethan Cooper, Emily Singer, Ariana Ward, Helen affil: Patient Experience Research Centre, School of Public Health, Imperial College London, London, UK sug: subj: HIV-Positive Persons Developed Countries Social Determinants of Health HIV Infections Drug Therapy Treatment Outcomes Viral Load Patient Compliance Human Systematic Review Anti-Retroviral Agents Therapeutic Use Meta Analysis Education Employment Food Security Housing Income Poverty Social Class ab: Despite developments in HIV treatment and care, disparities persist with some not fully benefiting from improvements in the HIV care continuum. We conducted a systematic review to explore associations between social determinants and HIV treatment outcomes (viral suppression and treatment adherence) in high-income countries. A random effects meta-analysis was performed where there were consistent measurements of exposures. We identified 83 observational studies eligible for inclusion. Social determinants linked to material deprivation were identified as education, employment, food security, housing, income, poverty/deprivation, socioeconomic status/position, and social class; however, their measurement and definition varied across studies. Our review suggests a social gradient of health persists in the HIV care continuum; people living with HIV who reported material deprivation were less likely to be virologically suppressed or adherent to antiretrovirals. Future research should use an ecosocial approach to explore these interactions across the lifecourse to help propose a causal pathway. Resumen: A pesar de los avances en el tratamiento y la atención al VIH, ciertas desigualdades persisten en estas áreas. Como resultado, algunas personas que viven con el VIH no se benefician plenamente de las mejoras en la atención del VIH a todos los niveles. Realizamos una revisión sistemática para explorar las asociaciones entre los determinantes sociales de la salud y los resultados del tratamiento del VIH (supresión viral y tratamiento de adherencia) en países de ingresos altos. Completamos un metaanálisis siguiendo un modelo de efectos aleatorios e incluyendo medidas consistentes de exposiciones. Identificamos 83 estudios observacionales elegibles para inclusión. Los determinantes sociales vinculados a las circunstancias materiales (privación) se identificaron como educación, empleo, seguridad alimentaria, vivienda, ingresos, pobreza / privación, situación / posición socioeconómica y clase social; sin embargo, su medición y definición variaron entre los estudios. Nuestro estudio sugiere que un gradiente de salud social persiste en la atención sanitaria del VIH a todos los niveles; las personas que viven con el VIH que declaran privación material tenían menos probabilidades de alcanzar la supresión viral o de ser adherente a los antirretrovirales. Futuras investigaciones deberían utilizar un enfoque ecosocial para explorar estas interacciones a lo largo del curso de la vida para ayudar a proponer una vía causal. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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