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Frequency of non-communicable diseases in people 50 years of age and older receiving HIV care in Latin America

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dc.contributor.author Belaunzaran-Zamudio, Pablo F.
dc.contributor.author Caro-Vega, Yanink
dc.contributor.author Giganti, Mark J.
dc.contributor.author Castilho, Jessica L.
dc.contributor.author Crabtree-Ramirez, Brenda E.
dc.contributor.author Shepherd, Bryan E.
dc.contributor.author Mejía, Fernando
dc.contributor.author Cesar, Carina
dc.contributor.author Moreira, Rodrigo C.
dc.contributor.author Wolff, Marcelo
dc.contributor.author Pape, Jean W.
dc.contributor.author Padgett, Denis
dc.contributor.author McGowan, Catherine C.
dc.contributor.author Sierra-Madero, Juan G.
dc.date.accessioned 2020-07-14T00:00:56Z
dc.date.available 2020-07-14T00:00:56Z
dc.date.issued 2020
dc.identifier.uri https://hdl.handle.net/20.500.12866/8230
dc.description.abstract BACKGROUND: A growing population of older adults with HIV will increase demands on HIV-related healthcare. Nearly a quarter of people receiving care for HIV in Latin America are currently 50 years or older, yet little is known about the frequency of comorbidities in this population. We estimated the prevalence and incidence of non-communicable diseases (NCDs) among people 50 years of age or older (≥50yo) receiving HIV care during 2000–2015 in six centers affiliated with the Caribbean, Central and South American network for HIV epidemiology (CCASAnet). METHODS: We estimated the annual prevalence, and overall prevalence and incidence of cardiovascular diseases, diabetes, hypertension, dyslipidemia, psychiatric disorders, chronic liver and renal diseases, and non-AIDS-defining cancers, and multimorbidity (more than one NCD) of people ≥50yo receiving care for HIV. Analyses were performed according to age at enrollment into HIV care (<50yo and ≥50yo). RESULTS: We included 3,415 patients ≥50yo, of whom 1,487(43%) were enrolled at age ≥50 years. The annual prevalence of NCDs increased from 32% to 68% and multimorbidity from 30% to 40% during 2000–2015. At the last registered visit, 53% of patients enrolled <50yo and 50% of those enrolled ≥50yo had at least one NCD. Most common NCDs at the last visit in each age-group at enrollment were dyslipidemia (36% in <50yo and 28% in ≥50yo), hypertension (17% and 18%), psychiatric disorders (15% and 10%), and diabetes (11% and 12%). CONCLUSIONS: The prevalence of NCDs and multimorbidity in people ≥50 years receiving care for HIV in CCASAnet centers in Latin America increased substantially in the last 15 years. Our results make evident the need of planning for provision of complex, primary care for aging adults living with HIV. en_US
dc.language.iso eng
dc.publisher Public Library of Science
dc.relation.ispartof urn:issn:1932-6203
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject UNAVAILABLE en_US
dc.title Frequency of non-communicable diseases in people 50 years of age and older receiving HIV care in Latin America en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1371/journal.pone.0233965
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE

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