Prevalence of Physical Health, Mental Health, and Disability Comorbidities among Women Living with HIV in Canada
Life expectancy for people living with HIV has increased, but management of HIV is now more complex due to comorbidities. This study aimed to measure the prevalence of comorbidities among women living with HIV in Canada. We conducted a cross-sectional analysis using data from the 18-months survey (2...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-08-01
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| Series: | Journal of Personalized Medicine |
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| Online Access: | https://www.mdpi.com/2075-4426/12/8/1294 |
| _version_ | 1797432009676554240 |
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| author | Emily Heer Angela Kaida Nadia O’Brien Bluma Kleiner Alie Pierre Danielle Rouleau Ann N. Burchell Lashanda Skerritt Karène Proulx-Boucher Valerie Nicholson Mona Loutfy Alexandra de Pokomandy |
| author_facet | Emily Heer Angela Kaida Nadia O’Brien Bluma Kleiner Alie Pierre Danielle Rouleau Ann N. Burchell Lashanda Skerritt Karène Proulx-Boucher Valerie Nicholson Mona Loutfy Alexandra de Pokomandy |
| author_sort | Emily Heer |
| collection | DOAJ |
| description | Life expectancy for people living with HIV has increased, but management of HIV is now more complex due to comorbidities. This study aimed to measure the prevalence of comorbidities among women living with HIV in Canada. We conducted a cross-sectional analysis using data from the 18-months survey (2014–2016) of the Canadian HIV Women’s Sexual and Reproductive Health Cohort Study (CHIWOS). Self-report of diagnosed conditions was used to measure lifetime prevalence of chronic physical conditions, current mental health conditions, and disabilities. We examined frequency of overlapping conditions and prevalence stratified by gender identity, ethnicity, and age. Among 1039 participants, 70.1% reported a physical health diagnosis, 57.4% reported a current mental health diagnosis, 19.9% reported a disability, and 47.1% reported both physical and mental health comorbidities. The most prevalent comorbidities were depression (32.3%), anxiety (29.5%), obesity (26.7%, defined as body mass index >30 kg/m<sup>2</sup>), asthma/chronic obstructive pulmonary disease (23.3%), sleep disorder (22.0%), drug addiction (21.9%), and arthritis/osteoarthritis (20.9%). These results highlight the complexity of HIV care and the important prevalence of comorbidities. Personalized health care that integrates care and prevention of all comorbidities with HIV, with attention to social determinants of health, is necessary to optimize health and well-being of women living with HIV. |
| first_indexed | 2024-03-09T09:53:35Z |
| format | Article |
| id | doaj.art-1cde9cc287154a39bd93151729eb6582 |
| institution | Directory Open Access Journal |
| issn | 2075-4426 |
| language | English |
| last_indexed | 2024-03-09T09:53:35Z |
| publishDate | 2022-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Personalized Medicine |
| spelling | doaj.art-1cde9cc287154a39bd93151729eb65822023-12-01T23:52:54ZengMDPI AGJournal of Personalized Medicine2075-44262022-08-01128129410.3390/jpm12081294Prevalence of Physical Health, Mental Health, and Disability Comorbidities among Women Living with HIV in CanadaEmily Heer0Angela Kaida1Nadia O’Brien2Bluma Kleiner3Alie Pierre4Danielle Rouleau5Ann N. Burchell6Lashanda Skerritt7Karène Proulx-Boucher8Valerie Nicholson9Mona Loutfy10Alexandra de Pokomandy11Department of Public Health, McGill University, Montreal, QC H3A 1G1, CanadaFaculty of Health Sciences, Simon Fraser University, Vancouver, BC V5A 1S6, CanadaDepartment of Family Medicine, McGill University, Montreal, QC H3S 1Z1, CanadaDepartment of Family Medicine, McGill University, Montreal, QC H3S 1Z1, CanadaResearch Institute of McGill University Health Centre, Montreal, QC H4A 3S9, CanadaDepartment of Infectious Diseases, Centre Hospitalier de l’Université de Montréal, Montreal, QC H2X 0C1, CanadaDepartment of Family and Community Medicine, St Michael’s Hospital, Unity Health, Toronto, ON M5B 1W8, CanadaDepartment of Family Medicine, McGill University, Montreal, QC H3S 1Z1, CanadaResearch Institute of McGill University Health Centre, Montreal, QC H4A 3S9, CanadaFaculty of Health Sciences, Simon Fraser University, Vancouver, BC V5A 1S6, CanadaWomen’s College Research Institute, Women’s College Hospital, Toronto, ON M5S 1B2, CanadaDepartment of Family Medicine, McGill University, Montreal, QC H3S 1Z1, CanadaLife expectancy for people living with HIV has increased, but management of HIV is now more complex due to comorbidities. This study aimed to measure the prevalence of comorbidities among women living with HIV in Canada. We conducted a cross-sectional analysis using data from the 18-months survey (2014–2016) of the Canadian HIV Women’s Sexual and Reproductive Health Cohort Study (CHIWOS). Self-report of diagnosed conditions was used to measure lifetime prevalence of chronic physical conditions, current mental health conditions, and disabilities. We examined frequency of overlapping conditions and prevalence stratified by gender identity, ethnicity, and age. Among 1039 participants, 70.1% reported a physical health diagnosis, 57.4% reported a current mental health diagnosis, 19.9% reported a disability, and 47.1% reported both physical and mental health comorbidities. The most prevalent comorbidities were depression (32.3%), anxiety (29.5%), obesity (26.7%, defined as body mass index >30 kg/m<sup>2</sup>), asthma/chronic obstructive pulmonary disease (23.3%), sleep disorder (22.0%), drug addiction (21.9%), and arthritis/osteoarthritis (20.9%). These results highlight the complexity of HIV care and the important prevalence of comorbidities. Personalized health care that integrates care and prevention of all comorbidities with HIV, with attention to social determinants of health, is necessary to optimize health and well-being of women living with HIV.https://www.mdpi.com/2075-4426/12/8/1294HIVwomencomorbiditydisabilitymental healthprevalence |
| spellingShingle | Emily Heer Angela Kaida Nadia O’Brien Bluma Kleiner Alie Pierre Danielle Rouleau Ann N. Burchell Lashanda Skerritt Karène Proulx-Boucher Valerie Nicholson Mona Loutfy Alexandra de Pokomandy Prevalence of Physical Health, Mental Health, and Disability Comorbidities among Women Living with HIV in Canada Journal of Personalized Medicine HIV women comorbidity disability mental health prevalence |
| title | Prevalence of Physical Health, Mental Health, and Disability Comorbidities among Women Living with HIV in Canada |
| title_full | Prevalence of Physical Health, Mental Health, and Disability Comorbidities among Women Living with HIV in Canada |
| title_fullStr | Prevalence of Physical Health, Mental Health, and Disability Comorbidities among Women Living with HIV in Canada |
| title_full_unstemmed | Prevalence of Physical Health, Mental Health, and Disability Comorbidities among Women Living with HIV in Canada |
| title_short | Prevalence of Physical Health, Mental Health, and Disability Comorbidities among Women Living with HIV in Canada |
| title_sort | prevalence of physical health mental health and disability comorbidities among women living with hiv in canada |
| topic | HIV women comorbidity disability mental health prevalence |
| url | https://www.mdpi.com/2075-4426/12/8/1294 |
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