A systematic review of engagement in care and health care utilization among older adults living with HIV and non-communicable diseases. Issue 2 (1st February 2022)

• Record Type: Journal Article
• Authors: Yoo-Jeong, Moka; Anderson, Ashley; Gannon, Brittany "Ray"; Schnall, Rebecca
• Is Part Of: AIDS care. Volume 34:Issue 2(2022)
• Page Start: 135
• Page End: 144
• Publication Date: 2022-02-01
• Subjects: Engagement in care -- health care utilization -- non-communicable diseases -- chronic conditions -- systematic review; AIDS (Disease) -- Social aspects -- Periodicals; AIDS (Disease) -- Psychological aspects -- Periodicals; AIDS (Disease) -- Patients -- Care -- Periodicals; Acquired Immunodeficiency Syndrome; 362.1969792
• DOI: 10.1080/09540121.2021.1951646
• Languages: English
• ISSNs: 0954-0121

Abstract

ABSTRACT: It is critical to understand health care engagement and utilization among older persons living with HIV (OPWH) who may have greater burden for non-communicable diseases. Following the PRISMA guidelines, a systematic review using 5 electronic databases was conducted to appraise and synthesize the current literature on the relationship of non-communicable diseases on engagement in care and health care utilization among OPWH. Original studies published in English between 2009 and 2019 were included, yielding 16 relevant articles. Overall, having co-morbid non-communicable diseases was associated with a decreased likelihood of initiating and adhering to ART. Being on ART and viral suppression were associated with better engagement in non-communicable disease care. Findings also suggest that an increasing number of co-morbidities is associated with higher health care utilization and financial burden. This review underscores the need for preventing and managing co-morbidities to enhance engagement in HIV care and that health care practitioners need to ensure that OPWH are engaged in care for both HIV and their co-morbid conditions by providing coordinated and integrated care.