Addressing treatment and care needs of older adults living with HIV who use drugs.
Addressing treatment and care needs of older adults living with HIV who use drugs.
复制标题
解决吸毒的艾滋病毒感染者老年人的治疗和护理需求。
DOI：
10.1002/jia2.25577
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发表时间：
2020
影响因子：
6
通讯作者：
McNeil,Ryan
中科院分区：
文献类型：
--
作者：
Chayama,KoharuLoulou;Ng,Cara;McNeil,Ryan
使用药物的老年艾滋病毒感染者（OALHIV; ≥50岁）面临独特的需求和挑战，由于他们经历的结构和环境障碍，除了不成比例地受到合并症的影响外，这些需求和挑战还损害了他们的健康和福祉。然而，对这一人群的研究有限，需要开展工作，以调整和优化他们的护理和服务。这篇评论的目的是为了解决有关OALHIV谁使用drugs.DiscussionWe确定了四个关键的研究差距，具体到OALHIV谁使用药物的关键研究差距。差距1：提高对老年人如何管理艾滋病毒以及药物使用背景下的合并症的理解对于优化其护理管理至关重要。差距二：提供适当和有效的护理需要更多的信息，老年人的特点OALHIV谁使用药物和减少伤害的需要和作用。差距三：更多地了解在各种护理设施中采用减少伤害和病例管理方法对于确保吸毒者公平获得护理至关重要。差距四：提高认识的障碍，高品质的姑息治疗OALHIV谁使用药物是很重要的，以提高生活质量在他们的生命course.ConclusionsAddressing在文献中发现的差距将导致更全面的了解所遇到的问题OALHIV谁使用药物，并告知发展和实施的战略，解决差距的交叉艾滋病毒，物质使用和老龄化。
IntroductionOlder adults living with HIV (OALHIV; ≥50 years) who use drugs face unique needs and challenges that compromise their health and wellbeing due to the structural and environmental barriers they experience, in addition to being disproportionately affected by comorbidities. Nevertheless, research on this population is limited and work is needed to tailor and optimize their care and services. The purpose of this commentary is to address the key research gaps pertaining to OALHIV who use drugs.DiscussionWe identified four key research gaps specific to OALHIV who use drugs. Gap 1: Increased understanding of how older adults manage HIV alongside comorbidities in the context of substance use is critical to optimize their care management. Gap 2: More information on the geriatric characteristics of OALHIV who use drugs and the need and role of harm reduction in geriatric care is necessary for the provision of appropriate and effective care. Gap 3: Greater knowledge around the adoption of harm reduction and case manager approaches in various care facilities is essential to ensure equitable access to care for OALHIV who use drugs. Gap 4: Improved understanding of barriers to high‐quality palliative care among OALHIV who use drugs is important to enhance quality of life across their life course.ConclusionsAddressing the identified gaps in literature will lead to a more fulsome understanding of the issues encountered by OALHIV who use drugs and inform the development and implementation of strategies that address disparities at the intersection of HIV, substance use and ageing.