Syndemics of HIV with mental illness and other noncommunicable diseases: a research agenda to address the gap between syndemic theory and current research practice.
Syndemics of HIV with mental illness and other noncommunicable diseases: a research agenda to address the gap between syndemic theory and current research practice.
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DOI：
10.1097/coh.0000000000000627
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发表时间：
2020-07
影响因子：
4.1
通讯作者：
Kohrt BA
中科院分区：
文献类型：
--
作者：
Bhardwaj A;Kohrt BA
本文的目的是总结艾滋病毒和非传染性疾病（NCDs）的综合研究现状，以确定改进研究的机会，从而有利于预防和治疗艾滋病毒感染者中的非传染性疾病。大多数关于艾滋病毒和非传染性疾病的研究都是在美国进行的，在低收入和中等收入国家进行的研究很少。四分之一的研究使用了药物滥用、暴力和艾滋病综合症模型，然而，大多数其他研究未能概述一个综合症模型来解释他们的发现。精神疾病是主要的非传染性疾病（16项研究中有15项），只有一项研究探讨了身体健康非传染性疾病。最近关于艾滋病毒和非传染性疾病综合症的研究往往不符合综合症框架的标准。未来的研究需要确保满足最低标准：阐明两种或两种以上的健康状况，描述影响这些状况之间关系的社会/地理环境，在特定社会/地理环境中提出相互作用机制的综合征模型，以及没有观察到的综合征的人群或环境。将目前的综合研究扩展到美国以外和精神疾病以外，也将丰富这一领域。
The aim of this article is to summarize the status of syndemic research on HIV and noncommunicable diseases (NCDs) to identify opportunities for improving research to benefit prevention and treatment of NCDs among persons living with HIV. The majority of research on syndemics of HIV and NCDs has been conducted in the United States, with few studies in low and middle-income countries. The substance abuse, violence, and AIDS syndemic model was used by a quarter of the studies, however, most other studies failed to outline a syndemic model for interpreting their findings. Mental illnesses were the dominant NCD (15 out of 16 studies), and only one study explored physical health NCDs. Recent studies referring to syndemics of HIV and NCDs often do not meet criteria for a syndemic framework. Future research needs to assure minimum criteria are met: articulation of two or more health conditions, descriptions of social/geographic context that impact the relationship among these conditions, a syndemic model with proposed mechanisms for interaction in the particular social/geographic context, and a population or context without the observed syndemic. Expanding the current syndemic research beyond the United States context and beyond mental illness also would enrich the field.