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Comorbidities and menopause assessment in women living with HIV: a survey of healthcare providers across the WHO European region

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Title: Comorbidities and menopause assessment in women living with HIV: a survey of healthcare providers across the WHO European region
Authors: Umbelina Caixas, Shema Tariq, Judit Morello, Gordana Dragovic, Giota Lourida, Anna Hachfeld, Nneka Nwokolo
Source: Caixas, Umbelina; Tariq, Shema; Morello, Judit; Dragovic, Gordana; Lourida, Giota; Hachfeld, Anna; Nwokolo, Nneka (2024). Comorbidities and menopause assessment in women living with HIV: a survey of healthcare providers across the WHO European region. AIDS care, 36(1), pp. 107-114. Taylor & Francis 10.1080/09540121.2023.2216008 <http://dx.doi.org/10.1080/09540121.2023.2216008>
Publisher Information: Informa UK Limited, 2023.
Publication Year: 2023
Subject Terms: HCC INF, Diabetes Mellitus* / epidemiology, 610 Medicine & health, HIV Infections, 3. Good health, Cardiovascular Diseases, Surveys and Questionnaires, HIV Infections* / epidemiology, Menopause / psychology, Diabetes Mellitus, Cardiovascular Diseases* / epidemiology, Humans, Female, Menopause
Description: Women living with HIV are reaching older age and experiencing menopause and age-related comorbidities. Data suggest that women living with HIV experience earlier menopause and more menopausal symptoms and age-related comorbidities compared to women without HIV. However, there are no guidelines on the screening for and management of age-related comorbidities and events in women living with HIV. Moreover, little is known about provision of care to this population across Europe. We surveyed 121 HIV healthcare providers in 25 World Health Organization European countries to ascertain screening practices for, and management of, menopause, psychosocial and sexual well-being and age-related comorbidities in women with HIV. Most respondents screened for diabetes, cardiovascular disease (CVD) risk factors and poor mental health at least annually. Low bone mineral density (BMD) was regularly checked but less than once a year. Fewer regularly screened for sexual well-being and intimate partner violence. Menstrual pattern and menopausal symptoms in women aged 45-54 were assessed by 67% and 59% of respondents. 44% stated that they were not confident assessing menopausal status and/or symptoms. CVD, diabetes, low BMD and poor mental health were managed mainly within HIV clinics, whereas menopause care was mainly provided by gynaecology or primary care. Most respondents stated a need for HIV and menopause guidelines. In conclusion, we found that whilst metabolic risk factors and poor mental health are regularly screened for, psychosocial and sexual well-being and menopausal symptoms could be improved. This highlights the need for international recommendations and clinician training to ensure the health of this population.
Document Type: Article
File Description: application/pdf
Language: English
ISSN: 1360-0451
0954-0121
DOI: 10.1080/09540121.2023.2216008
DOI: 10.48350/183472
Access URL: https://pubmed.ncbi.nlm.nih.gov/37321982
http://hdl.handle.net/10400.17/4912
https://boris.unibe.ch/183472/
Rights: CC BY NC ND
Accession Number: edsair.doi.dedup.....46cc3f13e16431ab99bb2c7d35b83ec3
Database: OpenAIRE
Description
Abstract:Women living with HIV are reaching older age and experiencing menopause and age-related comorbidities. Data suggest that women living with HIV experience earlier menopause and more menopausal symptoms and age-related comorbidities compared to women without HIV. However, there are no guidelines on the screening for and management of age-related comorbidities and events in women living with HIV. Moreover, little is known about provision of care to this population across Europe. We surveyed 121 HIV healthcare providers in 25 World Health Organization European countries to ascertain screening practices for, and management of, menopause, psychosocial and sexual well-being and age-related comorbidities in women with HIV. Most respondents screened for diabetes, cardiovascular disease (CVD) risk factors and poor mental health at least annually. Low bone mineral density (BMD) was regularly checked but less than once a year. Fewer regularly screened for sexual well-being and intimate partner violence. Menstrual pattern and menopausal symptoms in women aged 45-54 were assessed by 67% and 59% of respondents. 44% stated that they were not confident assessing menopausal status and/or symptoms. CVD, diabetes, low BMD and poor mental health were managed mainly within HIV clinics, whereas menopause care was mainly provided by gynaecology or primary care. Most respondents stated a need for HIV and menopause guidelines. In conclusion, we found that whilst metabolic risk factors and poor mental health are regularly screened for, psychosocial and sexual well-being and menopausal symptoms could be improved. This highlights the need for international recommendations and clinician training to ensure the health of this population.
ISSN:13600451
09540121
DOI:10.1080/09540121.2023.2216008