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Consensus statement on the role of health systems in advancing the long-term well-being of people living with HIV

Lazarus JV 1 , Safreed-Harmon K 2 , Kamarulzaman A 3 , Anderson J 4 , Leite RB 5 , Behrens G 6 Show all authors , Bekker LG 7 , Bhagani S 8 , Brown D 9 , Brown G 10 , Buchbinder S 11 , Caceres C 12 , Cahn PE 13 , Carrieri P 14 , Caswell G 15 , Cooke GS 16 , Monforte AD 17 , Dedes N 18 , Del Amo J 19 , Elliott R 20 , El-Sadr WM 21 , Fuster-Ruiz de Apodaca MJ 22 , Guaraldi G 23 , Hallett T 16 , Harding R 24 , Hellard M 25 , Jaffar S 26 , Kall M 27 , Klein M 28 , Lewin SR 29 , Mayer K 30 , Pérez-Molina JA 31 , Moraa D 32 , Naniche D 2 , Nash D 33 , Noori T 34 , Pozniak A 9 , Rajasuriar R 3 , Reiss P 35 , Rizk N 36 , Rockstroh J 37 , Romero D 33 , Sabin C 38 , Serwadda D 39 , Waters L 40

Affiliations 

  • 1 Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona, Barcelona, Spain. Jeffrey.Lazarus@isglobal.org
  • 2 Barcelona Institute for Global Health (ISGlobal), Hospital Clínic, University of Barcelona, Barcelona, Spain
  • 3 University of Malaya, Kuala Lumpur, Malaysia
  • 4 Homerton University Hospital NHS Foundation Trust, London, United Kingdom
  • 5 Portuguese National Parliament, Lisbon, Portugal
  • 6 Medizinische Hochschule Hannover (MHH), Hannover, Germany
  • 7 The Desmond Tutu HIV Centre, Cape Town, South Africa
  • 8 Royal Free London NHS Trust and University College London, London, United Kingdom
  • 9 Chelsea and Westminster NHS Foundation Trust, London, United Kingdom
  • 10 Centre for Social Impact, University of New South Wales, Sydney, Australia
  • 11 Bridge HIV, San Francisco Department of Public Health, San Francisco, United States
  • 12 Center for Research in Sexuality, AIDS and Society, Universidad Peruana Cayetano Heredia, Lima, Peru
  • 13 Fundación Huésped, Buenos Aires, Argentina
  • 14 Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Marseilles, France
  • 15 Global Network of People Living with HIV (GNP+), Cape Town, South Africa
  • 16 Imperial College London, London, United Kingdom
  • 17 University of Milan, Milan, Italy
  • 18 Positive Voice, Athens, Greece
  • 19 National Plan on AIDS, Ministry of Health, Madrid, Spain
  • 20 HIV Legal Network, Toronto, Canada
  • 21 ICAP at Columbia University, New York City, United States
  • 22 Spanish AIDS Interdisciplinary Society (SEISIDA), Madrid, Spain
  • 23 Modena HIV Metabolic Clinic, Università degli studi di Modena e Reggio Emilia, Modena, Italy
  • 24 King's College London, London, United Kingdom
  • 25 Burnet Institute, Melbourne, Australia
  • 26 Liverpool School of Tropical Medicine, Liverpool, United Kingdom
  • 27 Public Health England, London, United Kingdom
  • 28 McGill University Health Centre Research Institute, Montreal, Canada
  • 29 Department of Infectious Diseases, The University of Melbourne at the Peter Doherty Institute for Infection and Immunity, Melbourne, Australia
  • 30 Fenway Health and Harvard Medical School, Boston, United States
  • 31 Infectious Diseases Department, Hospital Universitario Ramón y Cajal, Madrid, Spain
  • 32 ESA YOUTH 2030, Nairobi, Kenya
  • 33 City University of New York Graduate School of Public Health and Health Policy, New York City, United States
  • 34 European Centre for Disease Control and Prevention, Solna, Sweden
  • 35 Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, Netherlands
  • 36 American University of Beirut, Beirut, Lebanon
  • 37 University Hospital Bonn, Bonn, Germany
  • 38 University College London, London, United Kingdom
  • 39 Makerere University School of Public Health, Kampala, Uganda
  • 40 Central and North West London NHS Trust, London, United Kingdom
Nat Commun, 2021 07 16;12(1):4450.
PMID: 34272399 DOI: 10.1038/s41467-021-24673-w

Abstract

Health systems have improved their abilities to identify, diagnose, treat and, increasingly, achieve viral suppression among people living with HIV (PLHIV). Despite these advances, a higher burden of multimorbidity and poorer health-related quality of life are reported by many PLHIV in comparison to people without HIV. Stigma and discrimination further exacerbate these poor outcomes. A global multidisciplinary group of HIV experts developed a consensus statement identifying key issues that health systems must address in order to move beyond the HIV field's longtime emphasis on viral suppression to instead deliver integrated, person-centered healthcare for PLHIV throughout their lives.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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