Skip to main content
Erschienen in: AIDS and Behavior 5/2018

18.11.2017 | Original Paper

Loneliness in Older Adults Living with HIV

verfasst von: Meredith Greene, Nancy A. Hessol, Carla Perissinotto, Roland Zepf, Amanda Hutton Parrott, Cameron Foreman, Robert Whirry, Monica Gandhi, Malcolm John

Erschienen in: AIDS and Behavior | Ausgabe 5/2018

Einloggen, um Zugang zu erhalten

Abstract

We conducted a cross-sectional study among HIV-positive adults age ≥ 50 in San Francisco to evaluate the frequency of loneliness, characteristics of those who reported loneliness, and the association of loneliness with functional impairment and health-related quality of life (HRQoL). Participants (N = 356) were predominately male (85%); 57% were white; median age was 56. 58% reported any loneliness symptoms with 24% reporting mild, 22% moderate and 12% severe loneliness. Lonely participants were more likely to report depression, alcohol and tobacco use, and have fewer relationships. In unadjusted models, loneliness was associated with functional impairment and poor HRQoL. In adjusted models, low income and depression remained associated with poor HRQoL, while low income, higher VACS index and depression were associated with functional impairment. A comprehensive care approach, incorporating mental health and psychosocial assessments with more traditional clinical assessments, will be needed to improve health outcomes for the aging HIV-positive population.
Literatur
2.
Zurück zum Zitat Samji H, Cescon A, Hogg RS, Modur SP, Althoff KN, Buchacz K, et al. Closing the gap: increases in life expectancy among treated HIV-positive individuals in the United States and Canada. PLoS ONE. 2013;8(12):e81355.CrossRefPubMedPubMedCentral Samji H, Cescon A, Hogg RS, Modur SP, Althoff KN, Buchacz K, et al. Closing the gap: increases in life expectancy among treated HIV-positive individuals in the United States and Canada. PLoS ONE. 2013;8(12):e81355.CrossRefPubMedPubMedCentral
3.
Zurück zum Zitat World Health Organization. Guideline on when to start antiretroviral therapy and on pre-exposure prophylaxis for HIV. Geneva: WHO; 2015. World Health Organization. Guideline on when to start antiretroviral therapy and on pre-exposure prophylaxis for HIV. Geneva: WHO; 2015.
4.
Zurück zum Zitat Salter ML, Lau B, Go VF, Mehta SH, Kirk GD. HIV infection, immune suppression, and uncontrolled viremia are associated with increased multimorbidity among aging injection drug users. Clin Infect Dis. 2011;53(12):1256–64.CrossRefPubMedPubMedCentral Salter ML, Lau B, Go VF, Mehta SH, Kirk GD. HIV infection, immune suppression, and uncontrolled viremia are associated with increased multimorbidity among aging injection drug users. Clin Infect Dis. 2011;53(12):1256–64.CrossRefPubMedPubMedCentral
5.
Zurück zum Zitat Greene M, Justice AC, Lampiris HW, Valcour V. Management of human immunodeficiency virus infection in advanced age. JAMA. 2013;309(13):1397–405.CrossRefPubMedPubMedCentral Greene M, Justice AC, Lampiris HW, Valcour V. Management of human immunodeficiency virus infection in advanced age. JAMA. 2013;309(13):1397–405.CrossRefPubMedPubMedCentral
6.
Zurück zum Zitat Greene M, Steinman MA, McNicholl IR, Valcour V. Polypharmacy, drug-drug interactions, and potentially inappropriate medications in older adults with human immunodeficiency virus infection. J Am Geriatr Soc. 2014;62(3):447–53.CrossRefPubMedPubMedCentral Greene M, Steinman MA, McNicholl IR, Valcour V. Polypharmacy, drug-drug interactions, and potentially inappropriate medications in older adults with human immunodeficiency virus infection. J Am Geriatr Soc. 2014;62(3):447–53.CrossRefPubMedPubMedCentral
7.
Zurück zum Zitat Edelman EJ, Gordon KS, Glover J, McNicholl IR, Fiellin DA, Justice AC. The next therapeutic challenge in HIV: polypharmacy. Drugs Aging. 2013;30(8):613–28.CrossRefPubMedPubMedCentral Edelman EJ, Gordon KS, Glover J, McNicholl IR, Fiellin DA, Justice AC. The next therapeutic challenge in HIV: polypharmacy. Drugs Aging. 2013;30(8):613–28.CrossRefPubMedPubMedCentral
8.
Zurück zum Zitat Karpiak SE, Shippy RA, Cantor MH. Research on older adults with HIV. New York: New York AIDS Community Research Initiative of America; 2006. Karpiak SE, Shippy RA, Cantor MH. Research on older adults with HIV. New York: New York AIDS Community Research Initiative of America; 2006.
9.
Zurück zum Zitat Carmo Filho A, Fakoury MK, Eyer-Silva Wde A, Neves-Motta R, Kalil RS, Ferry FR. Factors associated with a diagnosis of major depression among HIV-infected elderly patients. Rev Soc Bras Med Trop. 2013;46(3):352–4.CrossRefPubMed Carmo Filho A, Fakoury MK, Eyer-Silva Wde A, Neves-Motta R, Kalil RS, Ferry FR. Factors associated with a diagnosis of major depression among HIV-infected elderly patients. Rev Soc Bras Med Trop. 2013;46(3):352–4.CrossRefPubMed
10.
Zurück zum Zitat Peltzer K, Phaswana-Mafuya N. Depression and associated factors in older adults in South Africa. Global Health Action. 2013;6:1–9.CrossRefPubMed Peltzer K, Phaswana-Mafuya N. Depression and associated factors in older adults in South Africa. Global Health Action. 2013;6:1–9.CrossRefPubMed
11.
Zurück zum Zitat Poindexter C, Shippy RA. Networks of older New Yorkers with HIV: fragility, resilience, and transformation. AIDS Patient Care STDs. 2008;22(9):723–33.CrossRefPubMed Poindexter C, Shippy RA. Networks of older New Yorkers with HIV: fragility, resilience, and transformation. AIDS Patient Care STDs. 2008;22(9):723–33.CrossRefPubMed
12.
Zurück zum Zitat Emlet CA. An examination of the social networks and social isolation in older and younger adults living with HIV/AIDS. Health Soc Work. 2006;31(4):299–308.CrossRefPubMed Emlet CA. An examination of the social networks and social isolation in older and younger adults living with HIV/AIDS. Health Soc Work. 2006;31(4):299–308.CrossRefPubMed
13.
Zurück zum Zitat Schrimshaw EW, Siegel K. Perceived barriers to social support from family and friends among older adults with HIV/AIDS. J Health Psychol. 2003;8(6):738–52.CrossRefPubMed Schrimshaw EW, Siegel K. Perceived barriers to social support from family and friends among older adults with HIV/AIDS. J Health Psychol. 2003;8(6):738–52.CrossRefPubMed
14.
Zurück zum Zitat Shippy RA, Karpiak SE. Perceptions of support among older adults with HIV. Res Aging. 2005;27(3):290–306.CrossRef Shippy RA, Karpiak SE. Perceptions of support among older adults with HIV. Res Aging. 2005;27(3):290–306.CrossRef
15.
Zurück zum Zitat Greysen SR, Horwitz LI, Covinsky KE, Gordon K, Ohl ME, Justice AC. Does social isolation predict hospitalization and mortality among HIV + and uninfected older veterans? J Am Geriatr Soc. 2013;61(9):1456–63.CrossRefPubMedPubMedCentral Greysen SR, Horwitz LI, Covinsky KE, Gordon K, Ohl ME, Justice AC. Does social isolation predict hospitalization and mortality among HIV + and uninfected older veterans? J Am Geriatr Soc. 2013;61(9):1456–63.CrossRefPubMedPubMedCentral
16.
Zurück zum Zitat Shippy RA, Karpiak SE. The aging HIV/AIDS population: fragile social networks. Aging Ment Health. 2005;9(3):246–54.CrossRefPubMed Shippy RA, Karpiak SE. The aging HIV/AIDS population: fragile social networks. Aging Ment Health. 2005;9(3):246–54.CrossRefPubMed
18.
Zurück zum Zitat Hawton A, Green C, Dickens AP, Richards SH, Taylor RS, Edwards R, et al. The impact of social isolation on the health status and health-related quality of life of older people. Quality Life Res. 2011;20(1):57–67.CrossRef Hawton A, Green C, Dickens AP, Richards SH, Taylor RS, Edwards R, et al. The impact of social isolation on the health status and health-related quality of life of older people. Quality Life Res. 2011;20(1):57–67.CrossRef
19.
Zurück zum Zitat Perissinotto CM, Stijacic Cenzer I, Covinsky KE. Loneliness in older persons: a predictor of functional decline and death. Arch Intern Med. 2012;172(14):1078–83.CrossRefPubMedPubMedCentral Perissinotto CM, Stijacic Cenzer I, Covinsky KE. Loneliness in older persons: a predictor of functional decline and death. Arch Intern Med. 2012;172(14):1078–83.CrossRefPubMedPubMedCentral
20.
Zurück zum Zitat Holwerda TJ, Beekman AT, Deeg DJ, Stek ML, van Tilburg TG, Visser PJ, et al. Increased risk of mortality associated with social isolation in older men: only when feeling lonely? Results from the Amsterdam Study of the Elderly (AMSTEL). Psychol Med. 2012;42(4):843–53.CrossRefPubMed Holwerda TJ, Beekman AT, Deeg DJ, Stek ML, van Tilburg TG, Visser PJ, et al. Increased risk of mortality associated with social isolation in older men: only when feeling lonely? Results from the Amsterdam Study of the Elderly (AMSTEL). Psychol Med. 2012;42(4):843–53.CrossRefPubMed
21.
Zurück zum Zitat Obisesan TO. Among elderly men, feelings of loneliness are associated with increased 10-year mortality risk, independent of social isolation and medical and psychiatric conditions. Evid Based Nurs. 2013;16(2):66–7.CrossRefPubMed Obisesan TO. Among elderly men, feelings of loneliness are associated with increased 10-year mortality risk, independent of social isolation and medical and psychiatric conditions. Evid Based Nurs. 2013;16(2):66–7.CrossRefPubMed
22.
23.
Zurück zum Zitat Holt-Lunstad J, Robles TF, Sbarra DA. Advancing social connection as a public health priority in the United States. Am Psychol. 2017;72(6):517–30.CrossRefPubMed Holt-Lunstad J, Robles TF, Sbarra DA. Advancing social connection as a public health priority in the United States. Am Psychol. 2017;72(6):517–30.CrossRefPubMed
24.
Zurück zum Zitat Stanton CA, Moadel AB, Kim RS, Weinberger AH, Shuter J. Loneliness in HIV-infected smokers. AIDS Care. 2015;27(2):268–72.CrossRefPubMed Stanton CA, Moadel AB, Kim RS, Weinberger AH, Shuter J. Loneliness in HIV-infected smokers. AIDS Care. 2015;27(2):268–72.CrossRefPubMed
25.
Zurück zum Zitat Nachega JB, Morroni C, Zuniga JM, Sherer R, Beyrer C, Solomon S, et al. HIV-related stigma, isolation, discrimination, and serostatus disclosure: a global survey of 2035 HIV-infected adults. J Int Assoc Phys AIDS Care (Chic). 2012;11(3):172–8.CrossRef Nachega JB, Morroni C, Zuniga JM, Sherer R, Beyrer C, Solomon S, et al. HIV-related stigma, isolation, discrimination, and serostatus disclosure: a global survey of 2035 HIV-infected adults. J Int Assoc Phys AIDS Care (Chic). 2012;11(3):172–8.CrossRef
26.
Zurück zum Zitat Miles MS, Isler MR, Banks BB, Sengupta S, Corbie-Smith G. Silent endurance and profound loneliness: socioemotional suffering in African Americans living with HIV in the rural south. Qual Health Res. 2011;21(4):489–501.CrossRefPubMed Miles MS, Isler MR, Banks BB, Sengupta S, Corbie-Smith G. Silent endurance and profound loneliness: socioemotional suffering in African Americans living with HIV in the rural south. Qual Health Res. 2011;21(4):489–501.CrossRefPubMed
27.
Zurück zum Zitat Grov C, Golub SA, Parsons JT, Brennan M, Karpiak SE. Loneliness and HIV-related stigma explain depression among older HIV-positive adults. AIDS Care. 2010;22(5):630–9.CrossRefPubMedPubMedCentral Grov C, Golub SA, Parsons JT, Brennan M, Karpiak SE. Loneliness and HIV-related stigma explain depression among older HIV-positive adults. AIDS Care. 2010;22(5):630–9.CrossRefPubMedPubMedCentral
28.
Zurück zum Zitat Alpass FM, Neville S. Loneliness, health and depression in older males. Aging Ment Health. 2003;7(3):212–6.CrossRefPubMed Alpass FM, Neville S. Loneliness, health and depression in older males. Aging Ment Health. 2003;7(3):212–6.CrossRefPubMed
29.
Zurück zum Zitat Luo Y, Hawkley LC, Waite LJ, Cacioppo JT. Loneliness, health, and mortality in old age: a national longitudinal study. Soc Sci Med. 2012;74(6):907–14.CrossRefPubMedPubMedCentral Luo Y, Hawkley LC, Waite LJ, Cacioppo JT. Loneliness, health, and mortality in old age: a national longitudinal study. Soc Sci Med. 2012;74(6):907–14.CrossRefPubMedPubMedCentral
30.
Zurück zum Zitat John MD, Greene M, Hessol NA, Zepf R, Parrott AH, Foreman C, et al. Geriatric assessments and association with VACS index among HIV-infected older adults in San Francisco (1999). J Acquir Immune Defic Syndr. 2016;72(5):534–41.PubMedPubMedCentral John MD, Greene M, Hessol NA, Zepf R, Parrott AH, Foreman C, et al. Geriatric assessments and association with VACS index among HIV-infected older adults in San Francisco (1999). J Acquir Immune Defic Syndr. 2016;72(5):534–41.PubMedPubMedCentral
31.
32.
Zurück zum Zitat Russell D, Peplau LA, Cutrona CE. The revised UCLA loneliness scale: concurrent and discriminant validity evidence. J Pers Soc Psychol. 1980;39(3):472–80.CrossRefPubMed Russell D, Peplau LA, Cutrona CE. The revised UCLA loneliness scale: concurrent and discriminant validity evidence. J Pers Soc Psychol. 1980;39(3):472–80.CrossRefPubMed
33.
Zurück zum Zitat Crane HM, Van Rompaey SE, Dillingham PW, Herman E, Diehr P, Kitahata MM. A single-item measure of health-related quality-of-life for HIV-infected patients in routine clinical care. AIDS Patient Care STDS. 2006;20(3):161–74.CrossRefPubMed Crane HM, Van Rompaey SE, Dillingham PW, Herman E, Diehr P, Kitahata MM. A single-item measure of health-related quality-of-life for HIV-infected patients in routine clinical care. AIDS Patient Care STDS. 2006;20(3):161–74.CrossRefPubMed
34.
Zurück zum Zitat Freedberg KA, Losina E, Weinstein MC, Paltiel AD, Cohen CJ, Seage GR, et al. The cost effectiveness of combination antiretroviral therapy for HIV disease. N Engl J Med. 2001;344(11):824–31.CrossRefPubMed Freedberg KA, Losina E, Weinstein MC, Paltiel AD, Cohen CJ, Seage GR, et al. The cost effectiveness of combination antiretroviral therapy for HIV disease. N Engl J Med. 2001;344(11):824–31.CrossRefPubMed
35.
Zurück zum Zitat DeSalvo KB, Fan VS, McDonell MB, Fihn SD. Predicting mortality and healthcare utilization with a single question. Health Serv Res. 2005;40(4):1234–46.CrossRefPubMedPubMedCentral DeSalvo KB, Fan VS, McDonell MB, Fihn SD. Predicting mortality and healthcare utilization with a single question. Health Serv Res. 2005;40(4):1234–46.CrossRefPubMedPubMedCentral
36.
Zurück zum Zitat Manor O, Matthews S, Power C. Self-rated health and limiting longstanding illness: inter-relationships with morbidity in early adulthood. Int J Epidemiol. 2001;30(3):600–7.CrossRefPubMed Manor O, Matthews S, Power C. Self-rated health and limiting longstanding illness: inter-relationships with morbidity in early adulthood. Int J Epidemiol. 2001;30(3):600–7.CrossRefPubMed
37.
Zurück zum Zitat Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9(3):179–86.CrossRefPubMed Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9(3):179–86.CrossRefPubMed
38.
Zurück zum Zitat Greene M, Covinsky KE, Valcour V, Miao Y, Madamba J, Lampiris H, et al. Geriatric syndromes in older HIV-infected adults. J Acquir Immune Defic Syndr. 2015;69(2):161–7.CrossRefPubMedPubMedCentral Greene M, Covinsky KE, Valcour V, Miao Y, Madamba J, Lampiris H, et al. Geriatric syndromes in older HIV-infected adults. J Acquir Immune Defic Syndr. 2015;69(2):161–7.CrossRefPubMedPubMedCentral
39.
40.
Zurück zum Zitat Brown RL, Rounds LA. Conjoint screening questionnaires for alcohol and other drug abuse: criterion validity in a primary care practice. Wis Med J. 1995;94(3):135–40.PubMed Brown RL, Rounds LA. Conjoint screening questionnaires for alcohol and other drug abuse: criterion validity in a primary care practice. Wis Med J. 1995;94(3):135–40.PubMed
41.
Zurück zum Zitat Justice AC, McGinnis KA, Skanderson M, Chang CC, Gibert CL, Goetz MB, et al. Towards a combined prognostic index for survival in HIV infection: the role of ‘non-HIV’ biomarkers. HIV Med. 2010;11(2):143–51.CrossRefPubMed Justice AC, McGinnis KA, Skanderson M, Chang CC, Gibert CL, Goetz MB, et al. Towards a combined prognostic index for survival in HIV infection: the role of ‘non-HIV’ biomarkers. HIV Med. 2010;11(2):143–51.CrossRefPubMed
42.
43.
Zurück zum Zitat Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary care evaluation of mental disorders. Patient health questionnaire. JAMA. 1999;282(18):1737–44.CrossRefPubMed Spitzer RL, Kroenke K, Williams JB. Validation and utility of a self-report version of PRIME-MD: the PHQ primary care study. Primary care evaluation of mental disorders. Patient health questionnaire. JAMA. 1999;282(18):1737–44.CrossRefPubMed
44.
Zurück zum Zitat Milanini B, Wendelken LA, Esmaeili-Firidouni P, Chartier M, Crouch PC, Valcour V. The montreal cognitive assessment to screen for cognitive impairment in HIV patients older than 60 years. J Acquir Immune Defic Syndr. 2014;67(1):67–70.CrossRefPubMedPubMedCentral Milanini B, Wendelken LA, Esmaeili-Firidouni P, Chartier M, Crouch PC, Valcour V. The montreal cognitive assessment to screen for cognitive impairment in HIV patients older than 60 years. J Acquir Immune Defic Syndr. 2014;67(1):67–70.CrossRefPubMedPubMedCentral
45.
Zurück zum Zitat Lubben JE. Assessing social networks among elderly populations. Fam Commun Health. 1988;11:42–52.CrossRef Lubben JE. Assessing social networks among elderly populations. Fam Commun Health. 1988;11:42–52.CrossRef
46.
Zurück zum Zitat Shiovitz-Ezra S, Ayalon L. Situational versus chronic loneliness as risk factors for all-cause mortality. Int Psychogeriatr. 2010;22(3):455–62.CrossRefPubMed Shiovitz-Ezra S, Ayalon L. Situational versus chronic loneliness as risk factors for all-cause mortality. Int Psychogeriatr. 2010;22(3):455–62.CrossRefPubMed
47.
Zurück zum Zitat Vance DE. Self-rated emotional health in adults with and without HIV. Psychol Rep. 2006;98(1):106–8.CrossRefPubMed Vance DE. Self-rated emotional health in adults with and without HIV. Psychol Rep. 2006;98(1):106–8.CrossRefPubMed
48.
Zurück zum Zitat Emlet CA, Tozay S, Raveis VH. “I’m not going to die from the AIDS”: resilience in aging with HIV disease. Gerontologist. 2011;51(1):101–11.CrossRefPubMed Emlet CA, Tozay S, Raveis VH. “I’m not going to die from the AIDS”: resilience in aging with HIV disease. Gerontologist. 2011;51(1):101–11.CrossRefPubMed
49.
Zurück zum Zitat Fokkema T, Kuyper L. The relation between social embeddedness and loneliness among older lesbian, gay, and bisexual adults in the Netherlands. Arch Sex Behav. 2009;38(2):264–75.CrossRefPubMed Fokkema T, Kuyper L. The relation between social embeddedness and loneliness among older lesbian, gay, and bisexual adults in the Netherlands. Arch Sex Behav. 2009;38(2):264–75.CrossRefPubMed
50.
Zurück zum Zitat Valtorta N, Hanratty B. Loneliness, isolation and the health of older adults: do we need a new research agenda? J R Soc Med. 2012;105(12):518–22.CrossRefPubMedPubMedCentral Valtorta N, Hanratty B. Loneliness, isolation and the health of older adults: do we need a new research agenda? J R Soc Med. 2012;105(12):518–22.CrossRefPubMedPubMedCentral
51.
Zurück zum Zitat Owen G, Catalan J. ‘We never expected this to happen’: narratives of ageing with HIV among gay men living in London, UK. Cult Health Sex. 2012;14(1):59–72.CrossRefPubMed Owen G, Catalan J. ‘We never expected this to happen’: narratives of ageing with HIV among gay men living in London, UK. Cult Health Sex. 2012;14(1):59–72.CrossRefPubMed
52.
Zurück zum Zitat Emlet CA, Shiu C, Kim HJ, Fredriksen-Goldsen K. Bouncing back: resilience and mastery among HIV-positive older gay and bisexual men. Gerontologist. 2017;57(suppl 1):S40–9.CrossRefPubMedPubMedCentral Emlet CA, Shiu C, Kim HJ, Fredriksen-Goldsen K. Bouncing back: resilience and mastery among HIV-positive older gay and bisexual men. Gerontologist. 2017;57(suppl 1):S40–9.CrossRefPubMedPubMedCentral
53.
Zurück zum Zitat Vance DE. The cognitive consequences of stigma, social withdrawal, and depression in adults aging with HIV. J Psychosoc Nurs Ment Health Serv. 2013;51(5):18–20.CrossRefPubMed Vance DE. The cognitive consequences of stigma, social withdrawal, and depression in adults aging with HIV. J Psychosoc Nurs Ment Health Serv. 2013;51(5):18–20.CrossRefPubMed
54.
Zurück zum Zitat Rodkjaer L, Laursen T, Balle N, Sodemann M. Depression in patients with HIV is under-diagnosed: a cross-sectional study in Denmark. HIV Med. 2010;11(1):46–53.CrossRefPubMed Rodkjaer L, Laursen T, Balle N, Sodemann M. Depression in patients with HIV is under-diagnosed: a cross-sectional study in Denmark. HIV Med. 2010;11(1):46–53.CrossRefPubMed
55.
Zurück zum Zitat San Francisco Department of Public Health HIV Semi-annual Surveillance Report. 2016. San Francisco Department of Public Health HIV Semi-annual Surveillance Report. 2016.
56.
Zurück zum Zitat Golub SA, Tomassilli JC, Pantalone DW, Brennan M, Karpiak SE, Parsons JT. Prevalence and correlates of sexual behavior and risk management among HIV-positive adults over 50. Sex Transm Dis. 2010;37(10):615–20.PubMed Golub SA, Tomassilli JC, Pantalone DW, Brennan M, Karpiak SE, Parsons JT. Prevalence and correlates of sexual behavior and risk management among HIV-positive adults over 50. Sex Transm Dis. 2010;37(10):615–20.PubMed
57.
Zurück zum Zitat Hubach RD, Dodge B, Li MJ, Schick V, Herbenick D, Ramos WD, et al. Loneliness, HIV-related stigma, and condom use among a predominantly rural sample of HIV-positive men who have sex with men (MSM). AIDS Educ Prev. 2015;27(1):72–83.CrossRefPubMed Hubach RD, Dodge B, Li MJ, Schick V, Herbenick D, Ramos WD, et al. Loneliness, HIV-related stigma, and condom use among a predominantly rural sample of HIV-positive men who have sex with men (MSM). AIDS Educ Prev. 2015;27(1):72–83.CrossRefPubMed
Metadaten
Titel
Loneliness in Older Adults Living with HIV
verfasst von
Meredith Greene
Nancy A. Hessol
Carla Perissinotto
Roland Zepf
Amanda Hutton Parrott
Cameron Foreman
Robert Whirry
Monica Gandhi
Malcolm John
Publikationsdatum
18.11.2017
Verlag
Springer US
Erschienen in
AIDS and Behavior / Ausgabe 5/2018
Print ISSN: 1090-7165
Elektronische ISSN: 1573-3254
DOI
https://doi.org/10.1007/s10461-017-1985-1

Weitere Artikel der Ausgabe 5/2018

AIDS and Behavior 5/2018 Zur Ausgabe

Leitlinien kompakt für die Innere Medizin

Mit medbee Pocketcards sicher entscheiden.

Seit 2022 gehört die medbee GmbH zum Springer Medizin Verlag

„Jeder Fall von plötzlichem Tod muss obduziert werden!“

17.05.2024 Plötzlicher Herztod Nachrichten

Ein signifikanter Anteil der Fälle von plötzlichem Herztod ist genetisch bedingt. Um ihre Verwandten vor diesem Schicksal zu bewahren, sollten jüngere Personen, die plötzlich unerwartet versterben, ausnahmslos einer Autopsie unterzogen werden.

Hirnblutung unter DOAK und VKA ähnlich bedrohlich

17.05.2024 Direkte orale Antikoagulanzien Nachrichten

Kommt es zu einer nichttraumatischen Hirnblutung, spielt es keine große Rolle, ob die Betroffenen zuvor direkt wirksame orale Antikoagulanzien oder Marcumar bekommen haben: Die Prognose ist ähnlich schlecht.

Schlechtere Vorhofflimmern-Prognose bei kleinem linken Ventrikel

17.05.2024 Vorhofflimmern Nachrichten

Nicht nur ein vergrößerter, sondern auch ein kleiner linker Ventrikel ist bei Vorhofflimmern mit einer erhöhten Komplikationsrate assoziiert. Der Zusammenhang besteht nach Daten aus China unabhängig von anderen Risikofaktoren.

Semaglutid bei Herzinsuffizienz: Wie erklärt sich die Wirksamkeit?

17.05.2024 Herzinsuffizienz Nachrichten

Bei adipösen Patienten mit Herzinsuffizienz des HFpEF-Phänotyps ist Semaglutid von symptomatischem Nutzen. Resultiert dieser Benefit allein aus der Gewichtsreduktion oder auch aus spezifischen Effekten auf die Herzinsuffizienz-Pathogenese? Eine neue Analyse gibt Aufschluss.

Update Innere Medizin

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.