As antiretroviral therapy (ART) has become more effective and more widely available, people with HIV are living longer—and the average person living with human immunodeficiency virus (HIV) is older. As this population ages, more people living with HIV are also developing other health conditions, according to a new study led by a Boston University School of Public Health (BUSPH) researcher.
The study, published in Open Forum Infectious Diseases, found prevalences of hypertension, psychiatric disease, liver disease, and pulmonary disorder all likely exceed 30 percent among Medicaid-enrolled people living with HIV. Three quarters of the patients had at least one chronic condition, and a quarter had five or more. The findings have major implications for providers, and for Medicaid, which covers about 40 percent of people living with HIV in the US.
“The care of persons living with HIV is becoming increasingly complex,” says lead study author Dr. Megan Cole Brahim, assistant professor of health law, policy & management at BUSPH. “It is critical for policymakers to ensure access to quality care for persons with HIV, while providers, health systems, and health plans serving persons with HIV must better prevent, identify, and manage chronic conditions, coordinate care across multiple specialists, carefully reconcile medications, and ensure proper disease management.”
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