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Author Topic: Pain is underrecognized Problem for People With HIV  (Read 429 times)

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Offline JimDublin

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Pain is underrecognized Problem for People With HIV
« on: October 10, 2018, 09:48:22 am »
Posting this but its not really News & Studies, however i felt it fitted this section somehow best.

The write-up is not a bad when you consider how broad the topic can be.

October 9, 2018 • By Benjamin Ryan
https://www.poz.com/article/chronic-pain-huge-underrecognized-problem-people-hiv


Quote
For the first 15 years of the HIV epidemic, sheer survival was the primary focus among researchers, clinicians and people living with the virus alike. This goal of keeping people alive amounted to the first step in the effort to care for HIV-positive individuals. Then, with the arrival of highly effective combination antiretroviral (ARV) treatment in 1996, HIV became a manageable infection and life expectancies among those with the virus began their long, steady march toward normal.

And so during the past two decades, researchers and clinicians in the HIV field have both broadened and shifted their focus to encompass what are known as comorbidities (step two): other serious, coexisting health conditions that are common among people with HIV, including cardiovascular disease and non-AIDS-defining cancers.

All along, people with HIV have struggled with chronic pain—largely considered a quality-of-life concern, or the third step in helping the HIV population live long, healthy and happy lives. An estimated 54 to 83 percent of the HIV population is saddled with this critical burden. Interestingly, such high rates of pain have apparently remained stable between the pre- and post-1996 eras of the epidemic.

The prevalence of chronic pain among people with HIV notwithstanding, the research community still has a long way to go when it comes to investigating the causes of and effective treatments, especially nonpharmacologic therapies, for chronic pain among people with HIV.

According to a recent study published in The Journal of Acquired Immune Deficiency Syndromes, living with chronic pain (among those people with HIV not on long-term opioid therapy) was associated with a nearly 50 percent greater likelihood of adhering poorly to ARVs and a doubled chance of experiencing virologic failure, in which an individual’s virus rebounds despite the fact that he or she has been prescribed HIV treatment.

In full: https://www.poz.com/article/chronic-pain-huge-underrecognized-problem-people-hiv
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