Published in:
01-04-2018 | HIV Pathogenesis and Treatment (AL Landay and N Utay, Section Editors)
Role of Noncommunicable Diseases (NCDs) in Resource-Limited Settings (RLS)
Authors:
Mosepele Mosepele, Elizabeth Botsile
Published in:
Current HIV/AIDS Reports
|
Issue 2/2018
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Abstract
Purpose of Review
As access to effective antiretroviral therapy (ART) expands globally, a decline in AIDS-related morbidity and mortality has been complicated by rising rates of noncommunicable diseases (NCDs). This review provides a brief description of NCDs and existing gaps on knowledge about NCDs among HIV-infected adults mostly in Africa.
Recent findings
Recent reports show that one in every five persons living with HIV has a chronic illness, predominantly diabetes and/or hypertension, depression, and most of these conditions are either not diagnosed or not being managed. Human papilloma virus-associated anal dysplasia occurs among 70% of HIV-infected women in RLS. Recognizing risk factors for NCDs and providing effective screening and optimal care remains challenging.
Summary
Research is urgently needed to carefully characterize HIV-associated NCDs in RLS. Such studies should provide a framework for high-priority NCDs that the limited resources can be focused on in these settings.