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Assessing the Impact of Targeted Screening and Treatment of Diabetes and Hypertension Among Adults Living with HIV in Nairobi, Kenya

机译:在肯尼亚,肯尼亚患有艾滋病毒艾滋病毒的成人患有患者和高血压治疗糖尿病和高血压的影响

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摘要

Individuals living with human immunodeficiency virus (HIV) today are living longer, thanks to expanded access to antiretroviral therapy (ART); however, this population is therefore increasingly at risk for many age-associated comorbidities. The future health of people living with HIV will therefore depend on the prevention and management of non-communicable diseases (NCDs), with consideration for integrated approaches to screening and treatment becoming increasingly important. This analysis applies a hybrid simulation of HIV and NCDs to examine the impact of providing screening and treatment for hypertension and diabetes at HIV facilities in Nairobi, Kenya. We combine a compartmental model of the HIV epidemic at a population level with a microsimulation of cardiovascular disease (CVD), and explore the impact of various strategies for targeting eligible individuals on ART, by age and gender, to receive NCD screening and treatment.
机译:由于扩大对抗逆转录病毒治疗(艺术)的进入,今天患有人类免疫缺陷病毒(艾滋病毒)的人寿化更长时间;然而,这种人口越来越受到许多年龄相关的合并症的风险。因此,艾滋病毒患者的未来健康将依赖于预防和管理非传染性疾病(NCD),考虑到筛选和治疗的综合方法变得越来越重要。该分析适用于艾滋病毒和NCD的混合模拟,以检查在肯尼亚内罗毕的HIV设施提供高血压和糖尿病的筛选和治疗的影响。我们将艾滋病毒流行病的分区模型与心血管疾病(CVD)的微观含量相结合,并探讨各种策略对艺术,年龄和性别的符合条件的影响,以获得NCD筛查和治疗。

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