RNQualitativeThe Journal of the Association of Nurses in AIDS Care : JANAC2017

Multimorbidity With HIV: Views of Community-Based People Living With HIV and Other Chronic Conditions.

Jacquelyn Slomka, Maryjo Prince-Paul, Allison Webel and 1 others

PMID 28495366

WHAT IT FOUND

People living with HIV and other chronic conditions often saw HIV as controlled and in the background, while struggling with medication interactions, specialist communication, future care worries, and persistent stigma.

Key findings

01Participants often viewed HIV as a controlled background condition, with other chronic diseases and their treatments more prominent in daily care.

02They identified medication interactions, adverse effects, and poor communication among multiple specialists as major challenges.

03Stigma remained a persistent concern that affected disclosure and reluctance to share information.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The study included only 22 English-speaking participants from a Midwestern HIV clinic, so it may not represent other languages, regions, or HIV care settings. Participants were primarily male, African American, older, and fairly well-educated, and all except one rated their health as excellent or good, so more severe illness may be underrepresented. Multimorbidity was defined as two or more self-reported chronic conditions, and the authors did not collect physical function or geriatric syndrome data, so the study cannot describe functional impact. Analysis was coded by a single investigator and reviewed by a second co-investigator, with minimal differences negotiated, so alternative interpretations may be limited.

Declared interests

The authors report no real or perceived vested interests that relate to this article and could be construed as a conflict of interest.

The easy way to misread this

Do not conclude that HIV is no longer a major clinical issue or that any care strategy improves outcomes. Participants said HIV was often controlled, but they also reported serious medication interactions, stigma, and future-care worries; the study reports experiences from 22 people, not treatment effects.

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