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Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/219362
Enhancing the responsiveness of HIV healthcare services in Spain to address long-term well-being
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[eng] HIV continues to be a major public health issue in Europe, including Spain. In 2014, UNAIDS introduced the 90-90-90 national targets, aiming that 90% of people living with HIV (PLHIV) know their HIV status, 90% of those diagnosed with HIV to be taking antiretroviral therapy (ART), and 90% of those on ART to be virally suppressed. This sequence of targets defined by specific national goals has helped drive advancements in policy, research, and service delivery, contributing to declines in mortality from HIV-related causes. These targets also highlight an important aspect of HIV prevention, as achieving viral suppression prevents onward transmission. Spain met the third target in 2021, with 73% of all PLHIV having achieved viral suppression.
Despite advancements in antiretroviral therapy (ART) and improved life expectancy, PLHIV in Spain and elsewhere report health-related quality of life (HRQoL) that can be substantially improved, especially in some dimensions and areas, and substantial burdensome symptoms compared with the general population. Further, evidence demonstrates accelerated ageing and greater multimorbidity among this population, which may further impair HRQoL. In all countries, PLHIV report stigma and discrimination, which can impact their health and well-being through avoiding services and treatment or through psychosocial pathways that increase anxiety and depression.
The advent of a national long-term well-being metric, similar to the 90-90-90 targets, may encourage countries to address issues beyond viral suppression in routine HIV care. Enhancing the monitoring capabilities in Spain such that they collect multimorbidity and HRQoL data may contribute to the health system’s ability to address issues beyond viral suppression. Factors most acutely impacting the HRQoL of PLHIV, such as psychological distress and material deprivation, if monitored by the sub- national and national health information systems in Spain may provide healthcare providers with additional knowledge to intervene on burdensome issues. Addressing these factors through integrated and patient-centered care approaches with monitoring via standardized data collection may enhance HRQoL and long-term well- being for PLHIV in Spain.
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WHITE, Trenton michael. Enhancing the responsiveness of HIV healthcare services in Spain to address long-term well-being. [consulta: 7 de desembre de 2025]. [Disponible a: https://hdl.handle.net/2445/219362]