Ongoing Healthcare Disparities in neuroHIV: Addressing Gaps in the Care Continuum

Jia D.T.; Carcamo P.M.; Diaz M.M. · Current HIV/AIDS Reports (2023) · DOI: 10.1007/s11904-023-00683-9

Resumen

Purpose of Review: We aim to review the neurological complications of HIV and the social, cultural, and economic inequalities that contribute to disparities in neuroHIV care. Recent Findings: Disparities in diagnostics and care of patients with neurological infections and non-infectious conditions associated with HIV in both high-income and low-to-middle-income countries (LMIC) are common. The COVID-19 pandemic has exacerbated these disparities. Summary: Factors, such as HIV-related stigma, may deter people from accessing HIV treatment. First-line recommended treatments for neurological infections are not available in many LMICs, leading to inadequate treatment and exposure to agents with more harmful side effect profiles. Access-related factors, such as lack of transportation, lack of health insurance, and inadequate telehealth access, may increase the risk of HIV-related neurological complications. Further research is needed to increase awareness of neurological complications among providers and PWH, and regional guidelines should be considered to better address these complications.

Instituciones: Universidad Peruana Cayetano Heredia