Patients with Severe Mental Illnesses Slip Between Cracks in HIV Testing

People with bipolar disorder, schizophrenia and major depression with psychosis may be up to 15 more likely than the general population to be HIV positive, but are only marginally more likely to be tested for the virus, according to a study headed by UC San Francisco.
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Closing the Gap: Six of seven targets ‘not on track’, life expectancy gap unchanged

The Age, February 14th, 2017

Australia is not on track to close the life expectancy gap between Indigenous and non-Indigenous Australians, with the divide widening and deaths increasing when it comes to cancer, the ninth annual Closing the Gap report has found.

 

Impact of Cigarette Smoking and Smoking Cessation on Life Expectancy Among People With HIV

J Infect Dis. (2016) 214 (11):1672-1681.doi: 10.1093/infdis/jiw430

Abstract

Background. In the United States, >40% of people infected with human immunodeficiency virus (HIV) smoke cigarettes.

Methods. We used a computer simulation of HIV disease and treatment to project the life expectancy of HIV-infected persons, based on smoking status. We used age- and sex-specific data on mortality, stratified by smoking status. The ratio of the non-AIDS-related mortality risk for current smokers versus that for never smokers was 2.8, and the ratio for former smokers versus never smokers was 1.0–1.8, depending on cessation age. Projected survival was based on smoking status, sex, and initial age. We also estimated the total potential life-years gained if a proportion of the approximately 248 000 HIV-infected US smokers quit smoking.

Results. Men and women entering HIV care at age 40 years (mean CD4+T-cell count, 360 cells/µL) who continued to smoke lost 6.7 years and 6.3 years of life expectancy, respectively, compared with never smokers; those who quit smoking upon entering care regained 5.7 years and 4.6 years, respectively. Factors associated with greater benefits from smoking cessation included younger age, higher initial CD4+ T-cell count, and complete adherence to antiretroviral therapy. Smoking cessation by 10%–25% of HIV-infected smokers could save approximately 106 000–265 000 years of life.

Conclusions. HIV-infected US smokers aged 40 years lose >6 years of life expectancy from smoking, possibly outweighing the loss from HIV infection itself. Smoking cessation should become a priority in HIV treatment programs.

Full text (open access) here 

Viral hepatitis kills as many as malaria, TB or HIV/AIDS, finds study

Imperial College London, 06 July 2016

Viral hepatitis has become a leading cause of death and disability across the globe – killing as many people annually as TB, malaria or HIV/AIDS.

This is the finding of new research from scientists at Imperial College London and University of Washington, who analysed data from 183 countries collected between 1990 and 2013.

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HIV prevention saves over $250,000 over lifetime

Reuters, Wed Feb 25, 2015

Preventing the human immunodeficiency virus (HIV) in one person living in the U.S. saves more than $250,000 over their remaining lifetime, according to a new analysis.

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HIV survivors now expect long lives and even help train aged care workers

Posted

As World AIDS Day is marked globally, three South Australians have reflected on living with HIV and the joys and challenges of lifespans they once never dreamed of.

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