Does menopause transition influence viral suppression and adherence in Women living with HIV?

Hachfeld, A; Atkinson, A; Stute, P; Calmy, A; Tarr, P E; Darling, K E A; Babouee Flury, B; Polli, C; Sultan-Beyer, L; Abela, I A; Aebi-Popp, K (2023). Does menopause transition influence viral suppression and adherence in Women living with HIV? Journal of acquired immune deficiency syndromes, 92(5), pp. 399-404. Wolters Kluwer Health 10.1097/QAI.0000000000003158

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BACKGROUND

Increasing numbers of women living with HIV transition through menopause. It is unclear if this transition has an impact on treatment adherence, viral suppression, psychiatric comorbidities or drug use. We aimed at examining adherence and viral suppression during the perimenopausal period and explored the influence of psychiatric comorbidities and active injection drug use (IDU).

SETTING

Retrospective Swiss HIV Cohort Study analysis from 01/2010 to 12/2018.

METHODS

We explored peri- and postmenopausal trends of viral blips, low-level viremia, viral failure, adherence, psychiatric comorbidities and IDU using interrupted time series (ITS) models.

RESULTS

Rates of depression and psychiatric care increased during perimenopause before decreasing afterwards. Negative treatment outcomes such as viral blips, low-level viremia, viral failure and low adherence steadily declined while transitioning through menopause - this was also true for subgroups of women with depression, psychiatric treatment and active IDU.

CONCLUSIONS

Increased rates of depression and psychiatric care while transitioning through menopause do not result in lower rates of adherence or viral suppression in women living with HIV in Switzerland.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Clinic of Infectiology
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Gynaecology

UniBE Contributor:

Hachfeld, Anna, Atkinson, Andrew David, Stute, Petra, Aebi-Popp, Karoline Lieselotte

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1944-7884

Publisher:

Wolters Kluwer Health

Language:

English

Submitter:

Pubmed Import

Date Deposited:

11 Jan 2023 12:55

Last Modified:

11 Mar 2023 00:14

Publisher DOI:

10.1097/QAI.0000000000003158

PubMed ID:

36595226

BORIS DOI:

10.48350/176786

URI:

https://boris.unibe.ch/id/eprint/176786

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