Details

Autor(en) / Beteiligte

• Pond, Renee A
• Collins, Lauren F
• Lahiri, Cecile D

Titel

Sex Differences in Non-AIDS Comorbidities Among People With Human Immunodeficiency Virus

Ist Teil von

• Open forum infectious diseases, 2021-12, Vol.8 (12), p.ofab558-ofab558

Ort / Verlag

US: Oxford University Press

Erscheinungsjahr

2021

Quelle

EZB Free E-Journals

Beschreibungen/Notizen

• Abstract Women are grossly underrepresented in human immunodeficiency virus (HIV) clinical and translational research. This is concerning given that people with HIV (PWH) are living longer, and thus accumulating aging-related non-AIDS comorbidities (NACMs); emerging evidence suggests that women are at higher risk of NACM development and progression compared with men. It is widely recognized that women vs men have greater immune activation in response to many viruses, including HIV-1; this likely influences sex-differential NACM development related to differences in HIV-associated chronic inflammation. Furthermore, many sociobehavioral factors that contribute to aging-related NACMs are known to differ by sex. The objectives of this review were to (1) synthesize sex-stratified data on 4 NACMs among PWH: bone disease, cardiovascular disease, metabolic dysfunction, and neurocognitive impairment; (2) evaluate the characteristics of key studies assessing sex differences in NACMs; and (3) introduce potential biological and psychosocial mechanisms contributing to emerging trends in sex-differential NACM risk and outcomes among PWH. Our understanding of non-AIDS comorbidity epidemiology among women with HIV is hindered by existing studies lacking power or design to evaluate sex differences. Future studies should adequately represent women and assess key sex-associated factors on comorbidity risk and outcomes.