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The association between severe menopausal symptoms and engagement with HIV care and treatment in women living with HIV.

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Title: The association between severe menopausal symptoms and engagement with HIV care and treatment in women living with HIV.
Authors: Solomon, Danielle, Sabin, Caroline A., Burns, Fiona, Gilson, Richard, Allan, Sris, de Ruiter, Annamiek, Dhairyawan, Rageshri, Fox, Julie, Gilleece, Yvonne, Jones, Rachael, Post, Frank, Reeves, Iain, Ross, Jonathan, Ustianowski, Andrew, Shepherd, Jane, Tariq, S.
Source: AIDS Care. Jan2021, Vol. 33 Issue 1, p101-108. 8p. 3 Charts.
Subjects: Disease complications, Clinical drug trials, Symptoms, Confidence intervals, HIV infections, Psychology of HIV-positive persons, Medical care use, Patient compliance, Questionnaires, Logistic regression analysis, Antiretroviral agents, Severity of illness index, Postmenopause, Odds ratio
Abstract: Using data from the PRIME Study, an observational study of the menopause in women living with HIV in England, we explored the association between menopausal symptoms and: (i) antiretroviral therapy (ART) adherence and (ii) HIV clinic attendance. We measured menopausal symptom severity with the Menopause Rating Scale (MRS, score ≥17 indicating severe symptoms), adherence with the CPCRA Antiretroviral Medication Adherence Self-Report Form, and ascertained HIV clinic attendance via self-report. Odds ratios were obtained using logistic regression. Women who reported severe menopausal symptoms had greater odds of suboptimal ART adherence (adjusted odds ratio (AOR) 2.22; 95% CI 1.13, 4.35) and suboptimal clinic attendance (AOR 1.52; 95% CI 1.01, 2.29). When psychological, somatic and urogenital domains of the MRS were analysed individually there was no association between adherence and severe symptoms (all p > 0.1), however there was an association between suboptimal HIV clinic attendance and severe somatic (AOR 1.98; 95% CI 1.24, 3.16) and psychological (AOR 1.76; 95% CI 1.17, 2.65) symptoms. Severe menopausal symptoms were significantly associated with sub-optimal ART adherence and HIV clinic attendance, however we cannot infer causality, highlighting the need for longitudinal data. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The association between severe menopausal symptoms and engagement with HIV care and treatment in women living with HIV.
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  Data: <searchLink fieldCode="AR" term="%22Solomon%2C+Danielle%22">Solomon, Danielle</searchLink><br /><searchLink fieldCode="AR" term="%22Sabin%2C+Caroline+A%2E%22">Sabin, Caroline A.</searchLink><br /><searchLink fieldCode="AR" term="%22Burns%2C+Fiona%22">Burns, Fiona</searchLink><br /><searchLink fieldCode="AR" term="%22Gilson%2C+Richard%22">Gilson, Richard</searchLink><br /><searchLink fieldCode="AR" term="%22Allan%2C+Sris%22">Allan, Sris</searchLink><br /><searchLink fieldCode="AR" term="%22de+Ruiter%2C+Annamiek%22">de Ruiter, Annamiek</searchLink><br /><searchLink fieldCode="AR" term="%22Dhairyawan%2C+Rageshri%22">Dhairyawan, Rageshri</searchLink><br /><searchLink fieldCode="AR" term="%22Fox%2C+Julie%22">Fox, Julie</searchLink><br /><searchLink fieldCode="AR" term="%22Gilleece%2C+Yvonne%22">Gilleece, Yvonne</searchLink><br /><searchLink fieldCode="AR" term="%22Jones%2C+Rachael%22">Jones, Rachael</searchLink><br /><searchLink fieldCode="AR" term="%22Post%2C+Frank%22">Post, Frank</searchLink><br /><searchLink fieldCode="AR" term="%22Reeves%2C+Iain%22">Reeves, Iain</searchLink><br /><searchLink fieldCode="AR" term="%22Ross%2C+Jonathan%22">Ross, Jonathan</searchLink><br /><searchLink fieldCode="AR" term="%22Ustianowski%2C+Andrew%22">Ustianowski, Andrew</searchLink><br /><searchLink fieldCode="AR" term="%22Shepherd%2C+Jane%22">Shepherd, Jane</searchLink><br /><searchLink fieldCode="AR" term="%22Tariq%2C+S%2E%22">Tariq, S.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Jan2021, Vol. 33 Issue 1, p101-108. 8p. 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Disease+complications%22">Disease complications</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+drug+trials%22">Clinical drug trials</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+HIV-positive+persons%22">Psychology of HIV-positive persons</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+use%22">Medical care use</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+compliance%22">Patient compliance</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Antiretroviral+agents%22">Antiretroviral agents</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+illness+index%22">Severity of illness index</searchLink><br /><searchLink fieldCode="DE" term="%22Postmenopause%22">Postmenopause</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Using data from the PRIME Study, an observational study of the menopause in women living with HIV in England, we explored the association between menopausal symptoms and: (i) antiretroviral therapy (ART) adherence and (ii) HIV clinic attendance. We measured menopausal symptom severity with the Menopause Rating Scale (MRS, score ≥17 indicating severe symptoms), adherence with the CPCRA Antiretroviral Medication Adherence Self-Report Form, and ascertained HIV clinic attendance via self-report. Odds ratios were obtained using logistic regression. Women who reported severe menopausal symptoms had greater odds of suboptimal ART adherence (adjusted odds ratio (AOR) 2.22; 95% CI 1.13, 4.35) and suboptimal clinic attendance (AOR 1.52; 95% CI 1.01, 2.29). When psychological, somatic and urogenital domains of the MRS were analysed individually there was no association between adherence and severe symptoms (all p > 0.1), however there was an association between suboptimal HIV clinic attendance and severe somatic (AOR 1.98; 95% CI 1.24, 3.16) and psychological (AOR 1.76; 95% CI 1.17, 2.65) symptoms. Severe menopausal symptoms were significantly associated with sub-optimal ART adherence and HIV clinic attendance, however we cannot infer causality, highlighting the need for longitudinal data. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2020.1748559
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 101
    Subjects:
      – SubjectFull: Disease complications
        Type: general
      – SubjectFull: Clinical drug trials
        Type: general
      – SubjectFull: Symptoms
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Psychology of HIV-positive persons
        Type: general
      – SubjectFull: Medical care use
        Type: general
      – SubjectFull: Patient compliance
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Logistic regression analysis
        Type: general
      – SubjectFull: Antiretroviral agents
        Type: general
      – SubjectFull: Severity of illness index
        Type: general
      – SubjectFull: Postmenopause
        Type: general
      – SubjectFull: Odds ratio
        Type: general
    Titles:
      – TitleFull: The association between severe menopausal symptoms and engagement with HIV care and treatment in women living with HIV.
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              Text: Jan2021
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              Y: 2021
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