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Prevalence of pain in women living with HIV aged 45–60: associated factors and impact on patient-reported outcomes.

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Title: Prevalence of pain in women living with HIV aged 45–60: associated factors and impact on patient-reported outcomes.
Authors: Sabin, Caroline A., Okhai, Hajra, Dhairyawan, Rageshri, Haag, Katharina, Burns, Fiona, Gilson, Richard, Sherr, Lorraine, Tariq, Shema
Source: AIDS Care. Aug2023, Vol. 35 Issue 8, p1181-1190. 10p. 2 Charts, 3 Graphs.
Subjects: HIV infection epidemiology, HIV infections, HIV-positive persons, Perimenopause, Confidence intervals, Viral load, HIV seroconversion, Medical care research, Risk assessment, Highly active antiretroviral therapy, Mental depression, Descriptive statistics, Research funding, Logistic regression analysis, Menopause, Insomnia, Odds ratio, Pain management, Women's health, Comorbidity, Middle age
Abstract: As the population of women with HIV ages, an increasing proportion are experiencing the menopause, with potential associated pain. Among 844 participants in the Positive Transitions Through the Menopause (PRIME) study (72.3% black African; median age 49 (interquartile-range 47–53) years; 20.9%, 44.0% and 35.1% pre-, peri- and post-menopausal), 376 (44.6%) and 73 (8.7%) reported moderate or extreme pain. Women had been diagnosed with HIV for 14 (9–18) years, 97.7% were receiving antiretroviral therapy and 88.4% had a suppressed viral load. In adjusted ordinal logistic regression, peri-menopausal status (adjusted odds ratio (1.80) [95% confidence interval 1.22–2.67]), current smoking (1.85 [1.11–3.09]), number of comorbid conditions (1.95 [1.64–2.33] /condition) and longer duration of HIV (1.12 [1.00–1.24]/5 years) were independently associated with increased reported pain, whereas being in full-time work (0.61 [0.45–0.83]) and having enough money for basic needs (0.47 [0.34–0.64]) were associated with decreased pain reporting. Increasing pain was independently related to insomnia symptoms (moderate: 2.76 [1.96–3.90]; extreme: 8.09 [4.03–16.24]) and severe depressive symptoms (PHQ4 ≥ 6; moderate: 3.96 [2.50–6.28]; extreme: 9.13 [4.45–18.72]). Whilst our analyses cannot determine the direction of any associations, our findings point to the importance of eliciting a history of pain and addressing symptoms in order to improve wellbeing. [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.)
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  Data: Prevalence of pain in women living with HIV aged 45–60: associated factors and impact on patient-reported outcomes.
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  Data: <searchLink fieldCode="AR" term="%22Sabin%2C+Caroline+A%2E%22">Sabin, Caroline A.</searchLink><br /><searchLink fieldCode="AR" term="%22Okhai%2C+Hajra%22">Okhai, Hajra</searchLink><br /><searchLink fieldCode="AR" term="%22Dhairyawan%2C+Rageshri%22">Dhairyawan, Rageshri</searchLink><br /><searchLink fieldCode="AR" term="%22Haag%2C+Katharina%22">Haag, Katharina</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="%22Sherr%2C+Lorraine%22">Sherr, Lorraine</searchLink><br /><searchLink fieldCode="AR" term="%22Tariq%2C+Shema%22">Tariq, Shema</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Aug2023, Vol. 35 Issue 8, p1181-1190. 10p. 2 Charts, 3 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22HIV+infection+epidemiology%22">HIV infection epidemiology</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22HIV-positive+persons%22">HIV-positive persons</searchLink><br /><searchLink fieldCode="DE" term="%22Perimenopause%22">Perimenopause</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Viral+load%22">Viral load</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+seroconversion%22">HIV seroconversion</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+research%22">Medical care research</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Highly+active+antiretroviral+therapy%22">Highly active antiretroviral therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Menopause%22">Menopause</searchLink><br /><searchLink fieldCode="DE" term="%22Insomnia%22">Insomnia</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+management%22">Pain management</searchLink><br /><searchLink fieldCode="DE" term="%22Women's+health%22">Women's health</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Middle+age%22">Middle age</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: As the population of women with HIV ages, an increasing proportion are experiencing the menopause, with potential associated pain. Among 844 participants in the Positive Transitions Through the Menopause (PRIME) study (72.3% black African; median age 49 (interquartile-range 47–53) years; 20.9%, 44.0% and 35.1% pre-, peri- and post-menopausal), 376 (44.6%) and 73 (8.7%) reported moderate or extreme pain. Women had been diagnosed with HIV for 14 (9–18) years, 97.7% were receiving antiretroviral therapy and 88.4% had a suppressed viral load. In adjusted ordinal logistic regression, peri-menopausal status (adjusted odds ratio (1.80) [95% confidence interval 1.22–2.67]), current smoking (1.85 [1.11–3.09]), number of comorbid conditions (1.95 [1.64–2.33] /condition) and longer duration of HIV (1.12 [1.00–1.24]/5 years) were independently associated with increased reported pain, whereas being in full-time work (0.61 [0.45–0.83]) and having enough money for basic needs (0.47 [0.34–0.64]) were associated with decreased pain reporting. Increasing pain was independently related to insomnia symptoms (moderate: 2.76 [1.96–3.90]; extreme: 8.09 [4.03–16.24]) and severe depressive symptoms (PHQ4 ≥ 6; moderate: 3.96 [2.50–6.28]; extreme: 9.13 [4.45–18.72]). Whilst our analyses cannot determine the direction of any associations, our findings point to the importance of eliciting a history of pain and addressing symptoms in order to improve wellbeing. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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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: 10.1080/09540121.2021.1887445
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 1181
    Subjects:
      – SubjectFull: HIV infection epidemiology
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: HIV-positive persons
        Type: general
      – SubjectFull: Perimenopause
        Type: general
      – SubjectFull: Confidence intervals
        Type: general
      – SubjectFull: Viral load
        Type: general
      – SubjectFull: HIV seroconversion
        Type: general
      – SubjectFull: Medical care research
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Highly active antiretroviral therapy
        Type: general
      – SubjectFull: Mental depression
        Type: general
      – SubjectFull: Descriptive statistics
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      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Logistic regression analysis
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      – SubjectFull: Menopause
        Type: general
      – SubjectFull: Insomnia
        Type: general
      – SubjectFull: Odds ratio
        Type: general
      – SubjectFull: Pain management
        Type: general
      – SubjectFull: Women's health
        Type: general
      – SubjectFull: Comorbidity
        Type: general
      – SubjectFull: Middle age
        Type: general
    Titles:
      – TitleFull: Prevalence of pain in women living with HIV aged 45–60: associated factors and impact on patient-reported outcomes.
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              Text: Aug2023
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              Y: 2023
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