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Added socioeconomic burden of non-communicable disease on HIV/AIDS affected households in the Asia Pacific region: A systematic review

BACKGROUND: HIV/AIDS causes significant socioeconomic burden to affected households and individuals, which is exacerbated by non-communicable diseases (NCDs). The Asia Pacific Region (APR) comprises about 60% of the global population and has been significantly affected by HIV/AIDS with 5.8 million a...

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Autores principales: Wanni Arachchige Dona, Sithara, Bohingamu Mudiyanselage, Shalika, Watts, Jennifer J, Sweeney, Rohan, Coghlan, Ben, Majmudar, Ishani, Abimanyi-Ochom, Julie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8315338/
https://www.ncbi.nlm.nih.gov/pubmed/34327436
http://dx.doi.org/10.1016/j.lanwpc.2021.100111
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author Wanni Arachchige Dona, Sithara
Bohingamu Mudiyanselage, Shalika
Watts, Jennifer J
Sweeney, Rohan
Coghlan, Ben
Majmudar, Ishani
Abimanyi-Ochom, Julie
author_facet Wanni Arachchige Dona, Sithara
Bohingamu Mudiyanselage, Shalika
Watts, Jennifer J
Sweeney, Rohan
Coghlan, Ben
Majmudar, Ishani
Abimanyi-Ochom, Julie
author_sort Wanni Arachchige Dona, Sithara
collection PubMed
description BACKGROUND: HIV/AIDS causes significant socioeconomic burden to affected households and individuals, which is exacerbated by non-communicable diseases (NCDs). The Asia Pacific Region (APR) comprises about 60% of the global population and has been significantly affected by HIV/AIDS with 5.8 million after Sub-Saharan Africa in 2019. We investigated socioeconomic impacts of HIV/AIDS alone and the added burden of NCDs on HIV-affected households (HIV-HHs) and individuals in the APR. METHOD: We searched multiple databases for studies published in English over 30 years on socioeconomic impact of HIV/AIDS alone and HIV/AIDS with NCDs on affected households or individuals in APR. Findings were synthesised across six domains: employment, health-related expenditure, non-health expenditure, strategies for coping with household liabilities, food security, and social protection. FINDINGS: HIV-HHs had a significantly higher socioeconomic burden compared to Non-HIV households. Total household expenditure was lower in HIV-HHs but with higher expenditure on health services. HIV-HHs experienced more absenteeism, lower wages, higher unemployment, and higher food insecurity. There is a paucity of evidence on the added burden of NCDs on HIV-HHs with only a single study from Myanmar. INTERPRETATION: Understanding the socioeconomic impact of HIV/AIDS with and without NCD is important. The evidence indicates that HIV-HHs in APR suffer from a significantly higher socioeconomic burden than Non-HIV-HHs. However, evidence on the additional burden of NCDs remains scarce and more studies are needed to understand the joint socioeconomic impact of HIV/AIDS and NCDs on affected households. FUNDING: Deakin University School of Health and Social Development grant and Career Continuity grant.
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spelling pubmed-83153382021-07-28 Added socioeconomic burden of non-communicable disease on HIV/AIDS affected households in the Asia Pacific region: A systematic review Wanni Arachchige Dona, Sithara Bohingamu Mudiyanselage, Shalika Watts, Jennifer J Sweeney, Rohan Coghlan, Ben Majmudar, Ishani Abimanyi-Ochom, Julie Lancet Reg Health West Pac Research Paper BACKGROUND: HIV/AIDS causes significant socioeconomic burden to affected households and individuals, which is exacerbated by non-communicable diseases (NCDs). The Asia Pacific Region (APR) comprises about 60% of the global population and has been significantly affected by HIV/AIDS with 5.8 million after Sub-Saharan Africa in 2019. We investigated socioeconomic impacts of HIV/AIDS alone and the added burden of NCDs on HIV-affected households (HIV-HHs) and individuals in the APR. METHOD: We searched multiple databases for studies published in English over 30 years on socioeconomic impact of HIV/AIDS alone and HIV/AIDS with NCDs on affected households or individuals in APR. Findings were synthesised across six domains: employment, health-related expenditure, non-health expenditure, strategies for coping with household liabilities, food security, and social protection. FINDINGS: HIV-HHs had a significantly higher socioeconomic burden compared to Non-HIV households. Total household expenditure was lower in HIV-HHs but with higher expenditure on health services. HIV-HHs experienced more absenteeism, lower wages, higher unemployment, and higher food insecurity. There is a paucity of evidence on the added burden of NCDs on HIV-HHs with only a single study from Myanmar. INTERPRETATION: Understanding the socioeconomic impact of HIV/AIDS with and without NCD is important. The evidence indicates that HIV-HHs in APR suffer from a significantly higher socioeconomic burden than Non-HIV-HHs. However, evidence on the additional burden of NCDs remains scarce and more studies are needed to understand the joint socioeconomic impact of HIV/AIDS and NCDs on affected households. FUNDING: Deakin University School of Health and Social Development grant and Career Continuity grant. Elsevier 2021-03-02 /pmc/articles/PMC8315338/ /pubmed/34327436 http://dx.doi.org/10.1016/j.lanwpc.2021.100111 Text en © 2021 The Authors. Published by Elsevier Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Research Paper
Wanni Arachchige Dona, Sithara
Bohingamu Mudiyanselage, Shalika
Watts, Jennifer J
Sweeney, Rohan
Coghlan, Ben
Majmudar, Ishani
Abimanyi-Ochom, Julie
Added socioeconomic burden of non-communicable disease on HIV/AIDS affected households in the Asia Pacific region: A systematic review
title Added socioeconomic burden of non-communicable disease on HIV/AIDS affected households in the Asia Pacific region: A systematic review
title_full Added socioeconomic burden of non-communicable disease on HIV/AIDS affected households in the Asia Pacific region: A systematic review
title_fullStr Added socioeconomic burden of non-communicable disease on HIV/AIDS affected households in the Asia Pacific region: A systematic review
title_full_unstemmed Added socioeconomic burden of non-communicable disease on HIV/AIDS affected households in the Asia Pacific region: A systematic review
title_short Added socioeconomic burden of non-communicable disease on HIV/AIDS affected households in the Asia Pacific region: A systematic review
title_sort added socioeconomic burden of non-communicable disease on hiv/aids affected households in the asia pacific region: a systematic review
topic Research Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8315338/
https://www.ncbi.nlm.nih.gov/pubmed/34327436
http://dx.doi.org/10.1016/j.lanwpc.2021.100111
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