Promoting high standards of care for women living with HIV: position statement from the Women Against Viruses in Europe Working Group

Women Against Viruses in Europe (WAVE) Working Group

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    Abstract

    Objectives: Gender-related factors can influence management decisions, treatment outcomes and the overall long-term wellbeing of people living with HIV (PLWH). The Women Against Viruses in Europe (WAVE) Working Group was established to promote the health and wellbeing of women living with HIV (WLWH). WAVE is part of the European AIDS Clinical Society (EACS) and organizes annual workshops to discuss different issues in the management of WLWH. Methods: In 2016, 34 WAVE members including community representatives, HIV clinicians and researchers met to discuss standards of care for WLWH and to review current guidelines. Participants focused on three different themes: (1) access to and engagement and retention in care; (2) monitoring of women on antiretroviral therapy and management of comorbidities; and (3) review of EACS treatment guidelines. Results: Five priority areas for optimizing the care of WLWH were identified: (1) psychosocial aspects of HIV diagnosis and care; (2) mental health and wellbeing; (3) pharmacokinetics, toxicity and tolerability of antiretroviral therapy; (4) coinfections and comorbidities; and (5) sexual and reproductive health. WAVE recommendations are provided for each of these areas, and gaps in knowledge and needs for changes in currently existing standards are discussed. Conclusions: This position statement provides an overview of the key recommendations to optimize the care of WLWH that emerged during the 2016 WAVE workshop.

    Original languageEnglish
    Pages (from-to)167-173
    Number of pages7
    JournalHIV Medicine
    Volume19
    Issue number2
    DOIs
    Publication statusPublished - Feb 2018

    Bibliographical note

    Funding Information:
    1HIV Out-patients Clinic, Hospital for Infectious Diseases, Medical University of Warsaw, Warsaw, Poland, 2Department of Adults’ Infectious Diseases, Medical University of Warsaw, Warsaw, Poland, 3Department of Infectious Diseases, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland, 4Department of Medicine, University of Toronto, Toronto, ON, Canada, 5Women’s College Research Institute, Women’s College Hospital, Toronto, ON, Canada, 6Department of Sexual Health and HIV, King’s College Hospital NHS Foundation Trust, London, UK, 7Department of Infectious Diseases, Hospital Ramon y Cajal, Intituto de Investigacion Ramon y RYCIS, Alcala de Henares University, Madrid, Spain, 8Royal Free London NHS Foundation Trust, London, UK and 9Department of Genito Urinary Medicine and Infectious Diseases, Saint James’s Hospital, Dublin, Ireland

    Publisher Copyright:
    © 2017 British HIV Association

    Keywords

    • HIV
    • Women Against Viruses in Europe (WAVE)
    • antiretroviral therapy
    • mental health
    • women

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