TY - GEN
T1 - Assessing the Impact of Targeted Screening and Treatment of Diabetes and Hypertension among Adults Living with HIV in Nairobi, Kenya
AU - Schnure, Melissa
AU - Kasaie, Parastu
AU - Dowdy, David
AU - Weir, Brian
AU - Dun, Chen
AU - Beyrer, Chris
N1 - Publisher Copyright:
© 2020 IEEE.
PY - 2020/12/14
Y1 - 2020/12/14
N2 - Individuals living with human immunodeficiency virus (HIV) today are living longer, thanks to expanded access to antiretroviral therapy (ART); however, this population is therefore increasingly at risk for many age-associated comorbidities. The future health of people living with HIV will therefore depend on the prevention and management of non-communicable diseases (NCDs), with consideration for integrated approaches to screening and treatment becoming increasingly important. This analysis applies a hybrid simulation of HIV and NCDs to examine the impact of providing screening and treatment for hypertension and diabetes at HIV facilities in Nairobi, Kenya. We combine a compartmental model of the HIV epidemic at a population level with a microsimulation of cardiovascular disease (CVD), and explore the impact of various strategies for targeting eligible individuals on ART, by age and gender, to receive NCD screening and treatment.
AB - Individuals living with human immunodeficiency virus (HIV) today are living longer, thanks to expanded access to antiretroviral therapy (ART); however, this population is therefore increasingly at risk for many age-associated comorbidities. The future health of people living with HIV will therefore depend on the prevention and management of non-communicable diseases (NCDs), with consideration for integrated approaches to screening and treatment becoming increasingly important. This analysis applies a hybrid simulation of HIV and NCDs to examine the impact of providing screening and treatment for hypertension and diabetes at HIV facilities in Nairobi, Kenya. We combine a compartmental model of the HIV epidemic at a population level with a microsimulation of cardiovascular disease (CVD), and explore the impact of various strategies for targeting eligible individuals on ART, by age and gender, to receive NCD screening and treatment.
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U2 - 10.1109/WSC48552.2020.9383912
DO - 10.1109/WSC48552.2020.9383912
M3 - Conference contribution
AN - SCOPUS:85103909502
T3 - Proceedings - Winter Simulation Conference
SP - 980
EP - 991
BT - Proceedings of the 2020 Winter Simulation Conference, WSC 2020
A2 - Bae, K.-H.
A2 - Feng, B.
A2 - Kim, S.
A2 - Lazarova-Molnar, S.
A2 - Zheng, Z.
A2 - Roeder, T.
A2 - Thiesing, R.
PB - Institute of Electrical and Electronics Engineers Inc.
T2 - 2020 Winter Simulation Conference, WSC 2020
Y2 - 14 December 2020 through 18 December 2020
ER -