Treatment FAQ

why do people with hiv not go in for treatment

by Prof. Kristina Herzog Published 3 years ago Updated 2 years ago
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With the right treatment, people with HIV can live relatively healthy lives for decades. But an estimated one-third [PDF] of Americans diagnosed with HIV aren’t receiving any kind of treatment, according to government data. One big reason: They can’t afford it.

Systematic review addressed why people living with HIV do not start anti-retroviral
anti-retroviral
The management of HIV/AIDS normally includes the use of multiple antiretroviral drugs in an attempt to control HIV infection. There are several classes of antiretroviral agents that act on different stages of the HIV life-cycle.
https://en.wikipedia.org › wiki › Management_of_HIV › AIDS
treatment (ART). Patients fear ART will lead to HIV status disclosure, stigma, and rejection. Patients associate ART with illness and worry about side effects. Patients are apprehensive to make major lifestyle changes if they start ART.

Full Answer

Why do some people with HIV never get AIDS without treatment?

Jul 11, 2012 · But an estimated one-third [PDF] of Americans diagnosed with HIV aren’t receiving any kind of treatment, according to government data. One big reason: They can’t afford it. One …

Why don’t people with HIV take their Meds?

Drug resistance develops when people with HIV are inconsistent with taking their HIV medication as prescribed. The virus can change (mutate) and will no longer respond to certain HIV …

Why don't more HIV patients receive care?

Why Some With HIV Never Get AIDS Even Without Treatment. Researchers at Johns Hopkins say they have compelling evidence that some people with HIV who for years and even decades …

Why do people with HIV not feel sick right away?

This is problematic, as this delay – or the in and out pattern of treatment that many patients go through – prompts viremia, spikes in viral load, and drug resistance. These lead to long-term …

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Why do people not get treatment for HIV?

who don't have consistent, comprehensive access to ARVs,” the antiretroviral drugs that treat HIV/AIDS. Missing doses can make the drugs less effective, and makes it more likely that the virus will become resistant to the drug, leaving patients with fewer options for treatment.Jul 11, 2012

When people with HIV don't get treatment they typically progress through?

When people with HIV don't get treatment, they typically progress through three stages. But HIV medicine can slow or prevent progression of the disease. With the advancements in treatment, progression to Stage 3 is less common today than in the early days of HIV. People have a large amount of HIV in their blood.

Can a person with HIV live without treatment?

Without treatment, a person may develop stage 3 HIV 2–15 years after contracting the infection. The life expectancy after a stage 3 HIV diagnosis is 3 years. However, with effective medication, many people never develop stage 3 HIV, and the incidence of opportunistic infections is much lower than it was in the past.

Why is it difficult for a person with HIV to fight off infections?

HIV attacks a specific type of immune system cell in the body. It's known as the CD4 helper cell or T cell. When HIV destroys this cell, it becomes harder for the body to fight off other infections.

What is HIV treatment?

HIV treatment involves taking medicine that reduces the amount of HIV in your body. HIV medicine is called antiretroviral therapy (ART). There is n...

When should I start treatment?

Start Treatment As Soon As Possible After Diagnosis HIV medicine is recommended for all people with HIV, regardless of how long they’ve had the vir...

What if I delay treatment?

HIV will continue to harm your immune system. This will put you at higher risk for developing AIDS. Learn more about AIDS and opportunistic infecti...

What are the benefits of taking my HIV medicine every day as prescribed?

Treatment Reduces the Amount of HIV in the Blood The amount of HIV in the blood is called viral load. Taking your HIV medicine as prescribed will h...

Does HIV medicine cause side effects?

HIV medicine can cause side effects in some people. However, not everyone experiences side effects. The most common side effects are Nausea and vom...

Will HIV treatment interfere with my hormone therapy?

There are no known drug interactions between HIV medicine and hormone therapy. Talk to your health care provider if you are worried about taking HI...

What if my treatment is not working?

Your health care provider may change your prescription. A change is not unusual because the same treatment does not affect everyone in the same way.

Sticking to my treatment plan is hard. How can I deal with the challenges?

Tell your health care provider right away if you’re having trouble sticking to your plan. Together you can identify the reasons you’re skipping med...

What is HIV?

HIV (human immunodeficiency virus) is a virus that attacks the body’s immune system. If HIV is not treated, it can lead to AIDS (acquired immunodef...

Where did HIV come from?

HIV infection in humans came from a type of chimpanzee in Central Africa. The chimpanzee version of the virus (called simian immunodeficiency virus...

How do I know if I have HIV?

The only way to know for sure whether you have HIV is to get tested. Knowing your HIV status helps you make healthy decisions to prevent getting or...

Are there symptoms?

Some people have flu-like symptoms within 2 to 4 weeks after infection (called acute HIV infection). These symptoms may last for a few days or seve...

What are the stages of HIV?

When people with HIV don’t get treatment, they typically progress through three stages. But HIV medicine can slow or prevent progression of the dis...

How does treatment help prevent HIV?

Having an undetectable viral load may also help prevent transmission from injection drug use.

What does it mean when your viral load goes down after HIV treatment?

If your viral load goes down after starting HIV treatment, that means treatment is working. Continue to take your medicine as prescribed.

What does it mean when your HIV is suppressed?

Viral suppression is defined as having less than 200 copies of HIV per milliliter of blood. HIV medicine can make the viral load so low that a test can’t detect it (called an undetectable viral load ). If your viral load goes down after starting HIV treatment, that means treatment is working.

What is the amount of HIV in the blood called?

The amount of HIV in the blood is called viral load . Taking your HIV medicine as prescribed will help keep your viral load low and your CD4 cell count high. HIV medicine can make the viral load very low (called viral suppression ). Viral suppression is defined as having less than 200 copies of HIV per milliliter of blood.

How long does it take for a mother to give her baby HIV?

If a mother with HIV takes HIV medicine as prescribed throughout pregnancy, labor, and delivery and gives HIV medicine to her baby for 4 to 6 weeks after birth, the risk of transmitting HIV to her baby can be 1% or less.

Why is it important to take HIV medication?

Taking HIV medication consistently, as prescribed, helps prevent drug resistance. Drug resistance develops when people with HIV are inconsistent with taking their HIV medication as prescribed. The virus can change (mutate) and will no longer respond to certain HIV medication. If you develop drug resistance, it will limit your options ...

How long does it take to get rid of HIV?

There is no effective cure for HIV. But with proper medical care, you can control HIV. Most people can get the virus under control within six months. Taking HIV medicine does not prevent transmission ...

Why do people with HIV stay symptom free?

Researchers at Johns Hopkins say they have compelling evidence that some people with HIV who for years and even decades show extremely low levels of the virus in their blood never progress to full-blown AIDS and remain symptom free even without treatment, probably do so because of the strength of their immune systems, not any defects in the strain of HIV that infected them in the first place.

How much did T cells stop HIV replication?

They found that activated T-cells from the wife stalled HIV replication by as much as 90 percent, while the husband's T-cells stopped it by only 30 percent.

What was included in the blood analysis of HIV?

Included in the blood analysis was genetic testing which confirmed that both husband and wife were infected with the same pathogenic strain of HIV and ruled out the possibility that there were genetic deficiencies in the virus that infected the wife.

Does the wife's blood have fewer mutations?

In subsequent genetic analyses, the viral strain in the wife's blood was found to have at least two mutations known to weaken the virus, while the viral strain in the husband's blood had fewer mutations affecting fitness.

Does elite suppression lower viral count?

According to Blankson, the stronger immune system in elite suppression not only lowers the viral count in the body, but also exerts selective, evolutionary pressure on the original strain of HIV to mutate away from the strong version that initially infected the couple, and towards weaker, less-fit forms.

How long does a period of HIV last without taking medicine?

Without taking HIV medicine, this period may last a decade or longer, but some may progress faster.

How long can a person with HIV live without treatment?

People with AIDS can have a high viral load and be very infectious. Without treatment, people with AIDS typically survive about three years. This info sheet provides basic information about HIV. This timeline looks at the history of HIV and the role CDC has played in addressing the epidemic.

What is the meaning of HIV?

HIV (human immunodeficiency virus) is a virus that attacks the body’s immune system. If HIV is not treated, it can lead to AIDS (acquired immunodeficiency syndrome). Learning the basics about HIV can keep you healthy and prevent HIV transmission. You can also download materials to share or watch videos on basic information about HIV.

How long has HIV been around?

We know that the virus has existed in the United States since at least the mid to late 1970s. To learn more about the history of HIV in the United States and CDC’s response to the epidemic, see CDC’s HIV and AIDS Timeline. How do I know if I have HIV? The only way to know for sure whether you have HIV is to get tested.

How many stages of HIV are there?

What are the stages of HIV? When people with HIV don’t get treatment, they typically progress through three stages. But HIV medicine can slow or prevent progression of the disease. With the advancements in treatment, progression to Stage 3 is less common today than in the early days of HIV.

What is the CD4 count for AIDS?

People receive an AIDS diagnosis when their CD4 cell count drops below 200 cells/mm, or if they develop certain opportunistic infections.

How long can you live with AIDS?

Without treatment, people with AIDS typically survive about three years.

How many people with HIV are not receiving medical care?

Additionally, as much as two-thirds of people diagnosed with HIV are not receiving medical care or regularly taking antiretroviral medications that can keep the fatal disease from progressing. New research from the Centers for Disease Con... 01:09. "For people living with HIV, it's not just about knowing you're infected -- it's also about going ...

How has HIV helped people?

Advances in scientific research on HIV have helped to develop medication that transformed a once deadly virus into a chronic condition. This has allowed people with HIV to live long and full lives. However, despite the effectiveness of antiretroviral medications, many Americans who have been diagnosed with HIV are not monitored by doctors ...

What percentage of people with HIV are prescribed antiretroviral drugs?

However, only 40 percent of HIV patients were actively receiving medical support to manage the disease. Additionally, only 37 percent of people with HIV were prescribed antiretroviral medications and 30 percent achieved viral suppression with the drugs.

How long do HIV-positive people live?

Viral suppression allows HIV-positive individuals to live a near average lifespan. If a person begins antiretroviral drugs after diagnosis, they can extend their life by an average of 51 years, according to the report.

How many people with HIV have achieved viral suppression?

Significantly fewer young people with HIV accessed services to maintain viral suppression. The researchers found only 13 percent of HIV patients aged 18 to 24 had achieved viral suppression, though that percent doubled for people aged 35 too 44.

How many people in the US were tested for HIV in 2011?

The CDC report is based on 2011 data from the National HIV Surveillance System and Medical Monitoring Project. In 2011, there were approximately 1.2 million people living with HIV in the U.S., and 86 percent had been tested for the virus.

Do HIV patients have health insurance?

Despite the Affordable Care Act and Medicaid expansion, many HIV patients don't have health insurance. Additionally, antiretroviral drugs are still expensive. Patients typically take a cocktail of two or more medications, a treatment plan that can cost several thousand dollars a month.

How long can you live with HIV if you don't take antiretrovirals?

If they take antiretrovirals, they can live for about 40 years.

Why was Sheen on antiretroviral therapy?

Before Sheen went to Mexico, he was on antiretroviral therapy to keep the HIV virus from multiplying. It’s hard to understate the importance of these drugs: They not only help keep the immune system healthy, but also lower the risk of transmitting the virus to others.

Do people with severe depression have to be on antiretroviral therapy?

Research has shown that people with severe depression are less likely to adhere to their antiretroviral therapy. Others may simply not want to be reminded of their HIV-positive status every day, says Dr. Ho. “There’s still some shame and a fear of stigma associated with the disease.”

Is it safe to take a holiday with HIV?

That said, antiretroviral therapy is the best way to treat the HIV virus—and you have to stick with it. Taking a “drug holiday” is actually dangerous, according to the Centers for the Disease Control and Prevention. Not only can that give the virus a chance to multiply, but it also can cause drug resistance, too.

Can a virus cause drug resistance?

Not only can that give the virus a chance to multiply, but it also can cause drug resistance, too. “It’s natural that people want to be cured,” says Dr. Corey. But no one should disregard one of the most important medications we have—especially not for a false hope.

Did Charlie Sheen quit taking antiretroviral drugs?

Charlie Sheen said he quit taking his antiretroviral drugs for a period of time. While that sounds shocking, it’s not unheard of. At first glance, Charlie Sheen’s recent decision to go off his HIV medication—and travel to Mexico to pursue a cure instead—seems almost unthinkable.

How to prevent HIV infection?

Taking HIV medication daily as prescribed, staying in regular medical care, and getting your lab tests done are key to staying healthy and preventing these infections. Learn more about how opportunistic infections affect people living with HIV.

What are the causes of HIV?

The risk of HIV infection is higher among people whose lives are affected by mental health issues like depression, anxiety, or the psychological effects of bullying, sexual abuse, or physical abuse. Alcohol and drug use also increase a person’s risk ...

What is coinfection in HIV?

Coinfection is when a person has two or more infections at the same time. There are some common coinfections that affect people living with HIV. For example: Hepatitis B and Hepatitis C —Hepatitis B and C are contagious liver diseases. Like HIV, hepatitis B virus (HBV) and hepatitis C virus (HCV) can be transmitted sexually or by injection drug use.

How to stay healthy with HIV?

These health conditions can mean more doctors’ visits, lab tests, and medications to keep up with. Taking HIV medication (called antiretroviral therapy or ART) daily as prescribed, and staying in regular medical care is the best way for people living with HIV to stay healthy.

What are the health risks of HIV?

Over time, that takes a toll on the body, putting people living with HIV at greater risk for health conditions such as cardiovascular disease, kidney disease, diabetes, bone disease, liver disease, cognitive disorders, and some types of cancer.

What are the pre-existing conditions associated with HIV?

These conditions can sometimes complicate HIV treatment if not addressed. Among these conditions are mental health issues, alcohol use, and drug use.

How to live with HIV?

Be sure to take care of your emotional wellness, eat a healthy diet, exercise, and quit smoking. These all play an important role in living healthy with HIV.

Why do people skip HIV?

We all know why it's important to take your HIV medications every day. It keeps the virus in check, keeps you healthy and decreases your chances of becoming resistant to the meds. And when your HIV is undetectable on meds for more than six months , you're not at risk of sexual transmission of HIV.

Why doesn't life stop?

Life doesn't stop because you have been diagnosed with a disease -- nor do your responsibilities . Whether it's a chaotic work schedule, taking care of loved ones or juggling a job and school, the act of getting your medications refilled regularly and taking your meds consistently is difficult to maintain when so much is expected of you.

How to remember to take meds?

In order to remember to take your meds, you have to have a system that works with your routine, not against it . "I can't always afford my meds.".

Can HIV be outranking meds?

And no one can fault them for that.

Can HIV cause depression?

Show More. "I'm depressed.". Mental health issues are not uncommon for people living with HIV. Stigma, isolation and rejection can lead to depression and if that depression goes untreated, it can deeply impact your ability to adhere to your medications.

Can side effects affect your motivation?

Side effects suck -- it's really that simple. Not everyone will experience them, but some will. And whether it's vomiting, diarrhea, wild dreams, nerve damage, higher cholesterol levels, lipodystrophy or depression, side effects can seriously impact your motivation to adhere to your medications.

Can you take HIV every day?

But let's face it: For most people, taking HIV medications every day as prescribed isn't the easiest thing to do. The reality is that everyday life brings with it obstacles that can block the way between you and your meds. Read on for a quick rundown of some of the common reasons why people skip their meds. Show More.

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