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Integrating HIV-related care with treatment for substance use disorder provides an opportunity to better meet the needs of people living with these conditions. People with substance use disorder are rendered especially vulnerable by prevailing policies, structural inequalities, and stigmatisation. In this Series paper we analyse existing literature and empirical evidence from scoping reviews on integration designs for the treatment of HIV and substance use disorder, to understand barriers to and facilitators of care integration and to map ways forward. We discuss how approaches to integration address two core gaps in current models: a failure to consider human rights when incorporating the perspectives of people living with HIV and people who use drugs, and a failure to reflect critically on structural factors that determine risk, vulnerability, health-care seeking, and health equity. We argue that successful integration requires a person-centred approach, which is grounded in human rights, treats both concerns holistically, and reconnects with underlying social, economic, and political inequalities.

Summary: Weight stigma, defined as pervasive misconceptions and stereotypes associated with higher body weight, is both a social determinant of health and a human rights issue. It is imperative to consider how weight stigma may be impeding health promotion efforts on a global scale. The World Obesity Federation (WOF) convened a global working group of practitioners, researchers, policymakers, youth advocates, and individuals with lived experience of obesity to consider the ways that global obesity narratives may contribute to weight stigma. Specifically, the working group focused on how overall obesity narratives, food and physical activity narratives, and scientific and public‐facing language may contribute to weight stigma. The impact of weight stigma across the lifespan was also considered. Taking a global perspective, nine recommendations resulted from this work for global health research and health promotion efforts that can help to reduce harmful obesity narratives, both inside and outside health contexts. [ABSTRACT FROM AUTHOR]

Gender refers to the social relationships between males and females in terrhs of their roles, behaviours, activities, attributes and opportunities, and which are based on different levels of power. Gender interacts with, but is distinct from, the binary categories of biological sex. In this paper we consider how gender interacts with the 2030 agenda for sustainable development, including sustainable development goal (SDG) 3 and its targets for health and well-being, and the impact on health equity. We propose a conceptual framework for understanding the interactions between gender (SDG 5) and health (SDG 3) and 13 other SDGs, which influence health outcomes. We explore the empirical evidence for these interactions in relation to three domains of gender and health: gender as a social determinant of health; gender as a driver of health behaviours; and the gendered response of health systems. The paper highlights the complex relationship between health and gender, and how these domains interact with the broad 2030 agenda. Across all three domains (social determinants, health behaviours and health system), we find evidence of the links between gender, health and other SDGs. For example, education (SDG 4) has a measurable impact on health outcomes of women and children, while decent work (SDG 8) affects the rates of occupation-related morbidity and mortality, for both men and women. We propose concerted and collaborative actions across the interlinked SDGs to deliver health equity, health and well-being for all, as well as to enhance gender equality and women's empowerment. These proposals are summarized in an agenda for action. Le genre fait reference aux relations sociales entre les hommes et les femmes pour ce qui est de leurs roles, comportements, activites, attributs et opportunites, qui reposent sur differents niveaux de pouvoir. Le genre interagit avec les categories binaires du sexe biologique mais differe de celles-ci. Dans cet article, nous nous Interessons aux Interactions entre le genre et le Programme de developpement durable a l'horizon 2030, notamment l'objectif de developpement durable (ODD) 3 et ses cibles en matiere de sante et de bien-etre, ainsi qu'a son impact sur l'equite dans le domaine de la sante. Nous proposons un cadre conceptuel pour comprendre les interactions entre le genre (ODD 5) et la sante (ODD 3) ainsi que 13 autres ODD qui influencent la sante. Nous examinons les donnees empiriques afin de relever ces interactions dans trois domaines du genre et de la sante: le genre comme determinant social de la sante; le genre comme facteur de comportements lies a la sante; et la reponse sexospecifique des systemes de sante. Cet article souligne la relation complexe entre la sante et le genre, et la maniere dont ces trois domaines interagissent avec le Programme 2030 dans son ensemble. Dans ces trois domaines (determinants sociaux, comportements lies a la sante et systemes de sante), les donnees revelent les liens entre le genre, la sante et d'autres ODD. L'education (ODD 4), par exemple, a un impact mesurable sur la sante des femmes et des enfants, tandis qu'un travail decent (ODD 8) affecte le taux de morbidite et de mortalite pour cause professionnelle, aussi bien chez les hommes que chez les femmes. Nous proposons des actions collaboratives et concertees vis-a-vis de ces ODD interdependants afin d'assurer l'equite en matiere de sante ainsi que la sante et le bien-etre pour tous, et de renforcer l'egalite des genres et l'autonomlsation des femmes. Ces propositions sont resumees dans un programme d'action. El genero hace referencia a las relaciones sociales entre hombres y mujeres en terminos de roles, comportamientos, actividades, atributos y oportunidades, y se basan en diferentes niveles de poder. El genero interactua con, pero es distinto de, las categorias binarias del sexo biologico. En este documento, consideramos como el genero Interactua con la agenda 2030 para el desarrollo sostenible, incluidos los Objetivos de Desarrollo Sostenible (ODS) 3 y sus objetivos para la salud y el bienestar, y el Impacto en la equidad en salud. Proponemos un marco conceptual para comprender las interacciones entre genero (ODS 5) y salud (ODS 3) y otros 13 ODS, que influyen en los resultados de salud. Exploramos la evidencia empirica de estas interacciones en relacion con tres dominios de genero y salud: el genero como determinante social de la salud; el genero como conductor de conductas de salud; y la respuesta de genero de los sistemas de salud. El documento destaca la compleja relacion entre salud y genero, y como estos dominios interactuan con la amplia agenda de 2030. A traves de los tres dominios (determinantes sociales, comportamientos de salud y sistema de salud), encontramos evidencia de los vinculos entre genero, salud y otros ODS. Por ejemplo, la educacion (ODS 4) tiene un impacto cuantificable en los resultados de salud de mujeres y ninos, mientras que el trabajo decente (ODS 8) afecta las tasas de morbilidad y mortalidad relacionadas con la ocupacion, tanto para hombres como para mujeres. Proponemos acciones coordinadas y colaborativas entre los ODS interconectados para generar equidad en salud, salud y bienestar para todos, asi como para mejorar la igualdad de genero y el empoderamiento de las mujeres. Estas propuestas se resumen en una agenda de accion., Introduction Globally, the average life expectancy gap between men and women is 4.6 years, with women outliving men in all countries, and a gap of over 10 years in some [...]

Introduction: Substance use is an important risk factor for HIV, with both concentrated in certain vulnerable and marginalized populations. Although their management differs, there may be opportunities to integrate services for substance use and HIV. In this paper we systematically review evidence from studies that sought to integrate care for people living with HIV and substance use problems. Methods: Studies were included if they evaluated service integration for substance use and HIV. We searched multiple databases from inception until October 2015. Articles were screened independently by two reviewers and assessed for risk of bias. Results and discussion: 11,057 records were identified, with 7616 after removal of duplicates. After screening titles and abstracts, 51 met the inclusion criteria. Integration models were categorized by location (HIV, substance use and other facilities), level of integration from mirco (integrated care delivered to individuals) to macro (system level integrations) and degree of integration from least (screening and counselling only) to most (care for HIV, substance use and/or other illnesses at the same facility). Most reported descriptive or cohort studies; in four randomized control trials integrated activities improved patient outcomes. There is potential for integrating services at all facility types, including mobile health services. While services offering screening only can achieve synergies, there are benefits from delivering integrated treatment for HIV and substance use, including ease of referral to other mental health and social services. Conclusions: Our review used a wide range of databases and conference archives to increase representation of papers from low- and middle-income countries. Limitations include the overrepresentation of studies from the United States, and the descriptive nature of the majority of papers. The evidence reviewed shows that greater integration offers important benefits in both patient and service outcomes but further research and outcome reporting is needed to better understand innovative and holistic care models at the complex intersection of substance use and HIV services. Keywords: substance use; HIV; integration; public health; systematic review, Introduction People living with HIV often have other health-related problems, either as a consequence of immune suppression, treatment effects, shared risk factors, or a combination thereof [1-4]. This recognition has [...]