The Initial Response to COVID-19 Disruptions for Older People with HIV in Ukraine.
The Initial Response to COVID-19 Disruptions for Older People with HIV in Ukraine.
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DOI：
10.3390/geriatrics7060138
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发表时间：
2022-12-06
期刊：
影响因子：
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乌克兰于二零二零年三月实施COVID-19封锁。从2020年4月至6月，我们通过电话调查了123名老年艾滋病毒感染者（OPWH），使用标准化量表评估他们的心理健康，参与艾滋病毒和其他医疗保健以及物质使用情况。主要关注的变量是抑郁症状和焦虑症状。建立单变量和多变量Firth logistic回归模型，以评估与（1）抑郁症状和（2）焦虑症状相关的因素。结果显示自杀意念较高（10.6%）; 45.5%符合中度至重度抑郁症的筛选标准; 35.0%符合广泛性焦虑症（GAD）的标准。中重度抑郁症的独立相关因素包括女性（AOR：2.83，95%CI = 1.19-7.05）、担心HIV治疗的潜在障碍（AOR：8.90，95%CI = 1.31-104.94）和积极使用药物（AOR：34.53，95%CI = 3.02-4885.85）。作为女性（AOR：5.30，95%CI = 2.16-14.30）和担心HIV治疗的潜在障碍（AOR：5.33，95%CI = 1.22-28.45）与GAD独立相关，超过一半（58.5%）愿意为其他OPWH提供同伴支持。这些结果强调了乌克兰COVID-19限制对OPWH精神健康的影响，并支持筛查精神和物质使用障碍的必要性，可能使用远程医疗战略。
Ukraine imposed a COVID-19 lockdown in March 2020. From April to June 2020, we surveyed 123 older people with HIV (OPWH) by phone to assess their mental health, engagement in HIV and other healthcare, and substance use using standardised scales. Variables of key interest were symptoms of depression and symptoms of anxiety. Univariate and multivariable Firth logistic regression models were built to assess factors associated with: (1) symptoms of depression, and (2) symptoms of anxiety. Findings indicated high suicidal ideation (10.6%); 45.5% met the screening criteria for moderate to severe depression; and 35.0% met the criteria for generalised anxiety disorder (GAD). Independent correlates of having moderate to severe depression included being female (AOR: 2.83, 95%CI = 1.19–7.05), having concerns about potential barriers to HIV treatment (AOR: 8.90, 95%CI = 1.31–104.94), and active drug use (AOR: 34.53, 95%CI = 3.02–4885.85). Being female (AOR: 5.30, 95%CI = 2.16–14.30) and having concerns about potential barriers to HIV treatment (AOR: 5.33, 95%CI = 1.22–28.45) were independently correlated with GAD, and over half (58.5%) were willing to provide peer support to other OPWH. These results highlight the impact of the COVID-19 restrictions in Ukraine on mental health for OPWH and support the need to screen for psychiatric and substance use disorders, potentially using telehealth strategies.
DOI：
10.1016/j.jagp.2021.05.026
发表时间：
2021-11
期刊：
The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry
影响因子：
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作者：
Asthana NK;Mehaffey E;Sewell DD
通讯作者：
Sewell DD