Potential Influences of the COVID-19 Pandemic on Drug Use and HIV Care Among People Living with HIV and Substance Use Disorders: Experience from a Pilot mHealth Intervention
Potential Influences of the COVID-19 Pandemic on Drug Use and HIV Care Among People Living with HIV and Substance Use Disorders: Experience from a Pilot mHealth Intervention
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DOI：
10.1007/s10461-020-02976-1
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发表时间：
2020-07-23
影响因子：
4.4
通讯作者：
Westergaard, Ryan P.
中科院分区：
文献类型：
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作者：
Hochstatter, Karli R.;Akhtar, Wajiha Z.;Westergaard, Ryan P.
艾滋病毒（PLWH）和物质使用障碍（SUD）感染者特别容易受到全球COVID-19大流行的有害健康后果的影响。这一流行病的健康和社会后果可能加剧这一人群的药物滥用和艾滋病毒管理不善。本研究使用每周通过阿片类药物复发预防和艾滋病毒管理移动卫生干预收集的数据，比较了大流行之前和期间的药物使用和艾滋病毒护理。我们发现，在疫情期间，PLWH和SUD增加了非法药物的使用和与其他药物使用者的接触，降低了他们保持清醒和参加康复会议的信心。错过艾滋病毒药物治疗的人的比例也增加了，参加艾滋病毒随访预约的信心下降了。在COVID-19等大流行期间，对PLWH和SUD的最佳支持至关重要，因为药物相关和艾滋病毒抗逆转录病毒治疗（ART）的不依从性风险（如过量用药、不安全性行为和传染病传播）可能会出现。
People living with HIV (PLWH) and substance use disorder (SUD) are particularly vulnerable to harmful health consequences of the global COVID-19 pandemic. The health and social consequences of the pandemic may exacerbate substance misuse and poor management of HIV among this population. This study compares substance use and HIV care before and during the pandemic using data collected weekly through an opioid relapse prevention and HIV management mobile-health intervention. We found that during the pandemic, PLWH and SUD have increased illicit substance use and contact with other substance-using individuals and decreased their confidence to stay sober and attend recovery meetings. The proportion of people missing their HIV medications also increased, and confidence to attend HIV follow-up appointments decreased. Optimal support for PLWH and SUD is critical during pandemics like COVID-19, as drug-related and HIV antiretroviral therapy (ART) non-adherence risks such as overdose, unsafe sexual behaviors, and transmission of infectious diseases may unfold.