The impacts of COVID-19 on structural inequities faced by people living with HIV who inject drugs: A qualitative study in St. Petersburg, Russia.
The impacts of COVID-19 on structural inequities faced by people living with HIV who inject drugs: A qualitative study in St. Petersburg, Russia.
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DOI：
10.1016/j.drugpo.2023.104060
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发表时间：
2023-07
影响因子：
4.4
通讯作者：
Lunze, Karsten
中科院分区：
文献类型：
--
作者：
Carroll, Jennifer J.;Rossi, Sarah L.;Vetrova, Marina V.;Blokhina, Elena;Sereda, Yuliia;Lioznov, Dmitry;Luoma, Jason;Kiriazova, Tetiana;Lunze, Karsten
感染艾滋病毒的注射吸毒者（PWID）可能会受到大流行限制的不成比例的影响。本研究定性探讨了 SARS-CoV-2 大流行对俄罗斯圣彼得堡感染艾滋病毒的吸毒者的影响。 2021 年 3 月和 4 月，我们对感染艾滋病毒的吸毒者、医疗保健提供者和减少伤害专家进行了远程、半结构化访谈。我们采访了 25 名感染艾滋病毒的吸毒者（年龄 28-56 岁，46% 为女性）和 11 名提供者。这一流行病加剧了感染艾滋病毒的吸毒者所面临的经济和心理挑战。与此同时，艾滋病毒护理获取、抗逆转录病毒疗法处方补充和配药以及警察暴力等障碍，阻碍了感染艾滋病毒的吸毒者的健康和安全，这些障碍本身也因大流行而阻碍了正常运作，从而大大减轻了这些负担。流行病应对措施应考虑到感染艾滋病毒的吸毒者的独特脆弱性，以避免加剧他们已经经历的结构性暴力。只要疫情减少了结构性障碍，例如体制、行政和官僚挑战以及警察和刑事司法系统其他部门实施的国家暴力，这种变化就应该受到保护。
People who inject drugs (PWID) living with HIV may be disproportionately impacted by pandemic restrictions. This study qualitatively explored the impacts of the SARS-CoV-2 pandemic on PWID with HIV in St. Petersburg, Russia. In March and April 2021, we conducted remote, semi-structured interviews with PWID with HIV, health care providers, and harm reductionists. We interviewed 25 PWID with HIV (aged 28–56 years, 46% female) and 11 providers. The pandemic exacerbated economic and psychological challenges experienced by PWID with HIV. Simultaneously, barriers to HIV care access, ART prescription refill and dispensing and police violence, which hindered the health and safety of PWID with HIV, were themselves hindered from normal operations by the pandemic, significantly reducing these burdens. Pandemic responses should account for the unique vulnerabilities of PWID with HIV to avoid worsening the structural violence they already experience. Wherever the pandemic decreased structural barriers, such as institutional, administrative, and bureaucratic challenges and state violence enacted by police and other elements of the criminal justice system, such changes should be protected.
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影响因子：
5.2
作者：
Croxford S;Emanuel E;Ibitoye A;Njoroge J;Edmundson C;Bardsley M;Heinsbroek E;Hope V;Phipps E
通讯作者：
Phipps E
影响因子：
5.2
作者：
Kra AK;Colin G;Diop PM;Fotso AS;Rouveau N;Hervé KK;Geoffroy O;Diallo B;Kabemba OK;Dieng B;Diallo S;Vautier A;Larmarange J
通讯作者：
Larmarange J
影响因子：
4.4
作者：
Carroll, Jennifer J.;Ostrach, Bayla;Bennett, Jesse
通讯作者：
Bennett, Jesse
影响因子：
5.5
作者：
Collins, Alexandra B.;Beaudoin, Francesca L.;Baird, Janette
通讯作者：
Baird, Janette
影响因子：
5.4
作者：
Burke, Sara E.;Calabrese, Sarah K.;Dovidio, John F.;Levina, Olga S.;Uuskuella, Anneli;Niccolai, Linda M.;Abel-Ollo, Katri;Heimer, Robert
通讯作者：
Heimer, Robert