COVID-19 and the HIV continuum in people living with HIV enrolled in Collaborating Consortium of Cohorts Producing NIDA Opportunities (C3PNO) cohorts.
COVID-19 and the HIV continuum in people living with HIV enrolled in Collaborating Consortium of Cohorts Producing NIDA Opportunities (C3PNO) cohorts.
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DOI：
10.1016/j.drugalcdep.2022.109355
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发表时间：
2022-12-01
影响因子：
4.2
通讯作者：
Chander G
中科院分区：
文献类型：
--
作者：
Lesko CR;Keruly JC;Moore RD;Shen NM;Pytell JD;Lau B;Fojo AT;Mehta SH;Kipke M;Baum MK;Shoptaw S;Gorbach PM;Mustanski B;Javanbakht M;Siminski S;Chander G
2019冠状病毒病大流行扰乱了正常的艾滋病护理服务，改变了社会支持网络，并造成经济不安全。艾滋病毒感染者（PWH）很容易受到这种干扰，特别是如果他们有药物使用史。我们描述了在大流行期间对威尔斯亲王的护理和坚持抗逆转录病毒治疗（ART）。由2020年5月至2021年2月，纳入6个现有队列的773名威尔斯亲王医院完成了1，495项有关2019冠状病毒病大流行期间药物使用及参与艾滋病护理的调查。我们描述了在过去一个月内错过了一次艾滋病毒提供者的访问以及在过去一周内错过了一剂抗逆转录病毒治疗的患病率和相关性。13%的人在过去一个月错过了艾滋病毒的访问。错过一次访问与不稳定的住房，粮食不安全，焦虑，低弹性，精神卫生保健中断和物质使用（包括吸烟，危险的酒精使用，可卡因和大麻使用）有关。19%的人报告在调查前一周至少错过了一剂抗逆转录病毒药物。缺少一剂抗逆转录病毒药物与男性、低弹性、精神卫生保健中断、吸烟、危险酒精使用、可卡因和大麻使用以及物质使用治疗中断有关。健康的社会决定因素，物质使用，精神健康和物质使用治疗的中断与艾滋病毒护理的参与程度较差。在社会动荡时期，密切关注护理的连续性对威尔斯亲王医院尤为重要。
The COVID-19 pandemic disrupted the normal delivery of HIV care, altered social support networks, and caused economic insecurity. People with HIV (PWH) are vulnerable to such disruptions, particularly if they have a history of substance use. We describe engagement in care and adherence to antiretroviral therapy (ART) for PWH during the pandemic. From May 2020 to February 2021, 773 PWH enrolled in 6 existing cohorts completed 1495 surveys about substance use and engagement in HIV care during the COVID-19 pandemic. We described the prevalence and correlates of having missed a visit with an HIV provider in the past month and having missed a dose of ART in the past week. Thirteen percent of people missed an HIV visit in the past month. Missing a visit was associated with unstable housing, food insecurity, anxiety, low resiliency, disruptions to mental health care, and substance use including cigarette smoking, hazardous alcohol use, cocaine, and cannabis use. Nineteen percent of people reported missing at least one dose of ART in the week prior to their survey. Missing a dose of ART was associated with being a man, low resiliency, disruptions to mental health care, cigarette smoking, hazardous alcohol use, cocaine, and cannabis use, and experiencing disruptions to substance use treatment. Social determinants of health, substance use, and disruptions to mental health and substance use treatment were associated with poorer engagement in HIV care. Close attention to continuity of care during times of social disruption is especially critical for PWH.
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DOI：
10.1097/qad.0000000000003119
发表时间：
2022-03-01
期刊：
AIDS (London, England)
影响因子：
--
作者：
El-Nahal WG;Shen NM;Keruly JC;Jones JL;Fojo AT;Lau B;Manabe YC;Moore RD;Gebo KA;Lesko CR;Chander G
通讯作者：
Chander G
DOI：
10.1097/qai.0000000000002754
发表时间：
2021-11-01
影响因子：
3.6
作者：
Giacomelli, Andrea;Bonazzetti, Cecilia;Ridolfo, Anna Lisa
通讯作者：
Ridolfo, Anna Lisa
影响因子：
1.9
作者：
Coppock D;Quimby C;Nunez J;Whitener C;Zurlo J
通讯作者：
Zurlo J
影响因子：
2.2
作者：
Izzo I;Carriero C;Gardini G;Fumarola B;Chiari E;Castelli F;Quiros-Roldan E
通讯作者：
Quiros-Roldan E
影响因子：
4.9
作者：
Auchus, Isabella C.;Jaradeh, Katrin;Boslett, Bryn
通讯作者：
Boslett, Bryn