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Stigma, Risk Behaviors and Health Care among HIV-infected Russian People Who Inject Drugs

俄罗斯艾滋病毒感染者注射吸毒者的耻辱、危险行为和医疗保健

基本信息

批准号：
10199478
负责人：
Karsten Lunze
金额：
$ 16.04万
依托单位：
BOSTON MEDICAL CENTER
依托单位国家：
美国
项目类别：
财政年份：
2018
资助国家：
美国
起止时间：
2018-09-01 至 2022-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10199478
关键词：
2019-nCoV Administrator Affect Alcohol or Other Drugs use Behavior Belief Businesses COVID-19 COVID-19 pandemic Caring Communities Data Discrimination Drug usage Economics Emerging Communicable Diseases Ensure Environment Face Fright Future Gender Generations HIV HIV Seropositivity HIV risk Harm Reduction Health Health Services Accessibility Health protection Healthcare Human Rights Individual Infection Injecting drug user Injections Intervention Interview Knowledge Lifting Measures Mental Health Misinformation Outcome Participant Personal Satisfaction Pharmaceutical Preparations Population Publishing Qualitative Research Readiness Reporting Research Resources Rights Risk Risk Behaviors Russia Services Sex Discrimination Social Distance Structure Substance Use Disorder Testing Therapeutic Effect Time Work addiction antiretroviral therapy base care providers community organizations comorbidity drug market health care availability health care service utilization high risk overdose risk pandemic disease physical conditioning recruit response risk perception social social stigma study population theories

项目摘要

PROJECT ABSTRACT The COVID-19 pandemic restrictions to reduce the spread of the SARS-CoV-2 have exacerbated global inequities. These restrictions may have particularly limited engagement in care of HIV-positive people who inject drugs (PWID). This longitudinal project aims to qualitatively assess evolving consequences of the COVID-19 pandemic on health risks and risk behaviors of HIV-positive PWID; and described the impact of stigma on HIV-positive PWID during the COVID-19 pandemic. We will leverage access to the SCRIPT (R00DA041245) study population (n=108); SCRIPT is a community-based RCT testing the feasibility of Acceptance and Commitment Therapy as a stigma intervention among PWID with HIV who are not connected to addiction or HIV care in St. Petersburg, Russia. The SCRIPT study population provides a unique opportunity to understand pandemic impacts on substance use and HIV risk behaviors, as well as health care utilization among community-based HIV-positive PWID. This project will inform rights-based, gender-inclusive preparedness strategies to mitigate adverse pandemic effects and prepare the key population of HIV-positive PWID for future pandemic situations.

项目摘要为减少SARS-CoV-2传播而实施的COVID-19大流行限制措施加剧了全球不平等这些限制可能特别限制了对艾滋病毒阳性者的护理，注射毒品（PWID）。这一纵向项目的目的是从质量上评估 2019冠状病毒病大流行对艾滋病毒阳性PWID的健康风险和风险行为的影响;并描述了 2019冠状病毒病大流行期间，艾滋病毒阳性的PWID遭受耻辱。我们将利用进入联邦调查局的机会（R 00 DA 041245）研究人群（n=108）; CRTOT是一项基于社区的RCT，旨在检测接受和承诺疗法作为艾滋病毒感染者中没有联系的耻辱干预措施在俄罗斯的彼得堡，吸毒成瘾或艾滋病护理。CBT研究人群提供了一个独特的机会，了解大流行对药物使用和艾滋病毒风险行为以及卫生保健利用的影响社区艾滋病毒阳性的艾滋病感染者中。该项目将为基于权利、性别包容的减轻大流行病不利影响和使艾滋病毒抗体阳性的主要人群做好准备的备灾战略未来大流行情况的PWID。