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.

项目摘要减少SARS-COV-2扩散的共同-19大流行限制加剧了全球不平等。这些限制可能特别有限注入药物（PWID）。这个纵向项目旨在定性评估不断发展的后果 COVID-19关于HIV阳性PWID的健康风险和风险行为的大流行；并描述了在COVID-19大流行期间，HIV阳性PWID的污名。我们将利用访问脚本的访问（R00DA041245）研究人群（n = 108）;脚本是基于社区的RCT测试接受和承诺疗法是与未连接的艾滋病毒的PWID的污名干预在俄罗斯圣彼得堡成瘾或艾滋病毒护理。脚本研究人群提供了独特的机会了解大流行对物质使用和HIV风险行为的影响以及医疗保健利用在基于社区的HIV阳性PWID中。该项目将为基于权利的，包括性别的人提供信息准备策略来减轻不良大流行效应并准备HIV阳性的关键人群 PWID适用于未来的大流行状况。