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

项目摘要 为减少SARS-CoV-2传播而实施的新冠肺炎大流行限制措施加剧了全球 不平等。这些限制可能会特别限制对艾滋病毒阳性者的护理 注射毒品(PWID)。这一纵向项目旨在定性地评估 新冠肺炎流行对艾滋病感染者健康风险和危险行为的影响；描述了 新冠肺炎大流行期间对艾滋病毒阳性PWID的耻辱。我们将利用对脚本的访问权限 (R00DA041245)研究人群(n=108)；SCRIPT是基于社区的RCT，测试 接受和承诺疗法作为对无关联的PWID HIV感染者的污名干预 在俄罗斯圣彼得堡，吸毒成瘾或艾滋病护理。手稿研究群体提供了一个独特的机会 了解流行病对药物使用和艾滋病毒危险行为以及卫生保健利用的影响 在以社区为基础的HIV阳性PWID中。该项目将为以权利为基础、性别包容的 防备战略，以减轻流行病的不利影响，并使艾滋病毒阳性的关键人群做好准备 PWID为未来的大流行情况做准备。

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.