COVID-19 and the MWCCS: Psychosocial and Structural Impact on Physical and Mental Health, and HIV Prevention Behaviors

COVID-19 和 MWCCS：对身心健康以及 HIV 预防行为的社会心理和结构影响

• 批准号: 10217711
• 负责人: Mackey R Friedman
• 金额: $ 2.26万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-04-01 至 2026-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10217711
• 关键词: AIDS prevention; Adherence; Administrative Supplement; Age; Behavior; COVID-19; COVID-19 pandemic; Chronic; Clinical; Cohort Studies; Data; Discrimination; Disease Outcome; Elderly; Employment; Employment Status; Future; Gender; Geography; HIV; Health; Healthcare; High Prevalence; Housing; Interruption; Interview; Lifting; Mental Health; Natural Disasters; Outcome; Participant; Perception; Personal Satisfaction; Policies; Prevalence; Prevention; Psychosocial Assessment and Care; Public Health; Race; Research; Risk; Social Distance; Social isolation; Structure; Testing; Vulnerable Populations; Woman; antiretroviral therapy; base; clinical care; comorbidity; experience; food insecurity; health care availability; high risk; insight; physical conditioning; psychosocial; public health emergency; research study; social stigma; socioeconomics; stressor

MACS/WIHS Combined Cohort Study (MWCCS) Administrative Supplements for the proposed project, “COVID-19 and the MWCCS: Psychosocial and Structural Impact on Physical and Mental Health, and HIV Prevention Behaviors” Abstract. Older adults and people with comorbid conditions are at increased risk for severe illness from COVID-19. Given the older age of our research participants and the higher prevalence of comorbid conditions among people living with HIV (PLWH), PLWH are at increased risk for severe disease outcomes resulting from COVID-19. However, while many of our MWCCS research participants may not have tested positive, mental health challenges, social isolation and psychosocial stressors may have disproportionally impacted access to health care, health outcomes and prevention behaviors. Qualitative interviews will allow for in- depth accounts and perceptions provided by participants, sharing their experiences of dealing with the COVID-19 pandemic and associated risks and restrictions. The proposed research will provide critical insights into the multilevel impact of the COVID-19 pandemic and its associated public health orders on the health and well-being of PLWH and those at-risk for HIV across the U.S. Results from this study will elucidate unforeseen consequences of public health efforts on vulnerable populations that are at higher risk for comorbidities, stigma and discrimination and socioeconomic hardship. Data from this study will help to inform future studies and public health efforts to prepare for interruptions in health care and study participation due to natural disasters or public health emergences.

MACS/WIHS 联合队列研究 (MWCCS) 拟议的行政补充 项目，“COVID-19 和 MWCCS：对身体和身体的心理社会和结构影响 心理健康和艾滋病毒预防行为” 抽象的。老年人和患有合并症的人患严重疾病的风险增加 新冠肺炎。鉴于我们的研究参与者年龄较大且合并症患病率较高 HIV 感染者 (PLWH) 的状况，PLWH 出现严重疾病结果的风险增加 由 COVID-19 引起。然而，虽然我们的许多 MWCCS 研究参与者可能没有测试过 积极的心理健康挑战、社会孤立和社会心理压力可能会不成比例地影响 影响获得医疗保健的机会、健康结果和预防行为。定性访谈将允许 参与者提供深入的叙述和看法，分享他们处理问题的经验 COVID-19 大流行以及相关风险和限制。拟议的研究将提供关键的 深入了解 COVID-19 大流行及其相关公共卫生命令对 美国各地艾滋病病毒感染者和艾滋病毒感染者的健康和福祉 这项研究的结果将 阐明公共卫生工作对处于较高水平的弱势群体的不可预见的后果 合并症、耻辱和歧视以及社会经济困难的风险。这项研究的数据将有所帮助 为未来的研究和公共卫生工作提供信息，为医疗保健和学习的中断做好准备 因自然灾害或突发公共卫生事件而参与。