Influence of patient-centered HIV care on retention and viral suppression disparities

以患者为中心的艾滋病毒护理对保留和病毒抑制差异的影响

• 批准号: 10447915
• 负责人: MARY JO TREPKA
• 金额: $ 26.82万
• 依托单位: FLORIDA INTERNATIONAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-01-29 至 2023-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10447915
• 关键词: African American; Anxiety; COVID-19; COVID-19 mortality; COVID-19 pandemic; COVID-19 severity; COVID-19 vaccination; COVID-19 vaccine; Caring; Case Manager; Client; Communities; Cross-Sectional Studies; Cues; Data; Depressed mood; Feeling; HIV; Haitian; Health; Hispanics; Hour; Household; Immunosuppression; Income; Individual; Intervention; Interview; Loneliness; Medical; Methods; Minority Groups; Modeling; Not Hispanic or Latino; Occupations; Participant; Personal Satisfaction; Population; Predisposition; Recommendation; Reporting; Respondent; Risk; Role; Sampling; Social Network; Structure; Surveys; Telephone; Vaccinated; Vaccination; Viral; Virus Diseases; anxious; care providers; comorbidity; ethnic minority population; follow-up; health belief; improved; pandemic disease; patient oriented; programs; psychosocial; racial and ethnic; severe COVID-19; social; social norm; socioeconomics; stressor; vaccine acceptance

Abstract People with human immunodeficiency virus (HIV) are at increased risk of COVID-19 complications due to underlying immunosuppression and comorbidities and thus can significantly benefit from COVID-19 vaccination. People with HIV (PWH) are also more likely to belong to racial/ethnic minorities that have been disproportionately burdened by the COVID-19 pandemic and are currently underrepresented among vaccinated individuals. The objective of this study is to identify points of intervention to increase COVID-19 vaccine uptake among African American, Hispanic, and Haitian PWH. To achieve this objective, we will conduct a mixed methods study involving a sample of 129 Hispanics, 116 African Americans and 53 Haitians with HIV who were previously interviewed from October 2020 to January 2021 about the effect of the COVID- 19 pandemic on their health and wellbeing and their HIV care (Wave 1). The current supplement (Wave 2) will extend the previous study by determining COVID-19 vaccine uptake and factors associated with vaccine uptake. The survey questions will collect quantitative data about factors associated with vaccination using both the Health Belief Model (e.g., perceived susceptibility to COVID-19, perceived severity of COVID-19, perceived barriers and benefits of COVID-19 vaccination, and cues to action) and the Social Ecological Model (i.e., potential intrapersonal, interpersonal, and community/institutional-level factors associated with COVID-19 vaccine uptake). Data from the survey will also be used to identify the extent to which COVID-19 vaccination improves psychosocial (e.g., COVID-19 related worry) and socioeconomic (e.g., reduced income) stressors. Furthermore, we will conduct exploratory analyses to assess the association between vaccination and retention in HIV care and viral suppression. Subsequently, we will ask a sample of vaccinated and unvaccinated survey respondents to participate in semi-structured in-depth interviews to clarify quantitative findings and identify points of intervention. Findings from this study will guide vaccination promotion messages for racial/ethnic minorities with HIV, guide vaccination delivery methods (e.g., vaccination in HIV care settings), and elucidate the potential role of COVID-19 vaccination in improving the health and wellbeing of people with HIV.

摘要 人类免疫缺陷病毒（HIV）感染者患COVID-19并发症的风险增加， 潜在的免疫抑制和合并症，因此可以从COVID-19中显著获益 预防针艾滋病毒感染者（PWH）也更有可能属于种族/少数民族， 受COVID-19大流行的不成比例的负担，目前在 接种疫苗的人。本研究的目的是确定增加COVID-19的干预点 非裔美国人、西班牙裔和海地PWH的疫苗接种率。为达致这个目标，我们会 进行了一项混合方法研究，涉及129名西班牙裔，116名非洲裔美国人和53名海地人的样本 曾于2020年10月至2021年1月就COVID的影响接受采访的艾滋病毒感染者- 19大流行病对他们的健康和福祉及其艾滋病毒护理的影响（第1波）。目前的补充（第2波）将 通过确定COVID-19疫苗接种和与疫苗相关的因素来扩展先前的研究 摄取。调查问题将收集与疫苗接种相关因素的定量数据， 健康信念模型（例如，对COVID-19的感知易感性，对COVID-19的感知严重性，对COVID-19的感知 COVID-19疫苗接种的障碍和益处，以及行动线索）和社会生态模型（即， 与COVID-19相关的潜在个人、人际和社区/机构层面因素 疫苗摄取）。调查数据还将用于确定COVID-19疫苗接种的程度 改善心理社会（例如，COVID-19相关担忧）和社会经济（例如，收入减少）的压力。 此外，我们将进行探索性分析，以评估疫苗接种与 艾滋病毒护理和病毒抑制的保留。随后，我们将要求接种疫苗的样本， 未接种疫苗的调查受访者参加半结构化的深入访谈，以澄清定量 调查结果并确定干预点。这项研究的结果将指导疫苗接种宣传信息 对于感染艾滋病毒的少数种族/民族，指导疫苗接种方法（例如，在艾滋病毒护理环境中接种疫苗）， 并阐明COVID-19疫苗接种在改善患有以下疾病的人的健康和福祉方面的潜在作用： 艾滋病。