Determinants of self-reported health and well-being outcomes among people living with HIV in the UK: a mixed-methods exploration of the impact of stru

英国艾滋病毒感染者自我报告的健康和福祉结果的决定因素：对结构影响的混合方法探索

• 批准号: 2322253
• 金额: --
• 依托单位: Imperial College London
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2019
• 资助国家: 英国
• 起止时间: 2019 至 无数据
• 项目状态: 已结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2322253
• 关键词: Determinants; self; reported; health; well

The treatment and care of people living with HumanImmunodeficiency Virus (HIV) has significantly improved inthe past two decades across the United Kingdom (UK).These advancements now mean that people can live with HIVfor much of their life, with few complications; it is a "chronic"(or lifelong) condition and is considered 'beyondundetectable'. Yet, differences in clinical stage at diagnosisand how people manage their other health conditions (comorbidities) alongside HIV still exist. People living with HIVhave also described an unmet need in social and welfareservices being provided, which includes services such asimmigration or employment support, and whose funding hasbeen affected by recent changes in government policies.This project looks to investigate why differences exist for thehealth and wellbeing of people living with HIV, and how muchthis can be explained by peoples' economic and socialcircumstances (their social determinants). We will alsoexplore whether recent changes in public policies, includingthose related to the reported "hostile environment" forimmigration, have also affected the experiences faced bypeople living with HIV when accessing social and welfareservices in the UK.We will use two main methods to explore these differences;firstly, analysing data from a survey conducted in 2017 byPublic Health England (PHE) of over 4,000 adults living withHIV in the UK, the Positive Voices study. Secondly, we willconduct in-depth interviews with people living with HIV as wellas other key stakeholders including communityorganisations, service providers and policy makers. We willwork closely with an advisory group of people living with HIVto help guide our research as it develops, and who will beinvolved in each step of the study - designing our approach,guiding analysis and interpretation, and disseminatingresults.The findings will be shared with our collaborators at PHE toprovide evidence for future policy and to inform clinical carein order to improve the experience of people living with HIVaccessing health and social care services as well as end-userorganisations that support people living with HIV.

在过去的二十年里，英国对人类免疫缺陷病毒（HIV）感染者的治疗和护理有了显著的改善。这些进步意味着人们可以在一生中的大部分时间里携带HIV，并发症很少;它是一种“慢性”（或终身）疾病，被认为是“无法检测到的”。然而，诊断时的临床阶段以及人们如何管理与艾滋病毒有关的其他健康状况（合并症）的差异仍然存在。艾滋病毒感染者还描述了在社会和福利服务方面未得到满足的需求，其中包括移民或就业支持等服务，其资金受到最近政府政策变化的影响。该项目旨在调查为什么艾滋病毒感染者的健康和福利存在差异，以及人们的经济和社会环境（其社会决定因素）在多大程度上可以解释这种差异。我们还将探讨最近公共政策的变化，包括那些与移民“敌对环境”有关的政策，是否也影响了艾滋病毒感染者在英国获得社会和福利服务时所面临的经历。我们将使用两种主要方法来探讨这些差异;首先，分析了2017年英国公共卫生部（PHE）对英国4,000多名艾滋病毒感染者进行的调查数据，即积极之声研究。其次，我们将与艾滋病毒感染者以及其他关键利益相关者（包括社区组织、服务提供者和政策制定者）进行深入访谈。我们将与一个由艾滋病毒感染者组成的咨询小组密切合作，帮助指导我们的研究，他们将参与研究的每一步--设计我们的方法，指导分析和解释，研究结果将与我们在PHE的合作者分享，为未来的政策提供证据，并为临床护理提供信息，以改善艾滋病毒感染者获得健康和社会护理服务以及支持艾滋病毒感染者的最终用户组织。

项目成果

Supporting material for co-researchers

共同研究人员的支持材料

• 发表时间: 2022
• 作者: Papageorgiou V

HIV, COVID-19 and health and well-being: a mixed-methods exploration of the impact of structural and social determinants

HIV、COVID-19 与健康和福祉：结构性和社会决定因素影响的混合方法探索

• 发表时间: 2023
• 作者: Papageorgiou V

Peer Research Training Resource

同行研究培训资源

• 发表时间: 2022
• 作者: Papageorgiou V

Impact of COVID-19 on the HIV care continuum in the United Kingdom

COVID-19 对英国 HIV 护理连续性的影响

• 发表时间: 2021
• 作者: Papageorgiou V

Influence of Material Deprivation on Clinical Outcomes Among People Living with HIV in High-Income Countries: A Systematic Review and Meta-analysis.

• DOI: 10.1007/s10461-021-03551-y
• 发表时间: 2022-06
• 期刊: AIDS AND BEHAVIOR
• 影响因子: 4.4
• 作者: Papageorgiou, Vasiliki;Davies, Bethan;Cooper, Emily;Singer, Ariana;Ward, Helen
• 通讯作者: Ward, Helen