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

MACS/WIHS联合队列研究（MWCCS）的拟定管理补充资料 项目，“COVID-19和MWCCS：心理社会和结构对身体和 心理健康和艾滋病毒预防行为” 抽象的。老年人和患有共病的人患严重疾病的风险增加， 新冠肺炎。考虑到我们的研究参与者年龄较大， 在艾滋病毒感染者（PLWH）中，PLWH发生严重疾病后果的风险增加 造成的影响。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，心理健康的挑战，社会孤立和心理社会压力源可能有预防性 影响获得保健、健康结果和预防行为。定性访谈将允许 让参加者分享他们的心得和体会， COVID-19疫情及相关风险及限制。这项研究将提供关键的 深入了解COVID-19大流行及其相关公共卫生秩序对 健康和福祉的PLWH和那些在美国艾滋病毒的风险，从这项研究的结果将 阐明公共卫生工作对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助于 为未来的研究和公共卫生工作提供信息，为医疗保健和研究中断做好准备 由于自然灾害或公共卫生紧急情况而参与。

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.