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1.
AIDS Educ Prev ; 33(3): 249-264, 2021 06.
Artigo em Inglês | MEDLINE | ID: mdl-34014109

RESUMO

This cross-sectional survey explored the quality of life in 505 people living with HIV in Belgium. Several domains of quality of life were impaired: 26% had been diagnosed with depression and 43% had weak social support. HIV-related stigma is still widespread, with 49% believing most people with HIV are rejected and 65% having experienced discrimination due to HIV. The impact of HIV was limited on professional life, but 40% experienced a negative impact on life satisfaction and 41% a negative impact on sexual life. For several domains, people with a recent diagnosis of HIV and long-term survivors had significantly worse scores. This survey also uncovered strengths of people living with HIV, such as positive coping and HIV self-image. Expanding the scope of quality of life in people living with HIV may provide a more complete picture of relevant life domains that may be impacted by living with HIV, but this needs further validation.


Assuntos
Adaptação Psicológica , Terapia Antirretroviral de Alta Atividade , Infecções por HIV/psicologia , Qualidade de Vida/psicologia , Estigma Social , Adolescente , Adulto , Idoso , Bélgica/epidemiologia , Estudos Transversais , Discriminação Psicológica , Infecções por HIV/tratamento farmacológico , Humanos , Masculino , Saúde Mental , Pessoa de Meia-Idade , Autoimagem , Comportamento Sexual , Apoio Social , Inquéritos e Questionários , Adulto Jovem
2.
Artigo em Inglês | MEDLINE | ID: mdl-33925506

RESUMO

COVID-19 affects persons living with HIV (PLWH) both directly (via morbidity/mortality) and indirectly (via disruption of HIV care). From July-November 2020, an online survey was conducted to investigate the psychosocial well-being of PLWH and changes in HIV care during the second semester of the COVID-19 outbreak. Data were collected on the socio-demographic characteristics of PLWH, their psychosocial well-being, impact of COVID-19 preventive measures on their daily routines and HIV follow-up. Of the 247 responses analyzed (mean age: 44.5 ± 13.2 years; 73.7% male), 67 (27.1%) and 69 (27.9%) respondents screened positive for anxiety (GAD-2 score ≥ 3) and depression (PHQ-2 score ≥ 3), respectively. HIV care had returned to pre-COVID-19 state for 48.6% PLWH, and 108 (43.7%) had no HIV follow-up during the past month. Over three quarters (76.1%) of respondents expressed willingness to receive the COVID-19 vaccine. Compared to previous findings in April 2020, substance use increased from 58.6% to 67.2% (p < 0.001). Our findings suggest that the well-being and medical follow-up of PLWH are still affected after almost a year into the COVID-19 outbreak. Remote HIV follow-up (telemedicine) with psychosocial support should be envisaged in the medium to long-term. Given that most PLWH accept COVID-19 vaccination, they may be prioritized for this intervention.


Assuntos
COVID-19 , Infecções por HIV , Adulto , Vacinas contra COVID-19 , Feminino , Seguimentos , Infecções por HIV/epidemiologia , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , SARS-CoV-2 , Inquéritos e Questionários
3.
J Acquir Immune Defic Syndr ; 85(3): 257-262, 2020 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-32826562

RESUMO

BACKGROUND: Empirical data on the consequences of the novel coronavirus disease (COVID-19) pandemic on HIV care are lacking. We surveyed people living with HIV (PLWH) in different countries to investigate whether their medical follow-up and psychosocial well-being had been compromised due to COVID-19 and associated restrictions. METHODS: In April 2020, a cross-sectional survey among PLWH was conducted using a web-based multilingual questionnaire. The research tool assessed HIV follow-up, psychosocial well-being, COVID-19 (flu-like) symptoms and prevention measures. Consenting respondents provided answers anonymously. RESULTS: Three hundred seventeen PLWH were included (mean age 43.4 ± 11.7; 71.6% men); 60.3% of participants resided in Belgium and Brazil. One hundred forty (44.2%) reported experiencing a cold with at least one flu-like symptom since January 2020. Of the 18 who reported COVID-19 test results, 4 (22.2%) were positive. Seventy-four (23.3%) respondents screened positive for major depressive disorders, whereas 72 (22.7%) had generalized anxiety disorders. Fifty-six (17.7%) respondents reported difficulties in obtaining antiretroviral medications because of COVID-19-related measures. Adaptations of HIV care during the COVID-19 outbreak included greater quantities of antiretroviral refill in 67 (21.1%), phone consultations in 25 (7.9%), and new refill sites in 12 (3.9%). Factors associated with a reduced risk of experiencing flu-like symptoms included flu vaccination during the past 12 months (P = 0.005) and adaptations of HIV care during the COVID-19 pandemic (P = 0.010). CONCLUSION: COVID-19 and associated restrictive measures seem detrimental to the well-being and follow-up of PLWH. We recommend that health systems devise innovative approaches for antiretroviral provision and psychosocial support to PLWH during such outbreaks.


Assuntos
Betacoronavirus , Infecções por Coronavirus/complicações , Infecções por Coronavirus/psicologia , Infecções por HIV/complicações , Infecções por HIV/psicologia , Pneumonia Viral/complicações , Pneumonia Viral/psicologia , Adulto , Idoso , Fármacos Anti-HIV/uso terapêutico , Ansiedade , Bélgica , Brasil , COVID-19 , Estudos Transversais , Depressão , Europa Oriental , Feminino , Infecções por HIV/tratamento farmacológico , Humanos , Influenza Humana/complicações , Influenza Humana/prevenção & controle , Masculino , Pessoa de Meia-Idade , Pandemias , Psicologia , SARS-CoV-2 , Inquéritos e Questionários , Adulto Jovem
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