COVID-19大流行封锁对具有非洲黑人和/或加勒比黑人血统的艾滋病毒感染者的影响。

IF 1.7 4区 医学 Q3 INFECTIOUS DISEASES
HIV Research & Clinical Practice Pub Date : 2025-12-01 Epub Date: 2025-02-13 DOI:10.1080/25787489.2025.2464510
Sophie Strachan, Elizabeth Senkoro, Wezi Thamm, Jacqui Stevenson, Frances Lander, Nicoletta Policek, Caterina Candela, Fiona Muir, Marta Boffito
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引用次数: 0

摘要

目的:与其他群体相比,非洲黑人和加勒比黑人妇女感染艾滋病毒的治疗、依从性和与护理的联系较低,受到重大心理社会挑战的影响。COVID-19封锁进一步加剧了这些不平等。我们的目的是评估它对切尔西和威斯敏斯特医院NHS基金会信托的人群的影响。方法:采用在线调查和深度访谈相结合的方法,于2022年1月10日至2023年1月6日期间收集数据。采用描述性统计对调查数据进行汇总,采用专题分析对定性数据进行分析。结果:在联系的393名女性中,36人完成了调查,22人参加了访谈。调查发现,新冠肺炎封锁措施加剧了焦虑(48%)和情绪低落(45%)。54%的人报告说,COVID-19的经历引发了他们最初被诊断为艾滋病毒的创伤。受访的参与者讨论了他们的心理问题和合并症如何不总是由他们的护理系统解决。污名化和被迫分享艾滋病信息也是突出的问题。结论:在卫生保健环境中,对非洲或加勒比血统的感染艾滋病毒的妇女仍然存在制度性耻辱和歧视,迫切需要解决护理方面的不平等问题,以改善患者在大流行后的体验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of the COVID-19 pandemic lockdown in women living with HIV who have a Black African and/or Black Caribbean heritage.

Objective: Treatment, adherence and linkage to care are lower in Black African and Black Caribbean heritage women living with HIV, affected by significant psychosocial challenges compared to other groups. The COVID-19 lockdowns further amplified these inequalities. We aimed to assess its impact on this population across Chelsea and Westminster Hospitals NHS Foundation Trust.

Methods: We used an online survey and in-depth interviews to collect data between 01-10-2022 and 01-06-2023. Descriptive statistics were used to summarize the survey data and thematic analysis was adopted to analyze the qualitative data.

Results: Of 393 women contacted, 36 completed the survey and 22 took part in interviews. The survey found that COVID-19 lockdown restrictions worsened anxiety (48%) and low mood (45%). 54% reported that the experience of COVID-19 triggered the trauma of their initial HIV diagnosis. Interviewed participants discussed how their psychological issues and co-morbidities were not always addressed by their care system. Stigma and being forced to share their HIV information were also prominent issues.

Conclusions: There is continued institutional stigma and discrimination in health care settings for women living with HIV of African or Caribbean heritage, and there is an urgent need to address the inequity in care to improve patients' experience post-pandemic.

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CiteScore
2.90
自引率
6.20%
发文量
15
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