Lifestyle and adherence to antiretrovirals in people with HIV in the COVID-19 pandemic

Cunha, Gilmara Holanda da; Lima, Maria Amanda Correia; Siqueira, Larissa Rodrigues; Fontenele, Marina Soares Monteiro; Ramalho, Ane Kelly Lima; Almeida, Paulo César de

doi:10.1590/0034-7167-2021-0644

Cited by 2 publications

(1 citation statement)

References 30 publications

(41 reference statements)

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“…Although there aren’t many studies in Latin America, a study in Brazil showed that PLWHA had adequate adherence to antiretrovirals. Regardless, all were in social isolation, without follow-up appointments, with access to the health service only to receive antiretrovirals [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Response of Care Services for Patients with HIV/AIDS during a Pandemic: Perspectives of Health Staff in Bolivia

López

Solis-Soto

2022

IJERPH

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The COVID-19 pandemic has caused an unprecedented crisis striking health services, generating risks of setbacks in health care and affecting the most vulnerable populations such as HIV patients. This study aims to explore the impact of the COVID-19 pandemic on the operational management of health services for people living with HIV/AIDS in Cochabamba, Bolivia. We applied a qualitative approach using semi-structured in-depth interviews with ten key health professionals who care for patients with HIV/AIDS in Cochabamba, Bolivia. Interviews were transcribed verbatim and uploaded to Atlas.ti software for analysis. We used an ethnographic approach within the interpretive paradigm to carry out the thematic analysis, considering the “Determinants of health systems resilience framework” of five dimensions developed by the World Health Organization. Even though the provision of services in public care services was not interrupted during the COVID-19 pandemic, health service delivery was severely affected. Digital technology could be used to compensate in urban areas. Regarding the distribution of medications, adaptative strategies to reduce patient complications were implemented. Unfortunately, the complementary tests availability was limited. The COVID-19 pandemic had a significant impact on HIV/AIDS patient care services in Cochabamba, with repercussions for HIV treatment access and virologic suppression.

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Section: Introductionmentioning

confidence: 99%

Response of Care Services for Patients with HIV/AIDS during a Pandemic: Perspectives of Health Staff in Bolivia

López

Solis-Soto

2022

IJERPH

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Mental health and adherence to antiretroviral therapy among Mexican people living with HIV during the COVID-19 pandemic

Gutiérrez-Velilla¹,

Barrientos-Casarrubias²,

Schjetnan³

et al. 2023

AIDS Res Ther

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Background The mental health and medical follow-up of people living with HIV (PLWH) have been disrupted by the COVID-19 pandemic. The objectives of this study were to assess anxiety, depression and substance use in Mexican PLWH during the pandemic; to explore the association of these symptoms with adherence to antiretroviral therapy (ART), and to compare patients with and without vulnerability factors (low socioeconomic level, previous psychological and/or psychiatric treatment). Methods We studied 1259 participants in a cross-sectional study, PLWH receiving care at the HIV clinic in Mexico City were contacted by telephone and invited to participate in the study. We included PLWH were receiving ART; answered a structured interview on sociodemographic data and adherence to ART; and completed the psychological instruments to assess depressive and anxiety symptoms and substance use risk. Data collection was performed from June 2020 to October 2021. Results 84.7% were men, 8% had inadequate ART adherence, 11% had moderate-severe symptoms of depression, and 13% had moderate-severe symptoms of anxiety. Adherence was related to psychological symptoms (p < 0.001). Vulnerable patients were more likely to be women, with low educational level and unemployed (p < 0.001). Conclusions It is important to address mental health of PLWH during the COVID-19 pandemic, with special attention to the most vulnerable individuals. Future studies are needed to understand the relationship between mental health and ART adherence.

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Lifestyle and adherence to antiretrovirals in people with HIV in the COVID-19 pandemic

Cited by 2 publications

References 30 publications

Response of Care Services for Patients with HIV/AIDS during a Pandemic: Perspectives of Health Staff in Bolivia

Response of Care Services for Patients with HIV/AIDS during a Pandemic: Perspectives of Health Staff in Bolivia

Mental health and adherence to antiretroviral therapy among Mexican people living with HIV during the COVID-19 pandemic

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