COVID-19, HIV, and Migrant Workers: The Double Burden of the Two Viruses

Kuchukhidze, Salome

doi:10.1089/apc.2020.0092

Cited by 27 publications

(25 citation statements)

References 5 publications

(6 reference statements)

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“…The fear of contracting COVID-19 has led to decreased engagement with care among PLWH in several countries [ [39] , [40] , [41] , [42] ]. The reasons for this are unsurprising- people who have faced stigma for decades due to their HIV status and live under the burden of a chronic virus are hesitant to engage in care when the prospect of being infected with another, more deadly virus is real.…”

Section: Resultsmentioning

confidence: 99%

“…In Uganda, nationwide public and private transportation suspensions have made distant clinics all but impossible to access for many [ 40 ]. Migrant workers in cities have retreated to the rural areas they are from, likely losing access to HIV care in the cities where they lived [ 42 ]. Even when people can access clinics, the financial stress from loss of livelihoods make it harder for them to pay for care.…”

Section: Resultsmentioning

confidence: 99%

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Impact of COVID-19 on people living with HIV: A review

Prabhu

Poongulali

Kumarasamy

2020

Journal of Virus Eradication

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There is great concern about the impact of COVID-19 among the nearly 40 million people living with HIV (PLWH) worldwide. In this review, we surveyed current literature and found no evidence of higher prevalence of COVID-19 among PLWH but equivocal data on increased mortality and worse clinical outcomes. Having HIV does not confer protection against severe manifestations of COVID-19. Several studies looking at antiretroviral drugs against HIV to treat SARS-CoV-2 have shown no mortality benefit. Thus, there is no indication to change ART regimens among virologically suppressed PLWH to prevent COVID-19. HIV care delivery has been adversely impacted in several countries during this pandemic but has created an opportunity for accelerating effective strategies like multi-month ART. Decentralizing HIV care in low-resource settings and incorporating telemedicine in high-resource settings will be critical in mitigating shocks to healthcare systems in the future.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Impact of COVID-19 on people living with HIV: A review

Prabhu

Poongulali

Kumarasamy

2020

Journal of Virus Eradication

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“…A brief literature review on "HIV" and "COVID-19" has shown some commonalities and interactions between COVID-19 and HIV. These include an increased burden of COVID-19 in people living with HIV (6, 7), increased burden of COVID-19 and HIV in migrant workers (8), increased burden of COVID-19 and HIV in sex workers (9), and increased burden of COVID-19 and HIV in men who have sex with men (10). Mhango et al indicated COVID-19 lockdowns have impacted facilitybased HIV testing and suggest the need to scale up homebased HIV testing in sub-Saharan Africa (11).…”

Section: Introductionmentioning

confidence: 99%

COVID/HIV Co-Infection: A Syndemic Perspective on What to Ask and How to Answer

Gesesew

Mwanri

Stephens

et al. 2021

Front. Public Health

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The present commentary explored the intersecting nature of the COVID-19 and HIV pandemics to identify a shared research agenda using a syndemic approach. The research agenda posits the following questions. Questions around HIV infection, transmission, and diagnosis include: (i) molecular, genetic, clinical, and environmental assessments of COVID-19 in people living with HIV, (ii) alternative options for facility-based HIV testing services such as self- and home-based HIV testing, and (iii) COVID-19 related sexual violence and mental health on HIV transmission and early diagnosis. These and related questions could be assessed using Biopsychosocial and socio-ecological models. Questions around HIV treatment include: (i) the effect of COVID-19 on HIV treatment services, (ii) alternative options for facility-based treatment provision such as community-based antiretroviral therapy groups, and (iii) equitable distribution of treatment and vaccines for COVID-19, if successful. Bickman's logic model and the social determinants of health framework could guide these issues. The impact of stigma, the role of leveraging lessons on sustained intra-behavioral change, the role of medical mistrust and conspiracy beliefs, and the role of digital health on integrated management of HIV care and spectrum of care of COVID-19 need assessment using several frameworks including Goffman's stigma framework, Luhmann's Trust theory, and Gidden's theory of structuration. In conclusion, the potential research agenda of this commentary encompasses a variety of research fields and disciplinary areas—clinicians, laboratory scientists, public health practitioners, health economists, and psychologists—, and suggests several theoretical frameworks to guide examination of complex issues comprehensively.

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“…Firstly, outpatients' visits and treatment have been interrupted or postponed because of the lockdown [8] and the fear of contracting COVID-19 has led to decreased engagement with care among PLWH in several countries [23][24][25][26][27]. Additionally to complications related to HIV disease progression, an incorrect management of HIV could lead to an increased risk contracting COVID-19 and experiencing complications.…”

Section: Introductionmentioning

confidence: 99%

Psychological distress during the initial COVID-19 pandemic in an Italian cohort of people living with HIV: an online survey

Donne¹,

Ciccarelli²,

Massaroni³

et al. 2021

Preprint

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Our aim was to explore the psychological impact of the initial 2019 Coronavirus (COVID-19) pandemic in a cohort of people living with HIV (PLWH), a population at increased risk of psychological distress. PLWH, treated at our unit, responded an online survey. Data on demographics, clinical and physical symptoms, contact history, as well as knowledge, concerns, precautionary measures and additional information required with respect to COVID-19 during the first phase of the pandemic in Italy were collected. Additionally, the Impact of Event Scale-Revised (IES-R) (identifying COVID-19 pandemic as specific traumatic life event) and the Depression, Anxiety and Stress Scale (DASS-21) were also administered. Out of 98 participants, 44 (45%) revealed from mild to severe psychological impact distress from COVID-19 according to IES-R. According to DASS-21, a lower percentage of significant levels of depression (14%), anxiety (11%) or stress (6%) were reported. Higher education, unemployment, number of perceived physical COVID-19 symptoms, concerns contracting COVID-19 and the situation regarding the pandemic in Italy, and the need of additional information to prevent COVID-19 infection were positively associated to psychological distress. Moreover, female gender, older age, recent HIV diagnosis and unawareness of own viremia were associated to a higher psychological distress. Almost half of our cohort experienced significant levels of distress related to the COVID-19 pandemic. Women, elderly patients and those with recent HIV diagnosis resulted to be the more psychological fragile subgroup. Our findings could help to identify patients in need of psychological interventions to improve wellbeing of PLWH.

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COVID-19, HIV, and Migrant Workers: The Double Burden of the Two Viruses

Cited by 27 publications

References 5 publications

Impact of COVID-19 on people living with HIV: A review

Impact of COVID-19 on people living with HIV: A review

COVID/HIV Co-Infection: A Syndemic Perspective on What to Ask and How to Answer

Psychological distress during the initial COVID-19 pandemic in an Italian cohort of people living with HIV: an online survey

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