Symptoms, Stress, and HIV-Related Care Among Older People Living with HIV During the COVID-19 Pandemic, Miami, Florida

Algarin, Angel B.; Varas-Rodríguez, Emil; Valdivia, Chelsea; Fennie, Kristopher; Larkey, Linda; Hu, Nan; Ibáñez, Gladys

doi:10.1007/s10461-020-02869-3

Cited by 54 publications

(72 citation statements)

References 1 publication

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“…Irrespective of worse health outcomes, belonging to a group with increased risk of contracting Covid-19, which has no known cure and unpredictably causes mortality, could potentially induce additional stress and anxiety. This corroborates findings from previous studies suggesting a higher prevalence of stress among front-line health workers (48), elderly persons (49), and people living with HIV (50,51) during the global public health crisis. However, our qualitative findings are in contrast to this finding.…”

Section: Discussionsupporting

confidence: 91%

Psychological impact of Covid-19 lockdown in India: Different strokes for different folks

Sharma

Subramanyam

2020

Preprint

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The psychological impact of the lockdown due to the Covid-19 pandemic are widely documented. In India, a family-centric society with a high population density and extreme social stratification, the impact of the lockdown might vary across diverse social groups. However, the patterning in the psychological impact of the lockdown among sexual minorities and persons known to be at higher risk of contracting Covid-19 is not known in the Indian context. We used mixed methods (online survey, n=282 and in-depth interviews, n=14) to investigate whether the psychological impact of the lockdown was different across these groups of Indian adults. We fitted linear and logistic regression models adjusted for sociodemographic covariates. Thematic analysis helped us identify emergent themes in our qualitative narratives. Anxiety was found to be higher among sexual minorities (β=2.44, CI: 0.58, 4.31), high-risk group (β=2.20, CI:0.36, 4.05), and those with history of depression/loneliness (β=3.89, CI:2.34, 5.44). Addiction to pornography was also found to be higher among sexual minorities (β=2.72, CI: 0.09, 5.36). Qualitative findings suggested that sexual minorities likely used pornography and masturbation to cope with the lockdown, given the limited physical access to sexual partners in a society that stigmatizes homosexuality. Moreover, both qualitative and quantitative study findings suggested that greater frequency of calling family members during lockdown could strengthen social relationships and increase social empathy. The study thereby urgently calls for the attention of policymakers to take sensitive and inclusive health decisions for the marginalized and the vulnerable, both during and after the crisis.

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Section: Discussionsupporting

confidence: 91%

Psychological impact of Covid-19 lockdown in India: Different strokes for different folks

Sharma

Subramanyam

2020

Preprint

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“…Irrespective of worse health outcomes, belonging to a group with increased risk of Covid-19 complications, given that Covid-19 has no known cure and unpredictably causes mortality, could potentially induce additional stress and anxiety. This corroborates findings from previous studies suggesting a higher prevalence of stress among front-line health workers [17], elderly persons [54], and people living with HIV [55,56] during the global public health crisis. However, our qualitative findings are in contrast to this finding.…”

Section: Discussionsupporting

confidence: 91%

A cross-sectional study of psychological wellbeing of Indian adults during the Covid-19 lockdown: Different strokes for different folks

Sharma

Subramanyam

2020

PLoS ONE

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The psychological impacts of the lockdown due to the Covid-19 pandemic are widely documented. In India, a family-centric society with a high population density and extreme social stratification, the impact of the lockdown might vary across diverse social groups. However, the patterning in the psychological impact of the lockdown among LGBT adults and persons known to be at higher risk of the complications of Covid-19 (such as persons with comorbidities or a history of mental illness) is not known in the Indian context. We used mixed methods (online survey, n = 282 and in-depth interviews, n = 14) to investigate whether the psychological influence of the lockdown was different across these groups of Indian adults. We fitted linear and logistic regression models adjusted for sociodemographic covariates. Thematic analysis helped us identify emergent themes in our qualitative narratives. Anxiety was found to be higher among LGBT adults (β = 2.44, CI: 0.58, 4.31), the high-risk group (persons with comorbidities) (β = 2.20, CI:0.36, 4.05), and those with a history of depression/loneliness (β = 3.89, CI:2.34, 5.44). Persons belonging to the LGBT group reported a greater usage of pornography than the heterosexuals (β = 2.72, CI: 0.09, 5.36) during the lockdown. Qualitative findings suggested that LGBT adults likely used pornography and masturbation to cope with the lockdown, given the limited physical access to sexual partners in a society that stigmatizes homosexuality. Moreover, both qualitative and quantitative study findings suggested that greater frequency of calling family members during lockdown could strengthen social relationships and increase social empathy. The study thereby urgently calls for the attention of policymakers to take sensitive and inclusive health-related decisions for the marginalized and the vulnerable, both during and after the crisis.

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“…18 52 People with HIV Nineteen studies assessed PLHIV. [54][55][56][57][58][59][60][61][62][63][64][65][66][67][68][69][70][71][72] Three modelling studies predicted a significant increase in HIV-related deaths in African countries due to treatment disruption with the pandemic. [61][62][63] A US retrospective observational quantitative study found that shelter-inplace orders had a negative impact on antiretroviral therapy adherence, especially among homeless PLHIV.…”

Section: General Publicmentioning

confidence: 99%

Sexual health (excluding reproductive health, intimate partner violence and gender-based violence) and COVID-19: a scoping review

et al. 2021

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ObjectivesThe COVID-19 pandemic has exposed and exacerbated existing socioeconomic and health disparities, including disparities in sexual health and well-being. While there have been several reviews published on COVID-19 and population health disparities generally—including some with attention to HIV—none has focused on sexual health (ie, STI care, female sexual health, sexual behaviour). We have conducted a scoping review focused on sexual health (excluding reproductive health (RH), intimate partner violence (IPV) and gender-based violence (GBV)) in the COVID-19 era, examining sexual behaviours and sexual health outcomes.MethodsA scoping review, compiling both peer-reviewed and grey literature, focused on sexual health (excluding RH, IPV and GBV) and COVID-19 was conducted on 15 September 2020. Multiple bibliographical databases were searched. Study selection conformed to Joanna Briggs Institute (JBI) Reviewers’ Manual 2015 Methodology for JBI Scoping Reviews. We only included English-language original studies.ResultsWe found that men who have sex with men may be moving back toward pre-pandemic levels of sexual activity, and that STI and HIV testing rates seem to have decreased. There was minimal focus on outcomes such as the economic impact on sexual health (excluding RH, IPV and GBV) and STI care, especially STI care of marginalised populations. In terms of population groups, there was limited focus on sex workers or on women, especially women’s sexual behaviour and mental health. We noticed limited use of qualitative techniques. Very few studies were in low/middle-income countries (LMICs).ConclusionsSexual health research is critical during a global infectious disease pandemic and our review of studies suggested notable research gaps. Researchers can focus efforts on LMICs and under-researched topics within sexual health and explore the use of qualitative techniques and interventions where appropriate.

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Symptoms, Stress, and HIV-Related Care Among Older People Living with HIV During the COVID-19 Pandemic, Miami, Florida

Cited by 54 publications

References 1 publication

Psychological impact of Covid-19 lockdown in India: Different strokes for different folks

Psychological impact of Covid-19 lockdown in India: Different strokes for different folks

A cross-sectional study of psychological wellbeing of Indian adults during the Covid-19 lockdown: Different strokes for different folks

Sexual health (excluding reproductive health, intimate partner violence and gender-based violence) and COVID-19: a scoping review

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