Institute for Collaboration On Health Intervention and Policy, University of Connecticut, 2006 Hillside Road, Storrs, CT, 06269, USA.
Curr HIV/AIDS Rep. 2022 Feb;19(1):54-75. doi: 10.1007/s11904-021-00593-8. Epub 2021 Nov 26.
PURPOSE OF THE REVIEW: The SARS-CoV-2 (COVID-19) pandemic brought unprecedented social change with the most severe impacts on the most vulnerable populations, including people living with HIV (PLWH). This review examined findings from empirical studies of social and behavioral impacts of COVID-19 on PLWH in the first year of the pandemic. RECENT FINDINGS: Impacts of COVID-19 on PLWH fit within an HIV syndemics framework, with overlapping COVID-19 and HIV comorbid conditions concerning mental health and structural inequality. Early impacts of COVID-19 on social isolation, emotional distress, stigma, and substance use varied across studies with few consistent patterns. Structural inequalities, particularly impacts on food security and housing stability, were observed more consistently and globally. COVID-19 intersects with HIV infection along with multiple interlocking comorbidities that are best characterized and understood within a syndemics framework.
本次综述的目的:SARS-CoV-2(COVID-19)大流行带来了前所未有的社会变革,对包括艾滋病毒感染者(PLWH)在内的弱势群体造成了最严重的影响。本综述考察了 COVID-19 对大流行第一年 PLWH 的社会和行为影响的实证研究结果。
最近的发现:COVID-19 对 PLWH 的影响符合 HIV 综合征框架,COVID-19 和 HIV 合并病症同时涉及心理健康和结构性不平等问题。COVID-19 对社会隔离、情绪困扰、污名化和物质使用的早期影响因研究而异,几乎没有一致的模式。结构性不平等,特别是对食品安全和住房稳定的影响,在全球范围内观察到的更为一致。COVID-19 与 HIV 感染交叉,同时存在多种相互关联的合并症,最好在综合征框架内进行描述和理解。
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