在 COVID-19 大流行期间 HIV 感染者心理健康的变化：定性和定量视角。
Changes in Mental Health Among People with HIV During the COVID-19 Pandemic: Qualitative and Quantitative Perspectives.
机构信息
Department of Epidemiology, University of Florida, 2004 Mowry Road, Gainesville, FL, 32610, USA.
Department of Epidemiology, Florida International University, Miami, FL, USA.
出版信息
AIDS Behav. 2022 Jun;26(6):1980-1991. doi: 10.1007/s10461-021-03547-8. Epub 2022 Jan 7.
Abstract
People with HIV (PWH) are at risk for adverse mental health outcomes, which could be elevated during the COVID-19 pandemic. This study describes reasons for changes in mental health among PWH during the pandemic. Data come from closed- and open-ended questions about mental health changes from a follow-up to a cohort study on PWH in Florida during part of the COVID-19 pandemic (May 2020-March 2021). Qualitative data were analyzed using thematic analysis. Among the total sample of 227 PWH (mean age 50.0, 49.7% men, 69.2% Black/African American, 14.1% Hispanic/Latino), 30.4% reported worsened mental health, 8.4% reported improved mental health, and 61.2% reported no change. The primary reasons for worsened mental health were concerns about COVID-19, social isolation, and anxiety/stress; reasons for improved mental health included increased focus on individual wellness. Nearly one-third of the sample experienced worsened mental health. These results provide support for increased mental health assessments in HIV treatment settings.
摘要
HIV 感染者（PWH）面临不良心理健康结果的风险，而在 COVID-19 大流行期间，这种风险可能会升高。本研究描述了 PWH 在大流行期间心理健康变化的原因。数据来自佛罗里达州 HIV 感染者队列研究的一项随访调查中关于心理健康变化的封闭式和开放式问题（2020 年 5 月至 2021 年 3 月期间）。使用主题分析对定性数据进行了分析。在总共 227 名 PWH 的样本中（平均年龄 50.0 岁，49.7%为男性，69.2%为黑人/非裔美国人，14.1%为西班牙裔/拉丁裔），30.4%报告心理健康恶化，8.4%报告心理健康改善，61.2%报告无变化。心理健康恶化的主要原因是对 COVID-19 的担忧、社会隔离和焦虑/压力；心理健康改善的原因包括更加关注个人健康。近三分之一的样本经历了心理健康恶化。这些结果为在 HIV 治疗环境中增加心理健康评估提供了支持。
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