从危机到危机：COVID-19 大流行对印第安纳州的艾滋病毒感染者和艾滋病毒/艾滋病服务组织的影响。
From crisis to crisis: impacts of the COVID-19 pandemic on people living with HIV and HIV/AIDS service organizations in Indiana.
机构信息
Weldon School of Biomedical Engineering, College of Engineering, Purdue University, IN, West Lafayette, USA.
Department of Public Health, College of Health and Human Sciences, Purdue University, IN, West Lafayette, USA.
出版信息
BMC Health Serv Res. 2022 May 9;22(1):622. doi: 10.1186/s12913-022-07998-0.
BACKGROUND
The COVID-19 pandemic thrust people living with HIV (PLWH) and HIV/AIDS service organizations into an environment ripe with uncertainty. This study examined Indiana HIV/AIDS service provider perceptions of how COVID-19 affected the overall health and access to care of their clients, and how the organizations prepared for, adapted, and responded to the needs of PLWH during the pandemic.
METHODS
Guided by the socioecological model, fifteen semi-structured interviews were conducted with ten different HIV/AIDS service organizations across the state of Indiana.
RESULTS
Despite the profound disruptions experienced by HIV programs, HIV/AIDS service organizations responded quickly to the challenges posed by the COVID-19 pandemic through myriad innovative strategies, largely informed by prior experiences with the HIV epidemic.
CONCLUSIONS
The lessons provided by HIV/AIDS service organizations are invaluable to informing future pandemic response for PLWH. Service delivery innovations in response to the COVID-19 crisis may provide insights to improve HIV care continuity strategies for vulnerable populations far beyond the pandemic.
背景
COVID-19 大流行使艾滋病毒感染者（PLWH）和艾滋病毒/艾滋病服务组织置身于一个充满不确定性的环境中。本研究调查了印第安纳州艾滋病毒/艾滋病服务提供者对 COVID-19 如何影响其客户整体健康和获得护理的看法，以及组织在大流行期间如何为 PLWH 的需求做准备、适应和做出反应。
方法
本研究以社会生态学模型为指导，在印第安纳州的十个不同的艾滋病毒/艾滋病服务组织中进行了十五次半结构化访谈。
结果
尽管艾滋病毒项目经历了深刻的干扰，但艾滋病毒/艾滋病服务组织通过众多创新策略迅速应对 COVID-19 大流行带来的挑战，这些策略主要是受艾滋病毒流行期间经验的启发。
结论
艾滋病毒/艾滋病服务组织提供的经验教训对于为 PLWH 提供未来的大流行应对措施非常宝贵。针对 COVID-19 危机的服务提供创新可能为改善弱势群体的艾滋病毒护理连续性策略提供见解，而不仅仅是在大流行期间。
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