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芝加哥感染 HIV 的年轻黑人男性的 COVID-19、HIV 护理保留率和辅助服务获取情况。

COVID-19, Retention in HIV Care, and Access to Ancillary Services for Young Black Men Living with HIV in Chicago.

机构信息

Jack, Joseph Morton School of Applied Social Sciences, Case Western Reserve University, Cleveland, OH, USA.

Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, ON, Canada.

出版信息

AIDS Behav. 2023 Feb;27(2):535-544. doi: 10.1007/s10461-022-03789-0. Epub 2022 Sep 1.

DOI:10.1007/s10461-022-03789-0
PMID:36048289
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9434087/
Abstract

This study conducted 28 semi-structured, in-depth interviews with Young Black Men who have Sex with Men in Chicago to investigate the impact of COVID-19 on their HIV care and ancillary service access. The qualitative analysis identified both negative and positive effects. The negative effects included: (l) mixed disruptions in linkage to and receipt of HIV care and ancillary services, and (2) heightened concerns about police and racial tensions in Chicago following the murder of George Floyd, contributing to possible disruption of retention in care. The positive effects included: (1) the ability to reflect and socially connect, contributing to heightened self-care and retention in care, and (2) some improvements in receipt of medical care. These findings suggest that while COVID-19 disruptions in care reduced in-person use of HIV care, the expansion of telemedicine allowed more administrative tasks to be handled online and focused in-person interactions on more substantive interactions.

摘要

这项研究对芝加哥的 28 名与男性发生性关系的年轻黑人男性进行了 28 次半结构化的深入访谈,以调查 COVID-19 对他们的 HIV 护理和辅助服务获取的影响。定性分析确定了正反两方面的影响。负面影响包括:(1)与 HIV 护理和辅助服务的联系和获得方面存在混合中断;(2)在乔治·弗洛伊德(George Floyd)被谋杀后,芝加哥对警察和种族紧张局势的担忧加剧,这可能导致护理中断。积极影响包括:(1) 反思和社交的能力,有助于提高自我保健和护理保留率;(2) 在获得医疗保健方面有所改善。这些发现表明,虽然 COVID-19 对护理的干扰减少了对 HIV 护理的面对面使用,但远程医疗的扩展使更多的行政任务可以在线处理,并将面对面的互动集中在更实质性的互动上。