Washington University in St. Louis, USA.
Mildmay Uganda, Uganda.
J Health Psychol. 2024 May;29(6):633-649. doi: 10.1177/13591053241228205. Epub 2024 Feb 6.
In the context of the COVID-19 pandemic, we investigated associations between specific COVID-19-related changes and its impact on generalized anxiety disorder (GAD) levels among vulnerable young adults living with HIV (YALHIV) in a low-resource setting in Southern Uganda. This research utilized data from 500 YALHIV aged 19 to 25 from the Suubi+Adherence-R2 COVID-19 Supplement study. Disruptions were assessed using an 8-item modified Coronavirus Impact Scale, while anxiety was measured with the GAD-7 questionnaire. Hierarchical logistic regression analysis and multivariate linear regression were employed, guided by the Social Determinants of Health framework. Key findings highlighted changes in routines, family income, stress from the pandemic, changes in family stress and discord, and reduced access to mental health services heightened levels of probable GAD for YALHIV during the pandemic. Additionally, female young adults showed greater levels than males. These results underscore the urgency to develop tailored support mechanisms for YALHIV, especially during challenging and unprecedented times.
在 COVID-19 大流行背景下，我们研究了在乌干达南部资源匮乏地区，特定的与 COVID-19 相关的变化及其对感染 HIV 的弱势青年成年人（YALHIV）的广泛性焦虑症（GAD）水平的影响。这项研究利用了 Suubi+Adherence-R2 COVID-19 补充研究中 500 名年龄在 19 至 25 岁的 YALHIV 的数据。使用 8 项改良的冠状病毒影响量表评估干扰，并用 GAD-7 问卷测量焦虑。根据健康的社会决定因素框架，采用分层逻辑回归分析和多元线性回归。主要发现强调了在大流行期间，日常生活规律、家庭收入、来自疫情的压力、家庭压力和不和谐的变化，以及获得心理健康服务的减少，这些因素使 YALHIV 的可能 GAD 水平升高。此外，女性青年成年人比男性表现出更高的水平。这些结果突显出，在充满挑战和前所未有的时期，为 YALHIV 制定有针对性的支持机制的紧迫性。
