Salcedo M, Alain T, Lacoux C, Jones J C, Della Vecchia C, Charpentier N, Mabire-Yon R, Vallet L, Mabire X, Ferraz D, Michels D, Préau M
AIDES, Pantin, France.
Laboratoire de recherche communautaire, Coalition PLUS, Pantin, France.
J Int Assoc Provid AIDS Care. 2025 Jan-Dec;24:23259582251320127. doi: 10.1177/23259582251320127.
In 2020, people living with HIV (PLHIV) in France were worried that the COVID-19 health crisis would lead to long-term changes in their HIV care. Using data from the anonymous, online, cross-sectional survey ACOVIH, which was completed by PLHIV between July and September 2020, this study explored factors associated with worry about long-term changes to HIV care after the end of the first lockdown (17 March-11 May 2020). Using multivariate logistic regression, we compared participants who declared they were worried about long-term changes with those who did not, in terms of their demographic, behavioral, and socioeconomic characteristics, as well as their experience of the COVID-19 crisis and access to care. Among the 249 respondents, 61.5% (n = 153) declared having worries about long-term changes to HIV care. Specifically, after adjustment for gender and age, PLHIV born outside of France (adjusted odds ratios (aOR) [95%CI] = 2.57[1.44;6.76]), those whose financial situation deteriorated since the beginning of the pandemic (4.87[1.97;13.20]), those with a history of HIV opportunistic infections (3.27[1.53;7.32]), and respondents who took psychotropic drugs (3.21[1.50;7.22]) were all more likely to declare having worries. In terms of related determinants, a deterioration in communication with their HIV medical team (3.47[1.61;7.94]), having worries about COVID-19 (1.36[1.14;1.62]), and believing that HIV treatment increased the risk of COVID-19 infection (1.52[1.15;2.03]), were all significantly associated with having worries about long-term changes to HIV care. In the context of future disease epidemics, taking into account the profiles of individual PLHIV, and providing clearer, targeted information on HIV care, could help reduce worry in this population about the continuity of HIV care and could foster efficient communication with care providers.
2020年，法国的艾滋病病毒感染者（PLHIV）担心新冠疫情健康危机将导致他们的艾滋病护理出现长期变化。本研究利用艾滋病病毒感染者在2020年7月至9月间完成的匿名在线横断面调查ACOVIH的数据，探讨了与担心首次封锁结束（2020年3月17日至5月11日）后艾滋病护理出现长期变化相关的因素。我们使用多变量逻辑回归，根据参与者的人口统计学、行为学和社会经济特征，以及他们的新冠疫情经历和获得护理的情况，将表示担心长期变化的参与者与不担心的参与者进行了比较。在249名受访者中，61.5%（n = 153）表示担心艾滋病护理会出现长期变化。具体而言，在对性别和年龄进行调整后，出生在法国境外的艾滋病病毒感染者（调整后的优势比（aOR）[95%置信区间] = 2.57[1.44；6.76]）、自疫情开始以来财务状况恶化的人（4.87[1.97；13.20]）、有艾滋病机会性感染病史的人（3.27[1.53；7.32]）以及服用精神药物的受访者（3.21[1.50；7.22]）都更有可能表示担心。在相关决定因素方面，与艾滋病医疗团队沟通的恶化（3.47[1.61；7.94]）、对新冠疫情的担忧（1.36[1.14；1.62]）以及认为艾滋病治疗会增加感染新冠病毒的风险（1.52[1.15；2.03]），都与担心艾滋病护理的长期变化显著相关。在未来疾病流行的背景下，考虑到个体艾滋病病毒感染者的情况，并提供更清晰、有针对性的艾滋病护理信息，有助于减少该人群对艾滋病护理连续性的担忧，并促进与护理提供者的有效沟通。
