新冠疫情对纽约市感染艾滋病毒的男同性恋者和双性恋者社交支持网络的影响。
Impact of the COVID-19 Pandemic on Social Support Networks of Gay and Bisexual Men with HIV in New York City.
作者信息
Soler Jorge H, Frye Victoria A, Nandi Vijay, Walcott Melonie, Bosompem Abena, Diaz José E, Greene Emily, Latkin Carl, Van Tieu Hong
机构信息
Laboratory of Infectious Disease Prevention, Lindsley F. Kimball Research Institute, New York Blood Center, 310 East 67Th Street, New York, NY, 10065, USA.
Columbia University School of Social Work, New York, NY, USA.
出版信息
J Urban Health. 2025 Apr;102(2):423-431. doi: 10.1007/s11524-025-00965-0. Epub 2025 Mar 19.
The COVID-19 pandemic, and the ensuing social policies enacted to control viral transmission of SARS-CoV-2, has had a significant impact on social support networks. For people living with HIV (PWH), including gay, bisexual, and other men who have sex with men (GBMSM), social support networks serve additional purposes in the self-management of HIV care and psychosocial health. Given the broad-reaching effects of the pandemic, characterizing its impact on specific dimensions of social support networks remains a prime area of investigation. We used egocentric social network data from an on-going longitudinal study of GBMSM with HIV, living in New York City (NYC), to examine changes in the structural, interactional, and functional characteristics of their social support networks from pre- to post-start of the pandemic. We analyzed data from 146 GBMSM who reported a total of 164 social support network members. We found that the average size of social support member networks increased over time, of which 57% and 25% provided companionship and confidant support, respectively. Follow-up questions about how often guidance, tangible, and emotional support was provided (if needed) suggest the quality of support decreased over time. At follow-up, nearly half (49%) of network members were friends, the vast majority (89%) were aware of GBMSM's HIV status, and most (74%) were also living within NYC. Characterizing the changes in social support networks over the course of the COVID-19 pandemic can help identify areas of need and resilience, especially for key populations such as GBMSM with HIV.
新冠疫情以及为控制严重急性呼吸综合征冠状病毒2(SARS-CoV-2)病毒传播而制定的后续社会政策,对社会支持网络产生了重大影响。对于艾滋病毒感染者(PWH),包括男同性恋者、双性恋者和其他与男性发生性关系的男性(GBMSM),社会支持网络在艾滋病毒护理的自我管理和心理社会健康方面还有其他作用。鉴于疫情的广泛影响,描述其对社会支持网络特定维度的影响仍是一个主要研究领域。我们使用了一项正在进行的对居住在纽约市(NYC)的感染艾滋病毒的GBMSM的纵向研究中的自我中心社会网络数据,来研究他们的社会支持网络从疫情开始前到开始后在结构、互动和功能特征方面的变化。我们分析了146名GBMSM的数据,他们总共报告了164名社会支持网络成员。我们发现,社会支持成员网络的平均规模随时间增加,其中分别有57%和25%的成员提供陪伴和知己支持。关于(如有需要)提供指导、实际帮助和情感支持的频率的后续问题表明,支持质量随时间下降。在随访中,近一半(49%)的网络成员是朋友,绝大多数(89%)知道GBMSM的艾滋病毒感染状况,并且大多数(74%)也居住在纽约市。描述新冠疫情期间社会支持网络的变化有助于确定需求和恢复力领域,特别是对于像感染艾滋病毒的GBMSM这样的关键人群。