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新冠疫情期间新诊断出的艾滋病病毒感染者在医疗护理方面面临的困难及感知到的障碍

Hardships and Perceived Barriers to Medical Care Among Newly Diagnosed People With HIV During the COVID-19 Pandemic.

作者信息

Moitra Ethan, Scheinbach Julia, Thompson Michael

机构信息

Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, Providence, RI, USA.

Department of Behavioral & Social Sciences, Brown University School of Public Health, Providence, RI, USA.

出版信息

J Int Assoc Provid AIDS Care. 2025 Jan-Dec;24:23259582251331275. doi: 10.1177/23259582251331275. Epub 2025 Mar 28.

Abstract

Purpose of the researchA major consequence of the COVID-19 pandemic was a disruption of medical care in the United States. Using cross-sectional data from an ongoing randomized clinical trial, we examined severity of COVID-related hardships and other factors that might have influenced newly diagnosed people with HIV's (PWH's) receipt of care during the initial years of the pandemic (2020-22).Major findingsIn a sample of 29 newly diagnosed PWH presenting for care at three geographically diverse medical clinics in the United States, results showed that most patients (72.4%) reported that obtaining an HIV medical appointment during the pandemic was "easy." Correlational analyses found that COVID-related hardships were significantly related to overall health and functioning, as well as experiences of discrimination.ConclusionsTaken together, these findings align with previous results to show that already vulnerable populations were particularly affected by service disruptions, but that many patients were able to access care despite the pandemic.

摘要

研究目的

新冠疫情的一个主要后果是美国医疗服务的中断。利用一项正在进行的随机临床试验的横断面数据,我们研究了新冠相关困难的严重程度以及在疫情最初几年(2020 - 2022年)可能影响新诊断的艾滋病毒感染者(PWH)接受治疗的其他因素。

主要发现

在美国三个地理位置不同的医疗诊所接受治疗的29例新诊断的PWH样本中,结果显示大多数患者(72.4%)报告称在疫情期间获得艾滋病毒医疗预约“很容易”。相关分析发现,新冠相关困难与整体健康和功能以及歧视经历显著相关。

结论

综上所述,这些发现与之前的结果一致,表明本就脆弱的人群尤其受到服务中断的影响,但尽管有疫情,许多患者仍能够获得治疗。

相似文献

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本文引用的文献

2
Care Disruption During COVID-19: a National Survey of Hospital Leaders.《COVID-19 期间的护理中断:全国医院领导人调查》。
J Gen Intern Med. 2023 Apr;38(5):1232-1238. doi: 10.1007/s11606-022-08002-5. Epub 2023 Jan 17.

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