Black and Latino Persons Living with HIV Evidence Risk and Resilience in the Context of COVID-19: A Mixed-Methods Study of the Early Phase of the Pandemic
| Autor: | Marya Gwadz, Robert Hawkins, Noelle R. Leonard, Leo Wilton, Amanda S. Ritchie, Sabrina Cluesman, J. Yvette Allen, Belkis Y. Martinez, Robert Freeman, Linda M. Collins, Dawa Sherpa, Stephanie Campos, Caroline Dorsen, Theresa Hroncich, Charles M. Cleland |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Gerontology medicine.medical_specialty Social Psychology media_common.quotation_subject HIV Infections Context (language use) Telehealth Acquired immunodeficiency syndrome (AIDS) Pandemic medicine Humans Structural racism Pandemics media_common Original Paper Mixed-methods Resilience SARS-CoV-2 Public health Public Health Environmental and Occupational Health COVID-19 Hispanic or Latino HIV survivorship research medicine.disease Black or African American Health psychology Infectious Diseases Preparedness New York City Psychological resilience Psychology |
| Zdroj: | AIDS and Behavior |
| ISSN: | 1573-3254 1090-7165 |
| Popis: | The COVID-19 pandemic has great potential to disrupt the lives of persons living with HIV (PLWH). The present convergent parallel design mixed-methods study explored the early effects of COVID-19 on African American/Black or Latino (AABL) long-term survivors of HIV in a pandemic epicenter, New York City. A total of 96 AABL PLWH were recruited from a larger study of PLWH with non-suppressed HIV viral load. They engaged in structured assessments focused on knowledge, testing, trust in information sources, and potential emotional, social, and behavioral impacts. Twenty-six of these participants were randomly selected for in-depth semi-structured interviews. Participants were mostly men (64%), African American/Black (75%), and had lived with HIV for 17 years, on average (SD=9 years). Quantitative results revealed high levels of concern about and the adoption of recommended COVID-19 prevention recommendations. HIV care visits were commonly canceled but, overall, engagement in HIV care and antiretroviral therapy use were not seriously disrupted. Trust in local sources of information was higher than trust in various federal sources. Qualitative findings complemented and enriched quantitative results and provided a multifaceted description of both risk factors (e.g., phones/internet access were inadequate for some forms of telehealth) and resilience (e.g., "hustling" for food supplies). Participants drew a direct line between structural racism and the disproportional adverse effects of COVID-19 on communities of color, and their knowledge gleaned from the HIV pandemic was applied to COVID-19. Implications for future crisis preparedness are provided, including how the National HIV/AIDS Strategy can serve as a model to prevent COVID-19 from becoming another pandemic of the poor. |
| Databáze: | OpenAIRE |
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