Prevalence of COVID-19-Related Social Disruptions and Effects on Psychosocial Health in a Mixed-Serostatus Cohort of Men and Women.
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Author
Friedman, M ReuelKempf, Mirjam-Colette
Benning, Lorie
Adimora, Adaora A
Aouizerat, Bradley
Cohen, Mardge H
Hatfield, Queen
Merenstein, Dan
Mimiaga, Matthew J
Plankey, Michael W
Sharma, Anjali
Sheth, Anandi N
Ramirez, Catalina
Stosor, Valentina
Wagner, Marc C E
Wilson, Tracey E
D'Souza, Gypsyamber
Weiss, Deborah Jones
Journal title
Journal of acquired immune deficiency syndromes (1999)Date Published
2021-12Publication Volume
88Publication Issue
5Publication Begin page
426Publication End page
438
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Show full item recordAbstract
Objectives: This study describes prevention behavior and psychosocial health among people living with HIV (PLHIV) and HIV-negative people during the early wave of the coronavirus disease 2019 (COVID-19) pandemic in the United States. We assessed differences by HIV status and associations between social disruption and psychosocial health.Design: A cross-sectional telephone/videoconference administered survey of 3411 PLHIV and HIV-negative participants in the Multicenter AIDS Cohort Study/WIHS Combined Cohort Study (MWCCS).
Methods: An instrument combining new and validated measures was developed to assess COVID-19 prevention efforts, social disruptions (loss of employment, childcare, health insurance, and financial supports), experiences of abuse, and psychosocial health. Interviews were performed between April and June 2020. Associations between social disruptions and psychosocial health were explored using multivariable logistic regression, adjusting for sociodemographics and HIV status.
Results: Almost all (97.4%) participants reported COVID-19 prevention behavior; 40.1% participants reported social disruptions, and 34.3% reported health care appointment disruption. Men living with HIV were more likely than HIV-negative men to experience social disruptions (40.6% vs. 32.9%; P < 0.01), whereas HIV-negative women were more likely than women with HIV to experience social disruptions (51.1% vs. 39.8%, P < 0.001). Participants who experienced ≥2 social disruptions had significantly higher odds of depression symptoms [aOR = 1.32; 95% confidence interval (CI): 1.12 to 1.56], anxiety (aOR = 1.63; 95% CI: 1.17 to 2.27), and social support dissatisfaction (aOR = 1.81; 95% CI: 1.26 to 2.60).
Conclusions: This study builds on emerging literature demonstrating the psychosocial health impact related to the COVID-19 pandemic by providing context specific to PLHIV. The ongoing pandemic requires structural and social interventions to decrease social disruption and address psychosocial health needs among the most vulnerable populations.
Citation
Friedman MR, Kempf MC, Benning L, Adimora AA, Aouizerat B, Cohen MH, Hatfield Q, Merenstein D, Mimiaga MJ, Plankey MW, Sharma A, Sheth AN, Ramirez C, Stosor V, Wagner MCE, Wilson TE, D'Souza G, Weiss DJ. Prevalence of COVID-19-Related Social Disruptions and Effects on Psychosocial Health in a Mixed-Serostatus Cohort of Men and Women. J Acquir Immune Defic Syndr. 2021 Dec 15;88(5):426-438. doi: 10.1097/QAI.0000000000002799. PMID: 34757972; PMCID: PMC8575096.DOI
10.1097/QAI.0000000000002799ae974a485f413a2113503eed53cd6c53
10.1097/QAI.0000000000002799
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Except where otherwise noted, this item's license is described as Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.