Mental health and adherence to antiretroviral therapy among Mexican people living with HIV during the COVID-19 pandemic

Gutiérrez-Velilla, Ester; Barrientos-Casarrubias, Vania; Schjetnan, María Gómez-Palacio; Perrusquia-Ortiz, Lydia E.; Cruz-Maycott, Rosa; Barrera, Claudia Alvarado-de la; Ávila‐Ríos, Santiago; Caballero-Suárez, Nancy Patricia

doi:10.1186/s12981-023-00532-0

Cited by 3 publications

(1 citation statement)

References 57 publications

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“…Not unlike the experience common with individuals living with HIV prior to COVID-19 [ 34 ], medication fatigue also could exert a toll on consistent HIV medication use. Similar challenges to maintaining ARV adherence in Indonesia during the pandemic have been reported in multiple countries including China [ 35 ], Mexico [ 36 ], Vietnam [ 1 , 37 ]; and much of Asia [ 38 ].…”

Section: Discussionmentioning

confidence: 70%

Lived experience, social support, and challenges to health service use during the COVID-19 pandemic among HIV key populations in Indonesia

Sukmaningrum,

Levy,

Negara

et al. 2024

BMC Health Serv Res

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The COVID-19 pandemic has greatly affected the lives, health, and social well-being of people globally including presenting special challenges in low to middle income countries for people living with HIV. This study investigates the pandemic experiences of the four key HIV-positive populations in Indonesia: men who have sex with men, transgender women, female sex workers, and people who use drugs. In-depth interviews were conducted with a convenience sample of 22 key population members recruited through 9 nongovernment HIV agencies in Jakarta and Bali, Indonesia. Indonesia’s Large-scale Social Restrictions Policy mandating physical distancing and stay-at-home orders had been in effect for 7–10 months at the time of the interviews. The interviews were audio-recorded, transcribed, and coded using NVivo™ (R1.7) software. A grounded theory approach identified key concepts along with similarities, differences, and reoccurring patterns of COVID-19 lived experience among participants. Participants recounted the impact of both the pandemic and the Restriction Policy on their interpersonal, financial, medical, and psychosocial well-being. When in need, they turned to formal and informal sources of financial and social support plus their own resourcefulness. Along with other factors, HIV medication shortages, HIV and COVID-19 related stigma, and fear of acquiring COVID-19 negatively impacted their antiretroviral adherence and the use of health services. The results point to the latent consequences of government attempts to curb a pandemic through public health lockdowns and enforced policies of physical separation. Its findings reveal the importance of ensuring that public safety nets for HIV key populations are available to supplement more informal personal sources of needed support.

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Section: Discussionmentioning

confidence: 70%

Lived experience, social support, and challenges to health service use during the COVID-19 pandemic among HIV key populations in Indonesia

Sukmaningrum,

Levy,

Negara

et al. 2024

BMC Health Serv Res

View full text Add to dashboard Cite

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Impact of the COVID‐19 pandemic on the HIV care continuum and associated factors in middle‐income countries: A mixed‐methods systematic review

Ojukwu,

Pashaei,

Maia

et al. 2024

HIV Medicine

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IntroductionThe HIV care continuum during the COVID‐19 era faced specific challenges. The pandemic, affecting the delivery of HIV care, exacerbated existing healthcare inequities and vulnerabilities in middle‐income countries with limited financial resources. This study aims to set the stage for the systematic review, focusing on the impact of COVID‐19 on HIV care in middle‐income countries with a focus on barriers and facilitators.MethodsA systematic search of relevant literature, including electronic databases and manual assessment of references, was done. The review included quantitative, qualitative and mixed‐methods studies conducted in middle‐income countries, with no age or gender restrictions. The Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines were used for reporting the results.ResultsIn the course of our systematic review, a comprehensive examination of the pertinent literature published between 2020 and 2024 yielded a total of 76 studies. This adverse impact was prominently attributed to an amalgamation of factors intrinsically associated with pandemic‐induced restrictions, fear of contracting the COVID‐19 and fear of disclosing HIV status. Moreover, an emergent theme observed in select studies underscored the enduring trend of HIV treatment continuity, which was facilitated by the burgeoning utilization of telemedicine within this context.DiscussionThe pandemic negatively affected income and increased vulnerability to HIV across all phases of the HIV care continuum, except for viral suppression. Prevention measures, such as pre‐exposure prophylaxis (PrEP), were compromised, leading to increased risky behaviours and compromised mental health among people living with HIV. HIV testing and diagnosis faced challenges, with reduced access and frequency, particularly among key populations. The pandemic also disrupted linkage and retention in care, especially in urban areas, exacerbating barriers to accessing necessary HIV treatment. Additionally, this review highlights the complex and multifaceted landscape of the pandemic's impact on HIV medical appointments, adherence and treatment engagement, with various barriers identified, including fear of COVID‐19, economic constraints and disruptions in healthcare services.ConclusionsThe coexistence of pandemics has had negative effects on the HIV care continuum, with restrictions on services, an increase in care gaps and a break in the transmission chain in middle‐income countries.

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Lived Experience, Social Support, and Challenges to Health Service Use during the COVID-19 Pandemic among HIV Key Populations in Indonesia

Sukmaningrum,

Levy,

Negara

et al. 2023

Preprint

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The COVID-19 has greatly affected the lives, health and social well-being of people globally including presenting special challenges in low to middle income countries for people living with HIV. This study investigates the pandemic experiences of the four key HIV-positive populations in Indonesia: men who have sex with men, transgender women, female sex workers, and people who use drugs. In-depth interviews were conducted with a convenience sample of 22 key population members recruited through 9 nongovernment HIV agencies in Jakarta and Bali, Indonesia. Indonesia’s Large-scale Social Restrictions Policy mandating physical distancing and stay-at-home orders had been in effect for 7–10 months. The interviews were audio-recorded, transcribed, and coded using NVivo™ (R1.7) software A grounded theory approach identified key concepts along with similarities, differences, and reoccurring patterns of COVID-related lived experience among participants. Participants recounted the impact of both the pandemic and the Restriction Policy on their interpersonal, financial, medical, and psychosocial well-being. When in need, they turned to formal and informal sources of financial and social support plus their own resourcefulness. Along with other factors, HIV medication shortages, HIV and COVID-related stigma, and fear of acquiring COVID-19 negatively impacted antiretroviral adherence and the use of health services. The results point to the latent consequences of government attempts to curb a pandemic through public health lockdowns and enforced policies of physical separation. Its findings reveal the importance of ensuring that public safety nets for HIV key populations are available to supplement more informal personal sources of needed support.

show abstract

Mental health and adherence to antiretroviral therapy among Mexican people living with HIV during the COVID-19 pandemic

Cited by 3 publications

References 57 publications

Lived experience, social support, and challenges to health service use during the COVID-19 pandemic among HIV key populations in Indonesia

Lived experience, social support, and challenges to health service use during the COVID-19 pandemic among HIV key populations in Indonesia

Impact of the COVID‐19 pandemic on the HIV care continuum and associated factors in middle‐income countries: A mixed‐methods systematic review

Lived Experience, Social Support, and Challenges to Health Service Use during the COVID-19 Pandemic among HIV Key Populations in Indonesia

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