People Living with HIV's Worry That the COVID-19 Health Crisis Could Impact Long-Term HIV Care: Lessons From the French Context for Future Disease Epidemics
Background: In 2020, people living with HIV (PLHIV) in France were worried that the COVID-19 health crisis would lead to long-term changes in their HIV care. Using data from the anonymous, online, cross-sectional survey ACOVIH, which was completed by PLHIV between July and September 2020, this study...
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| Format: | Article |
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SAGE Publishing
2025-02-01
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| Series: | Journal of the International Association of Providers of AIDS Care |
| Online Access: | https://doi.org/10.1177/23259582251320127 |
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| author | M. Salcedo PhD T. Alain MA C. Lacoux MA J.C. Jones MA C. Della Vecchia PhD N. Charpentier MA R. Mabire-Yon PhD L. Vallet MA X. Mabire PhD D. Ferraz PhD D. Michels PhD M. Préau PhD |
| author_facet | M. Salcedo PhD T. Alain MA C. Lacoux MA J.C. Jones MA C. Della Vecchia PhD N. Charpentier MA R. Mabire-Yon PhD L. Vallet MA X. Mabire PhD D. Ferraz PhD D. Michels PhD M. Préau PhD |
| author_sort | M. Salcedo PhD |
| collection | DOAJ |
| description | Background: In 2020, people living with HIV (PLHIV) in France were worried that the COVID-19 health crisis would lead to long-term changes in their HIV care. Using data from the anonymous, online, cross-sectional survey ACOVIH, which was completed by PLHIV between July and September 2020, this study explored factors associated with worry about long-term changes to HIV care after the end of the first lockdown (17 March-11 May 2020). Methods: Using multivariate logistic regression, we compared participants who declared they were worried about long-term changes with those who did not, in terms of their demographic, behavioral, and socioeconomic characteristics, as well as their experience of the COVID-19 crisis and access to care. Results: Among the 249 respondents, 61.5% (n = 153) declared having worries about long-term changes to HIV care. Specifically, after adjustment for gender and age, PLHIV born outside of France (adjusted odds ratios (aOR) [95%CI] = 2.57[1.44;6.76]), those whose financial situation deteriorated since the beginning of the pandemic (4.87[1.97;13.20]), those with a history of HIV opportunistic infections (3.27[1.53;7.32]), and respondents who took psychotropic drugs (3.21[1.50;7.22]) were all more likely to declare having worries. In terms of related determinants, a deterioration in communication with their HIV medical team (3.47[1.61;7.94]), having worries about COVID-19 (1.36[1.14;1.62]), and believing that HIV treatment increased the risk of COVID-19 infection (1.52[1.15;2.03]), were all significantly associated with having worries about long-term changes to HIV care. Conclusion: In the context of future disease epidemics, taking into account the profiles of individual PLHIV, and providing clearer, targeted information on HIV care, could help reduce worry in this population about the continuity of HIV care and could foster efficient communication with care providers. |
| format | Article |
| id | doaj-art-a4f3ef1d35f94a10a833d4172418ebe7 |
| institution | DOAJ |
| issn | 2325-9582 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of the International Association of Providers of AIDS Care |
| spelling | doaj-art-a4f3ef1d35f94a10a833d4172418ebe72025-08-20T02:55:35ZengSAGE PublishingJournal of the International Association of Providers of AIDS Care2325-95822025-02-012410.1177/23259582251320127People Living with HIV's Worry That the COVID-19 Health Crisis Could Impact Long-Term HIV Care: Lessons From the French Context for Future Disease EpidemicsM. Salcedo PhD0T. Alain MA1C. Lacoux MA2 J.C. Jones MA3C. Della Vecchia PhD4N. Charpentier MA5R. Mabire-Yon PhD6L. Vallet MA7X. Mabire PhD8D. Ferraz PhD9D. Michels PhD10M. Préau PhD11 CEG, Centre en Etudes Genre, University of Lausanne, Switzerland , Paris, France UMR1296 “Radiations : Défense, Santé, Environnement”, INSERM, University Lumière Lyon 2, Bron, France Laboratoire de recherche communautaire, , Pantin, France UMR1296 “Radiations : Défense, Santé, Environnement”, INSERM, University Lumière Lyon 2, Bron, France Institut de recherches sociologiques, University of Geneva, Switzerland UMR1296 “Radiations : Défense, Santé, Environnement”, INSERM, University Lumière Lyon 2, Bron, France , Pantin, France PHASE (Psychology of Health, Aging and Sport Examination), Institut de Psychologie, University of Lausanne, Switzerland UMR1296 “Radiations : Défense, Santé, Environnement”, INSERM, University Lumière Lyon 2, Bron, France Laboratoire de recherche communautaire, , Pantin, France UMR1296 “Radiations : Défense, Santé, Environnement”, INSERM, University Lumière Lyon 2, Bron, FranceBackground: In 2020, people living with HIV (PLHIV) in France were worried that the COVID-19 health crisis would lead to long-term changes in their HIV care. Using data from the anonymous, online, cross-sectional survey ACOVIH, which was completed by PLHIV between July and September 2020, this study explored factors associated with worry about long-term changes to HIV care after the end of the first lockdown (17 March-11 May 2020). Methods: Using multivariate logistic regression, we compared participants who declared they were worried about long-term changes with those who did not, in terms of their demographic, behavioral, and socioeconomic characteristics, as well as their experience of the COVID-19 crisis and access to care. Results: Among the 249 respondents, 61.5% (n = 153) declared having worries about long-term changes to HIV care. Specifically, after adjustment for gender and age, PLHIV born outside of France (adjusted odds ratios (aOR) [95%CI] = 2.57[1.44;6.76]), those whose financial situation deteriorated since the beginning of the pandemic (4.87[1.97;13.20]), those with a history of HIV opportunistic infections (3.27[1.53;7.32]), and respondents who took psychotropic drugs (3.21[1.50;7.22]) were all more likely to declare having worries. In terms of related determinants, a deterioration in communication with their HIV medical team (3.47[1.61;7.94]), having worries about COVID-19 (1.36[1.14;1.62]), and believing that HIV treatment increased the risk of COVID-19 infection (1.52[1.15;2.03]), were all significantly associated with having worries about long-term changes to HIV care. Conclusion: In the context of future disease epidemics, taking into account the profiles of individual PLHIV, and providing clearer, targeted information on HIV care, could help reduce worry in this population about the continuity of HIV care and could foster efficient communication with care providers.https://doi.org/10.1177/23259582251320127 |
| spellingShingle | M. Salcedo PhD T. Alain MA C. Lacoux MA J.C. Jones MA C. Della Vecchia PhD N. Charpentier MA R. Mabire-Yon PhD L. Vallet MA X. Mabire PhD D. Ferraz PhD D. Michels PhD M. Préau PhD People Living with HIV's Worry That the COVID-19 Health Crisis Could Impact Long-Term HIV Care: Lessons From the French Context for Future Disease Epidemics Journal of the International Association of Providers of AIDS Care |
| title | People Living with HIV's Worry That the COVID-19 Health Crisis Could Impact Long-Term HIV Care: Lessons From the French Context for Future Disease Epidemics |
| title_full | People Living with HIV's Worry That the COVID-19 Health Crisis Could Impact Long-Term HIV Care: Lessons From the French Context for Future Disease Epidemics |
| title_fullStr | People Living with HIV's Worry That the COVID-19 Health Crisis Could Impact Long-Term HIV Care: Lessons From the French Context for Future Disease Epidemics |
| title_full_unstemmed | People Living with HIV's Worry That the COVID-19 Health Crisis Could Impact Long-Term HIV Care: Lessons From the French Context for Future Disease Epidemics |
| title_short | People Living with HIV's Worry That the COVID-19 Health Crisis Could Impact Long-Term HIV Care: Lessons From the French Context for Future Disease Epidemics |
| title_sort | people living with hiv s worry that the covid 19 health crisis could impact long term hiv care lessons from the french context for future disease epidemics |
| url | https://doi.org/10.1177/23259582251320127 |
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