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Resilience-Focused HIV Care to Promote Psychological Well-Being During COVID-19 and Other Catastrophes.
Brown, L Lauren; Martin, Erika G; Knudsen, Hannah K; Gotham, Heather J; Garner, Bryan R.
  • Brown LL; Department of Psychiatry and Behavioral Sciences, School of Medicine, Meharry Medical College, Nashville, TN, United States.
  • Martin EG; Infectious Disease Division, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, United States.
  • Knudsen HK; Department of Public Administration and Policy, Rockefeller College of Public Affairs and Policy, University at Albany, Albany, NY, United States.
  • Gotham HJ; Center for Collaborative HIV Research in Practice and Policy, School of Public Health, University at Albany, Albany, NY, United States.
  • Garner BR; Department of Behavioral Science, College of Medicine, University of Kentucky, Lexington, KY, United States.
Front Public Health ; 9: 705573, 2021.
Article in English | MEDLINE | ID: covidwho-1369736
ABSTRACT
The COVID-19 pandemic has adversely affected people with HIV due to disruptions in prevention and care services, economic impacts, and social isolation. These stressors have contributed to worse physical health, HIV treatment outcomes, and psychological wellness. Psychological sequelae associated with COVID-19 threaten the overall well-being of people with HIV and efforts to end the HIV epidemic. Resilience is a known mediator of health disparities and can improve psychological wellness and behavioral health outcomes along the HIV Continuum of Care. Though resilience is often organically developed in individuals as a result of overcoming adversity, it may be fostered through multi-level internal and external resourcing (at psychological, interpersonal, spiritual, and community/neighborhood levels). In this Perspective, resilience-focused HIV care is defined as a model of care in which providers promote optimum health for people with HIV by facilitating multi-level resourcing to buffer the effects of adversity and foster well-being. Adoption of resilience-focused HIV care may help providers better promote well-being among people living with HIV during this time of increased psychological stress and help prepare systems of care for future catastrophes. Informed by the literature, we constructed a set of core principles and considerations for successful adoption and sustainability of resilience-focused HIV care. Our definition of resilience-focused HIV care marks a novel contribution to the knowledge base and responds to the call for a multidimensional definition of resilience as part of HIV research.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: HIV Infections / Mental Health / Resilience, Psychological / COVID-19 Type of study: Qualitative research Topics: Long Covid Limits: Humans Language: English Journal: Front Public Health Year: 2021 Document Type: Article Affiliation country: Fpubh.2021.705573

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Full text: Available Collection: International databases Database: MEDLINE Main subject: HIV Infections / Mental Health / Resilience, Psychological / COVID-19 Type of study: Qualitative research Topics: Long Covid Limits: Humans Language: English Journal: Front Public Health Year: 2021 Document Type: Article Affiliation country: Fpubh.2021.705573