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Socio-Structural Factors and HIV Care Engagement among People Living with HIV during the COVID-19 Pandemic: A Qualitative Study in the United States.
Bleasdale, Jacob; Leone, Lucia A; Morse, Gene D; Liu, Yu; Taylor, Shelby; Przybyla, Sarahmona M.
  • Bleasdale J; Department of Community Health and Health Behavior, School of Public Health and Health Professions, University at Buffalo, Buffalo, NY 14214, USA.
  • Leone LA; Department of Community Health and Health Behavior, School of Public Health and Health Professions, University at Buffalo, Buffalo, NY 14214, USA.
  • Morse GD; Department of Community Health and Health Behavior, School of Public Health and Health Professions, University at Buffalo, Buffalo, NY 14214, USA.
  • Liu Y; Center for Integrated Global Biomedical Sciences, Department of Pharmacy Practice, School of Pharmacy and Pharmaceutical Sciences, University at Buffalo, Buffalo, NY 14214, USA.
  • Taylor S; Department of Public Health Sciences, School of Medicine and Dentistry, University of Rochester, Rochester, NY 14642, USA.
  • Przybyla SM; Department of Community Health and Health Behavior, School of Public Health and Health Professions, University at Buffalo, Buffalo, NY 14214, USA.
Trop Med Infect Dis ; 7(10)2022 Sep 23.
Article in English | MEDLINE | ID: covidwho-2043967
ABSTRACT
Achieving HIV prevention goals will require successful engagement in each stage of the HIV continuum. The present study sought to understand the ways in which socio-structural factors influence HIV care engagement among people living with HIV (PLH) within the context of the ongoing COVID-19 pandemic. Twenty-five PLH were recruited from January to October 2021. Semi-structured interviews discussed various socio-contextual factors that influenced engagement in HIV-related care as a result of the pandemic. A thematic content analysis reported semantic level themes describing factors influencing HIV care following an integrated inductive-deductive approach. Qualitative analysis revealed three themes that either supported or hindered engagement in care within the context of the COVID-19 pandemic (1) social determinants of health, (2) social support, and (3) modes of healthcare delivery. The results underscore the need to assess socio-structural factors of health as means to promote successful engagement in the HIV care continuum and shed new insights to guide future practice in the era of COVID-19.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Qualitative research Language: English Year: 2022 Document Type: Article Affiliation country: Tropicalmed7100259

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Qualitative research Language: English Year: 2022 Document Type: Article Affiliation country: Tropicalmed7100259