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The Initial Response to COVID-19 Disruptions for Older People with HIV in Ukraine.
Rozanova, Julia; Rich, Katherine M; Altice, Frederick L; Shenoi, Sheela V; Zaviryukha, Irina; Kiriazova, Tetiana; Mamedova, Elmira; Shipunov, Oleksandr; Yariy, Volodymyr; Deac, Alexandra; Zeziulin, Oleksandr.
  • Rozanova J; Section of Infectious Diseases, Yale University School of Medicine, New Haven, CT 06510, USA.
  • Rich KM; Centre for Interdisciplinary Research on AIDS (CIRA), Yale University School of Public Health, New Haven, CT 06510, USA.
  • Altice FL; Department of Health Service and Population Research, King's College London, London SE5 8AF, UK.
  • Shenoi SV; Harvard Medical School, Boston, MA 02115, USA.
  • Zaviryukha I; Section of Infectious Diseases, Yale University School of Medicine, New Haven, CT 06510, USA.
  • Kiriazova T; Centre for Interdisciplinary Research on AIDS (CIRA), Yale University School of Public Health, New Haven, CT 06510, USA.
  • Mamedova E; Centre of Excellence of Research in AIDS (CERiA), University of Malaya, Kuala Lumpur 59990, Malaysia.
  • Shipunov O; Division of Epidemiology of Microbial Diseases, Yale University School of Public Health, New Haven, CT 06510, USA.
  • Yariy V; Section of Infectious Diseases, Yale University School of Medicine, New Haven, CT 06510, USA.
  • Deac A; Centre for Interdisciplinary Research on AIDS (CIRA), Yale University School of Public Health, New Haven, CT 06510, USA.
  • Zeziulin O; European Institute of Public Health Policy, 04123 Kyiv, Ukraine.
Geriatrics (Basel) ; 7(6)2022 Dec 06.
Article in English | MEDLINE | ID: covidwho-2154949
ABSTRACT
Ukraine imposed a COVID-19 lockdown in March 2020. From April to June 2020, we surveyed 123 older people with HIV (OPWH) by phone to assess their mental health, engagement in HIV and other healthcare, and substance use using standardised scales. Variables of key interest were symptoms of depression and symptoms of anxiety. Univariate and multivariable Firth logistic regression models were built to assess factors associated with (1) symptoms of depression, and (2) symptoms of anxiety. Findings indicated high suicidal ideation (10.6%); 45.5% met the screening criteria for moderate to severe depression; and 35.0% met the criteria for generalised anxiety disorder (GAD). Independent correlates of having moderate to severe depression included being female (AOR 2.83, 95%CI = 1.19-7.05), having concerns about potential barriers to HIV treatment (AOR 8.90, 95%CI = 1.31-104.94), and active drug use (AOR 34.53, 95%CI = 3.02-4885.85). Being female (AOR 5.30, 95%CI = 2.16-14.30) and having concerns about potential barriers to HIV treatment (AOR 5.33, 95%CI = 1.22-28.45) were independently correlated with GAD, and over half (58.5%) were willing to provide peer support to other OPWH. These results highlight the impact of the COVID-19 restrictions in Ukraine on mental health for OPWH and support the need to screen for psychiatric and substance use disorders, potentially using telehealth strategies.
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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study Language: English Year: 2022 Document Type: Article Affiliation country: Geriatrics7060138

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Full text: Available Collection: International databases Database: MEDLINE Type of study: Observational study Language: English Year: 2022 Document Type: Article Affiliation country: Geriatrics7060138