Influence of patient-centered HIV care on retention and viral suppression disparities

以患者为中心的艾滋病毒护理对保留和病毒抑制差异的影响

• 批准号: 10447915
• 负责人: MARY JO TREPKA
• 金额: $ 26.82万
• 依托单位: FLORIDA INTERNATIONAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-01-29 至 2023-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10447915
• 关键词: African American; Anxiety; COVID-19; COVID-19 mortality; COVID-19 pandemic; COVID-19 severity; COVID-19 vaccination; COVID-19 vaccine; Caring; Case Manager; Client; Communities; Cross-Sectional Studies; Cues; Data; Depressed mood; Feeling; HIV; Haitian; Health; Hispanics; Hour; Household; Immunosuppression; Income; Individual; Intervention; Interview; Loneliness; Medical; Methods; Minority Groups; Modeling; Not Hispanic or Latino; Occupations; Participant; Personal Satisfaction; Population; Predisposition; Recommendation; Reporting; Respondent; Risk; Role; Sampling; Social Network; Structure; Surveys; Telephone; Vaccinated; Vaccination; Viral; Virus Diseases; anxious; care providers; comorbidity; ethnic minority population; follow-up; health belief; improved; pandemic disease; patient oriented; programs; psychosocial; racial and ethnic; severe COVID-19; social; social norm; socioeconomics; stressor; vaccine acceptance

Abstract People with human immunodeficiency virus (HIV) are at increased risk of COVID-19 complications due to underlying immunosuppression and comorbidities and thus can significantly benefit from COVID-19 vaccination. People with HIV (PWH) are also more likely to belong to racial/ethnic minorities that have been disproportionately burdened by the COVID-19 pandemic and are currently underrepresented among vaccinated individuals. The objective of this study is to identify points of intervention to increase COVID-19 vaccine uptake among African American, Hispanic, and Haitian PWH. To achieve this objective, we will conduct a mixed methods study involving a sample of 129 Hispanics, 116 African Americans and 53 Haitians with HIV who were previously interviewed from October 2020 to January 2021 about the effect of the COVID- 19 pandemic on their health and wellbeing and their HIV care (Wave 1). The current supplement (Wave 2) will extend the previous study by determining COVID-19 vaccine uptake and factors associated with vaccine uptake. The survey questions will collect quantitative data about factors associated with vaccination using both the Health Belief Model (e.g., perceived susceptibility to COVID-19, perceived severity of COVID-19, perceived barriers and benefits of COVID-19 vaccination, and cues to action) and the Social Ecological Model (i.e., potential intrapersonal, interpersonal, and community/institutional-level factors associated with COVID-19 vaccine uptake). Data from the survey will also be used to identify the extent to which COVID-19 vaccination improves psychosocial (e.g., COVID-19 related worry) and socioeconomic (e.g., reduced income) stressors. Furthermore, we will conduct exploratory analyses to assess the association between vaccination and retention in HIV care and viral suppression. Subsequently, we will ask a sample of vaccinated and unvaccinated survey respondents to participate in semi-structured in-depth interviews to clarify quantitative findings and identify points of intervention. Findings from this study will guide vaccination promotion messages for racial/ethnic minorities with HIV, guide vaccination delivery methods (e.g., vaccination in HIV care settings), and elucidate the potential role of COVID-19 vaccination in improving the health and wellbeing of people with HIV.

抽象的 患有人类免疫缺陷病毒（HIV）的患者因19. 基本的免疫抑制和合并症，因此可以从Covid-19中显着受益 疫苗接种。患有艾滋病毒（PWH）的人也更有可能属于种族/族裔少数民族 由于联盟19日大流行的负担不成比例，目前的人数不足 接种的人。这项研究的目的是确定干预点以增加共同19 非裔美国人，西班牙裔和海地PWH的疫苗接种。为了实现这一目标，我们将 进行混合方法研究，涉及129种西班牙裔，116名非裔美国人和53位海地人的样本 与艾滋病毒的艾滋病毒以前从2020年10月至2021年1月接受了有关COVID的影响 19关于他们的健康和福祉和艾滋病毒护理的大流行（第一波）。当前的补充（第2波）将 通过确定COVID-19-19疫苗摄取和与疫苗相关的因素来扩展先前的研究 吸收。调查问题将收集有关与疫苗接种因素的定量数据 健康信念模型（例如，感知到COVID-19的易感性，可感知到COVID-19 COVID-19-19疫苗接种的障碍和好处，以及行动提示）和社会生态模型（即 与Covid-19 疫苗摄取）。调查的数据还将用于确定COVID-19疫苗接种的程度 改善社会心理（例如Covid-19相关的忧虑）和社会经济（例如，收入减少）压力源。 此外，我们将进行探索性分析，以评估疫苗接种与 保留在艾滋病毒护理和病毒抑制中。随后，我们将询问接种疫苗的样本，并 未接种疫苗的调查受访者参加半结构化的深入访谈，以澄清定量 发现和确定干预点。这项研究的发现将指导疫苗接种消息 对于患有艾滋病毒的种族/族裔少数民族，指导疫苗接种方法（例如，艾滋病毒护理环境中的疫苗接种）， 并阐明了199号疫苗接种在改善患者健康和福祉方面的潜在作用 艾滋病病毒。