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

基本信息

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
项目类别：
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

项目摘要

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.

抽象的由于以下原因，人类免疫缺陷病毒 (HIV) 感染者患 COVID-19 并发症的风险增加潜在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。艾滋病毒感染者 (PWH) 也更有可能属于已被艾滋病毒感染的少数种族/族裔。受新冠肺炎 (COVID-19) 大流行影响的负担过重，目前在这些人群中所占比例不足已接种疫苗的个人。本研究的目的是确定增加 COVID-19 的干预点非裔美国人、西班牙裔和海地艾滋病患者的疫苗接种情况。为了实现这一目标，我们将进行一项混合方法研究，样本包括 129 名西班牙裔、116 名非裔美国人和 53 名海地人此前曾于 2020 年 10 月至 2021 年 1 月接受过有关新冠病毒影响的采访的 HIV 感染者 19 大流行对其健康和福祉及其艾滋病毒护理产生影响（第一波）。目前的补充（第二波）将通过确定 COVID-19 疫苗的接种情况以及与疫苗相关的因素来扩展之前的研究吸收。调查问题将收集有关与疫苗接种相关因素的定量数据健康信念模型（例如，感知到的对 COVID-19 的易感性、感知到的 COVID-19 的严重性、感知到的 COVID-19 疫苗接种的障碍和益处以及行动提示）和社会生态模型（即与 COVID-19 相关的潜在个人、人际和社区/机构层面的因素疫苗接种）。调查数据还将用于确定 COVID-19 疫苗接种的程度改善社会心理（例如，与 COVID-19 相关的担忧）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，以评估疫苗接种与疫苗接种之间的关联。保留艾滋病毒护理和病毒抑制。随后，我们将询问接种疫苗的样本未接种疫苗的调查受访者参加半结构化深度访谈，以澄清定量调查结果并确定干预点。这项研究的结果将指导疫苗接种推广信息对于感染艾滋病毒的少数种族/族裔，指导疫苗接种方法（例如，在艾滋病毒护理机构中接种疫苗），并阐明 COVID-19 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。