Clinical Follow-Up in People Living with HIV During the COVID-19 Pandemic in Mexico.
Ester Gutiérrez-VelillaAlicia Piñeirúa-MenéndezSantiago Ávila-RíosNancy Patricia Caballero-SuárezPublished in: AIDS and behavior (2022)
Clinical follow-up in people living with HIV (PLWH) has individual and public health implications. The objectives of this study were to measure variables related to follow-up failures, identify self-reported reasons to maintain adequate follow-up or for having follow-up failures, and know how the pandemic influenced patients' clinical follow-up. Participants were PLWH receiving HIV-health care at a hospital-based clinic in Mexico City which became an exclusive COVID-19 health service. Participants completed a telephone semi-structured interview and online psychological questionnaires. Lower educational and socioeconomic level, longer times of transportation to the clinic, being attended by different doctors, detectable viral load, having previous dropouts, inadequate antiretroviral adherence, and less HIV knowledge were related to follow-up failures. COVID-19 had a significant negative impact, but it also had positive repercussions for patients with adequate follow-up. These results could help develop effective psychosocial programs and improve healthcare in institutions to facilitate patient retention.
Keyphrases
- healthcare
- coronavirus disease
- public health
- sars cov
- hiv infected
- hiv positive
- human immunodeficiency virus
- antiretroviral therapy
- hiv aids
- end stage renal disease
- hepatitis c virus
- primary care
- hiv testing
- ejection fraction
- chronic kidney disease
- men who have sex with men
- newly diagnosed
- hiv infected patients
- prognostic factors
- health information
- metabolic syndrome
- depressive symptoms
- south africa
- health insurance
- medical students
- glycemic control
- global health