Brief Report: The Influence of the COVID-19 Pandemic on the Physical, Social, and Mental Health of Black and Latinx Young People With HIV in the United States.
Journal
Journal of acquired immune deficiency syndromes (1999)
ISSN: 1944-7884
Titre abrégé: J Acquir Immune Defic Syndr
Pays: United States
ID NLM: 100892005
Informations de publication
Date de publication:
01 07 2023
01 07 2023
Historique:
pmc-release:
01
07
2024
medline:
14
6
2023
pubmed:
14
3
2023
entrez:
13
3
2023
Statut:
ppublish
Résumé
Whereas national attention has been paid to the ongoing mental health crises among young people triggered by the COVID-19 pandemic, less is known about the social, physical and psychological impacts of COVID-19 on young people living with HIV, especially racial/ethnic minorities. Online survey of participants across the U.S. A national cross-sectional survey of non-Latinx Black and Latinx young adults (18-29) living with HIV. Between April and August 2021, participants answered survey questions about several domains (eg, stress, anxiety, relationships, work, quality of life) that were worsened, improved, or unchanged during the pandemic. We ran a logistic regression estimating the self-reported impact of the pandemic on these domains between 2 age groups (ages 18-24 versus 25-29). The sample size was 231 (186 non-Latinx Black, 45 Latinx) and mainly male (84.4%) and gay identified (62.2%). Nearly 20% of participants were 18-24 years old and 80% were ages 25-29. Participants who were 18-24 years old reported 2-3 times the odds for having worse sleep quality and mood and greater stress, anxiety, and weight gain compared with those 25-29 years old. Our data provide a nuanced picture of the negative impacts that COVID-19 had on non-Latinx Black and Latinx young adults living with HIV in the U.S. Given that these adults represent a priority population for HIV treatment outcomes, it is critical to better understand the ongoing toll that these dual pandemics have on their lives.
Sections du résumé
BACKGROUND
Whereas national attention has been paid to the ongoing mental health crises among young people triggered by the COVID-19 pandemic, less is known about the social, physical and psychological impacts of COVID-19 on young people living with HIV, especially racial/ethnic minorities.
SETTING
Online survey of participants across the U.S.
METHOD
A national cross-sectional survey of non-Latinx Black and Latinx young adults (18-29) living with HIV. Between April and August 2021, participants answered survey questions about several domains (eg, stress, anxiety, relationships, work, quality of life) that were worsened, improved, or unchanged during the pandemic. We ran a logistic regression estimating the self-reported impact of the pandemic on these domains between 2 age groups (ages 18-24 versus 25-29).
RESULTS
The sample size was 231 (186 non-Latinx Black, 45 Latinx) and mainly male (84.4%) and gay identified (62.2%). Nearly 20% of participants were 18-24 years old and 80% were ages 25-29. Participants who were 18-24 years old reported 2-3 times the odds for having worse sleep quality and mood and greater stress, anxiety, and weight gain compared with those 25-29 years old.
CONCLUSION
Our data provide a nuanced picture of the negative impacts that COVID-19 had on non-Latinx Black and Latinx young adults living with HIV in the U.S. Given that these adults represent a priority population for HIV treatment outcomes, it is critical to better understand the ongoing toll that these dual pandemics have on their lives.
Identifiants
pubmed: 36913727
doi: 10.1097/QAI.0000000000003188
pii: 00126334-202307010-00002
pmc: PMC10272066
mid: NIHMS1881357
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
187-190Subventions
Organisme : NIMH NIH HHS
ID : K23 MH130250
Pays : United States
Organisme : NIMH NIH HHS
ID : R21 MH122280
Pays : United States
Informations de copyright
Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
None of the authors have any conflicts of interest to report.
Références
U.S. Department of Health and Human Services. The U.S. Surgeon General's Advisory. Protecting Youth Mental Health; 2021. https://www.hhs.gov/surgeongeneral/priorities/youth-mental-health/index.html . Accessed October 13, 2022.
Bing EG, Burnam MA, Longshore D, et al. Psychiatric disorders and drug use among human immunodeficiency virus–infected adults in the United States. Arch Gen Psychiatry. 2001;58:721–728.
Laurenzi CA, Skeen S, Gordon S, et al. Preventing mental health conditions in adolescents living with HIV: an urgent need for evidence. J Int AIDS Soc. 2020;23:e25556.
National Center for Health Statistics. About Multiple Cause of Death, 1999–2020. Hyattsville, MD: US Department of Health and Human Services, CDC, National Center for Health Statistics; 2021. https://wonder.cdc.gov/mcd.html . Accessed December 27, 2021.
Ivey-Stephenson AZ, Demissie Z, Crosby AE, et al. Suicidal ideation and behaviors among high school students – youth risk behavior survey, United States, 2019. MMWR Suppl. 2020;69:47–55.
Rosales R, Sellers CM, Lee CS, et al . Examining racial/ethnic differences in the association of victimization and suicidal thoughts and behaviors with alcohol use among sexual minority youth. LGBT Health. 2023;10:109–120.
Kreniske P, Morrison C, Spencer BH, et al. HIV and suicide risk across adolescence and young adulthood: an examination of socio-demographic, contextual and psychosocial risk factors for attempted suicide in a longitudinal cohort of ageing adolescents affected by HIV living in the New York City Area. J Int AIDS Soc. 2022;25:e25984.
English Devin, Boone CA, Carter JA, et al. Intersecting structural oppression and suicidality among Black sexual minority male adolescents and emerging adults. J Res Adolesc. 2022;25:226–243.
World Health Organization. COVID-19 Pandemic Triggers 25% Increase in Prevalence of Anxiety and Depression Worldwide. 2022. https://www.who.int/news/item/02-03-2022-covid-19-pandemic-triggers-25-increase-in-prevalence-of-anxiety-and-depression-worldwide . Accessed October 2, 2022.
Jones SE, Ethier KA, Hertz M, et al. Mental health, suicidality, and connectedness among high school students during the COVID-19 pandemic — adolescent behaviors and experiences survey, United States, january–june 2021. MMWR Suppl. 2022;71suppl 3:16–21.
Vahia IV, Jeste DV, Reynolds CF. Older adults and the mental health effects of COVID-19. JAMA. 2020;324:2253–2254.
Campbell CK, Ndukwe S, Dubé K, et al. Overcoming challenges of online research: measures to ensure enrollment of eligible participants. J Acquir Immune Defic Syndr. 2022;91:232–236.
Sawyer SM, Azzopardi PS, Wickremarathne D, et al. The age of adolescence. Lancet Child Adolesc Health. 2018;2:223–228.
Bhana A, Kreniske P, Pather A, et al. Interventions to address the mental health of adolescents and young adults living with or affected by HIV: state of the evidence. J Int AIDS Soc. 2021;24:e25713.
Qi M, Zhou SJ, Guo ZC, et al. The effect of social support on mental health in Chinese adolescents during the outbreak of COVID-19. J Adolesc Health. 2020;67:514–518.
Wang MT, Toro JD, Scanlon CL, et al. The roles of stress, coping, and parental support in adolescent psychological well-being in the context of COVID-19: a daily-diary study. J Affect Disord. 2021;294:245–253.
Winwood JJ, Fitzgerald L, Gardiner B, et al. Exploring the social impacts of the COVID-19 pandemic on people living with HIV (PLHIV): a scoping review. AIDS Behav. 2021;25:4125–4140.
Fields EL, Copeland R, Hopkins E. Same script, different viruses: HIV and COVID-19 in US Black communities. Lancet. 2021;397:1040–1042.
Centers for Disease Control and Prevention. Data Tables: Quality of Life and HIV Stigma – Indicators for the National HIV/AIDS Strategy, 2022-2025, CDC Medical Monitoring Project, 2017-2020 Cycles. HIV Surveillance Special Report 30. Published September 2022. https://www.cdc.gov/hiv/library/reports/hiv-surveillance.html . Accessed October 13, 2022.