The Initial Response to COVID-19 Disruptions for Older People with HIV in Ukraine
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...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2022-12-01
|
| Series: | Geriatrics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2308-3417/7/6/138 |
| _version_ | 1797457687955374080 |
|---|---|
| author | Julia Rozanova Katherine M. Rich Frederick L. Altice Sheela V. Shenoi Irina Zaviryukha Tetiana Kiriazova Elmira Mamedova Oleksandr Shipunov Volodymyr Yariy Alexandra Deac Oleksandr Zeziulin |
| author_facet | Julia Rozanova Katherine M. Rich Frederick L. Altice Sheela V. Shenoi Irina Zaviryukha Tetiana Kiriazova Elmira Mamedova Oleksandr Shipunov Volodymyr Yariy Alexandra Deac Oleksandr Zeziulin |
| author_sort | Julia Rozanova |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-09T16:25:35Z |
| format | Article |
| id | doaj.art-6a65afce19e24f53bbe5e7fa179f91a1 |
| institution | Directory Open Access Journal |
| issn | 2308-3417 |
| language | English |
| last_indexed | 2024-03-09T16:25:35Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Geriatrics |
| spelling | doaj.art-6a65afce19e24f53bbe5e7fa179f91a12023-11-24T15:08:04ZengMDPI AGGeriatrics2308-34172022-12-017613810.3390/geriatrics7060138The Initial Response to COVID-19 Disruptions for Older People with HIV in UkraineJulia Rozanova0Katherine M. Rich1Frederick L. Altice2Sheela V. Shenoi3Irina Zaviryukha4Tetiana Kiriazova5Elmira Mamedova6Oleksandr Shipunov7Volodymyr Yariy8Alexandra Deac9Oleksandr Zeziulin10Section of Infectious Diseases, Yale University School of Medicine, New Haven, CT 06510, USAHarvard Medical School, Boston, MA 02115, USASection of Infectious Diseases, Yale University School of Medicine, New Haven, CT 06510, USASection of Infectious Diseases, Yale University School of Medicine, New Haven, CT 06510, USAEuropean Institute of Public Health Policy, 04123 Kyiv, UkraineEuropean Institute of Public Health Policy, 04123 Kyiv, UkraineKyiv AIDS Centre, 03115 Kyiv, UkraineKyiv Sociotherapy Addiction Treatment Clinic, 03039 Kyiv, UkraineKyiv Sociotherapy Addiction Treatment Clinic, 03039 Kyiv, UkraineDepartment of Health Service and Population Research, King’s College London, London SE5 8AF, UKEuropean Institute of Public Health Policy, 04123 Kyiv, UkraineUkraine 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.https://www.mdpi.com/2308-3417/7/6/138older adults with HIVCOVID-19 lockdownHIV caresubstance usedepression and anxiety symptomsUkraine |
| spellingShingle | Julia Rozanova Katherine M. Rich Frederick L. Altice Sheela V. Shenoi Irina Zaviryukha Tetiana Kiriazova Elmira Mamedova Oleksandr Shipunov Volodymyr Yariy Alexandra Deac Oleksandr Zeziulin The Initial Response to COVID-19 Disruptions for Older People with HIV in Ukraine Geriatrics older adults with HIV COVID-19 lockdown HIV care substance use depression and anxiety symptoms Ukraine |
| title | The Initial Response to COVID-19 Disruptions for Older People with HIV in Ukraine |
| title_full | The Initial Response to COVID-19 Disruptions for Older People with HIV in Ukraine |
| title_fullStr | The Initial Response to COVID-19 Disruptions for Older People with HIV in Ukraine |
| title_full_unstemmed | The Initial Response to COVID-19 Disruptions for Older People with HIV in Ukraine |
| title_short | The Initial Response to COVID-19 Disruptions for Older People with HIV in Ukraine |
| title_sort | initial response to covid 19 disruptions for older people with hiv in ukraine |
| topic | older adults with HIV COVID-19 lockdown HIV care substance use depression and anxiety symptoms Ukraine |
| url | https://www.mdpi.com/2308-3417/7/6/138 |
| work_keys_str_mv | AT juliarozanova theinitialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT katherinemrich theinitialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT fredericklaltice theinitialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT sheelavshenoi theinitialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT irinazaviryukha theinitialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT tetianakiriazova theinitialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT elmiramamedova theinitialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT oleksandrshipunov theinitialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT volodymyryariy theinitialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT alexandradeac theinitialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT oleksandrzeziulin theinitialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT juliarozanova initialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT katherinemrich initialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT fredericklaltice initialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT sheelavshenoi initialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT irinazaviryukha initialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT tetianakiriazova initialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT elmiramamedova initialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT oleksandrshipunov initialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT volodymyryariy initialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT alexandradeac initialresponsetocovid19disruptionsforolderpeoplewithhivinukraine AT oleksandrzeziulin initialresponsetocovid19disruptionsforolderpeoplewithhivinukraine |