دورية أكاديمية
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"Will you need this health at all? Will you be alive?": using the bioecological model of mass trauma to understand HIV care experiences during the war in Ukraine.

التفاصيل البيبلوغرافية
العنوان: "Will you need this health at all? Will you be alive?": using the bioecological model of mass trauma to understand HIV care experiences during the war in Ukraine.
المؤلفون: Owczarzak J; Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Monton O; Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Fuller S; Department of Health, Behavior & Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Burlaka J; Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA., Kiriazova T; Ukrainian Institute on Public Health Policy, Kyiv, Ukraine., Morozova O; Biological Sciences Division, Department of Public Health Sciences, University of Chicago, Chicago, Illinois, USA., Dumchev K; Ukrainian Institute on Public Health Policy, Kyiv, Ukraine.
المصدر: Journal of the International AIDS Society [J Int AIDS Soc] 2024 Jul; Vol. 27 Suppl 3, pp. e26307.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: John Wiley & Sons, Inc Country of Publication: Switzerland NLM ID: 101478566 Publication Model: Print Cited Medium: Internet ISSN: 1758-2652 (Electronic) Linking ISSN: 17582652 NLM ISO Abbreviation: J Int AIDS Soc Subsets: MEDLINE
أسماء مطبوعة: Publication: 2017- : Hoboken, NJ : John Wiley & Sons, Inc
Original Publication: [London] : BioMed Central
مواضيع طبية MeSH: HIV Infections*/psychology , HIV Infections*/drug therapy , Armed Conflicts* , Delivery of Health Care*, Adult ; Female ; Humans ; Male ; Middle Aged ; Russia ; Ukraine/epidemiology
مستخلص: Introduction: Russia's invasion of Ukraine in February 2022 has severely impacted the healthcare system, including the provision of HIV care. The ongoing war is a human-caused mass trauma, a severe ecological and psychosocial disruption that greatly exceeds the coping capacity of the community. The bioecological model of mass trauma builds on Bronfenbrenner's concept of interaction between nested systems to argue that social context determines the impact of life events on the individual and how an individual responds. This paper uses the bioecological model of mass trauma to explore the impact of Russia's aggression against Ukraine and the ongoing war on HIV-positive people who use drugs in Ukraine, a particularly vulnerable population that may be negatively affected by disruptions to social networks, healthcare infrastructure and economic conditions caused by mass trauma.
Methods: Data were collected between September and November 2022. A convenience sample of 18 HIV-positive people who use drugs were recruited from community organizations that work with people living with HIV, drug treatment programmes, and HIV clinics through direct recruitment and participant referral. A total of nine men and nine women were recruited; the age ranged from 33 to 62 years old (mean = 46.44). Participants completed a single interview that explored how the war had affected their daily lives and access to HIV care and other medical services; their relationships with healthcare providers and social workers; and medication access, supply and adherence. Data were analysed using the Framework Method for thematic analysis.
Results: The war had a profound impact on the social, emotional and financial support networks of participants. Changes in social networks, coupled with limited job opportunities and rising prices, intensified financial difficulties for participants. Relocating to different regions of Ukraine, staying at somebody else's home, and losing connections with social workers impacted medication adherence and created lengthy treatment gaps. Participants also experienced a decreased supply of antiretroviral therapy, concerns about accessing medication for opioid use disorder, and overwhelming fears associated with the war, which overshadowed their HIV-related health concerns and negatively impacted medication adherence.
Conclusions: Our analysis reveals the complex impact of war on social networks and healthcare access. Maintaining support networks and competent healthcare providers will be essential amid the ongoing war.
(© 2024 The Author(s). Journal of the International AIDS Society published by John Wiley & Sons Ltd on behalf of International AIDS Society.)
References: Soc Sci Med. 2011 Sep;73(5):693-701. (PMID: 21840634)
Psychosomatics. 2015 Mar-Apr;56(2):107-18. (PMID: 25597836)
Subst Use Misuse. 2010 Nov;45(13):2340-55. (PMID: 20469970)
AIDS Res Ther. 2023 Nov 13;20(1):80. (PMID: 37957687)
Disasters. 2012 Jul;36(3):533-57. (PMID: 22066703)
Psychol Rev. 1994 Oct;101(4):568-86. (PMID: 7984707)
Cad Saude Publica. 2012 Dec;28(12):2245-56. (PMID: 23288058)
Child Adolesc Psychiatr Clin N Am. 2014 Apr;23(2):257-79, viii. (PMID: 24656579)
Int J Environ Res Public Health. 2023 Mar 05;20(5):. (PMID: 36901612)
Lancet Public Health. 2022 May;7(5):e482-e484. (PMID: 35358424)
Soc Sci Med. 2013 Jan;76(1):126-33. (PMID: 23157930)
Drug Alcohol Depend. 2007 Nov 2;91(1):50-6. (PMID: 17561355)
BMC Med Res Methodol. 2013 Sep 18;13:117. (PMID: 24047204)
Midwifery. 2024 Feb;129:103906. (PMID: 38101294)
Lancet HIV. 2023 Feb;10(2):e81-e82. (PMID: 36642086)
Int J Drug Policy. 2023 Jul;117:104062. (PMID: 37216758)
AIDS. 2022 May 1;36(6):853-862. (PMID: 35025818)
Proc Natl Acad Sci U S A. 2018 Jan 30;115(5):1051-1056. (PMID: 29339468)
PLOS Glob Public Health. 2023 Jul 13;3(7):e0002168. (PMID: 37440470)
Harm Reduct J. 2018 Nov 28;15(1):58. (PMID: 30486840)
Confl Health. 2023 Dec 8;17(1):57. (PMID: 38066621)
Soc Sci Med. 2014 Nov;121:1-9. (PMID: 25305460)
AIDS Behav. 2023 Jun;27(6):1914-1925. (PMID: 36441406)
Drug Alcohol Depend. 2024 Feb 1;255:111069. (PMID: 38159338)
BMJ. 2014 May 08;348:g3118. (PMID: 24812004)
J Subst Abuse Treat. 2021 Feb;121:108164. (PMID: 33191004)
JAMA Netw Open. 2023 Aug 1;6(8):e2331745. (PMID: 37651138)
Int J Drug Policy. 2018 Sep;59:36-43. (PMID: 29986270)
Sex Reprod Health Matters. 2021;29(2):2059324. (PMID: 35486074)
J Acquir Immune Defic Syndr. 2018 Nov 1;79(3):288-295. (PMID: 30312275)
Front Psychol. 2023 Oct 09;14:1266125. (PMID: 37876848)
AIDS Care. 2008 Nov;20(10):1266-75. (PMID: 18608080)
Healthc Manage Forum. 2024 Mar;37(2):80-85. (PMID: 37931309)
Med Anthropol. 2019 Aug-Sep;38(6):508-522. (PMID: 30481074)
Front Public Health. 2021 May 19;9:658528. (PMID: 34095062)
BMC Public Health. 2020 Aug 26;20(1):1288. (PMID: 32843008)
Annu Rev Public Health. 2015 Mar 18;36:375-92. (PMID: 25494053)
Int J Drug Policy. 2014 Mar;25(2):196-203. (PMID: 24332455)
معلومات مُعتمدة: R34DA053143 United States DA NIDA NIH HHS; Office of AIDS Research
فهرسة مساهمة: Keywords: HIV; Ukraine; armed conflicts; health services accessibility; social determinants of health; substance use
تواريخ الأحداث: Date Created: 20240720 Date Completed: 20240720 Latest Revision: 20240722
رمز التحديث: 20240723
مُعرف محوري في PubMed: PMC11258484
DOI: 10.1002/jia2.26307
PMID: 39030874
قاعدة البيانات: MEDLINE
الوصف
تدمد:1758-2652
DOI:10.1002/jia2.26307