PMID- 34414837
OWN - NLM
STAT- MEDLINE
DCOM- 20211129
LR  - 20220327
IS  - 1049-7323 (Print)
IS  - 1049-7323 (Linking)
VI  - 31
IP  - 12
DP  - 2021 Oct
TI  - The Lived Experience of a Newly Diagnosed Older Person With HIV in Ukraine.
PG  - 2290-2303
LID - 10.1177/10497323211026914 [doi]
AB  - Low- and middle-income countries are home to 80% of older people with HIV (OPWH). 
      Ukrainian OPWH experience higher mortality and decreased antiretroviral therapy 
      (ART) initiation than younger patients, but there is little data examining OPWH's 
      perspectives around new diagnosis and impact on care. In this study, we examined 
      accounts of 30 newly diagnosed OPWH in Ukraine, exploring challenges faced in the 
      peri-diagnosis period. Themes emerged representing the longitudinal coping 
      process: OPWH (1) viewed themselves as low risk before diagnosis; (2) experienced 
      HIV diagnosis as a traumatic event challenging their self-image; (3) used 
      disclosure to seek support among a small circle of family, friends, or health 
      care providers; (4) avoided disclosure to outsiders including primary care 
      providers for fears of stigma and breaches in confidentiality; (5) viewed age as 
      an asset; and (6) used HIV diagnosis as starting point for growth. These findings 
      highlight the need for age-specific programming to increase HIV knowledge and 
      coping, increase screening, and improve long-term planning.
FAU - Allen, Amy
AU  - Allen A
AD  - State University of New York Downstate Medical Center, Brooklyn, New York, USA.
FAU - Zaviryukha, Irina
AU  - Zaviryukha I
AD  - Ukrainian Institute on Public Health Policy, Kyiv, Ukraine.
FAU - Kiriazova, Tetiana
AU  - Kiriazova T
AD  - Ukrainian Institute on Public Health Policy, Kyiv, Ukraine.
FAU - Shenoi, Sheela
AU  - Shenoi S
AD  - Yale University, New Haven, Connecticut, USA.
FAU - Rozanova, Julia
AU  - Rozanova J
AUID- ORCID: 0000-0002-9971-6767
AD  - Yale University, New Haven, Connecticut, USA.
LA  - eng
GR  - K01 DA047194/DA/NIDA NIH HHS/United States
GR  - R21 AG072961/AG/NIA NIH HHS/United States
GR  - UL1 TR001863/TR/NCATS NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20210820
PL  - United States
TA  - Qual Health Res
JT  - Qualitative health research
JID - 9202144
MH  - Adaptation, Psychological
MH  - Aged
MH  - *HIV Infections/diagnosis/drug therapy
MH  - *HIV Seropositivity
MH  - Humans
MH  - Social Stigma
MH  - Ukraine
PMC - PMC8930274
MID - NIHMS1783862
OTO - NOTNLM
OT  - Eastern Europe
OT  - Ukraine
OT  - coping
OT  - diagnosis
OT  - older people with HIV
OT  - qualitative in-depth interviews
COIS- Declaration of Conflicting Interests The authors declared no potential conflicts 
      of interest with respect to the research, authorship, and/or publication of this 
      article.
EDAT- 2021/08/21 06:00
MHDA- 2021/11/30 06:00
PMCR- 2022/03/17
CRDT- 2021/08/20 08:45
PHST- 2021/08/21 06:00 [pubmed]
PHST- 2021/11/30 06:00 [medline]
PHST- 2021/08/20 08:45 [entrez]
PHST- 2022/03/17 00:00 [pmc-release]
AID - 10.1177/10497323211026914 [doi]
PST - ppublish
SO  - Qual Health Res. 2021 Oct;31(12):2290-2303. doi: 10.1177/10497323211026914. Epub 
      2021 Aug 20.