PMID- 36547274
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230325
IS  - 2308-3417 (Electronic)
IS  - 2308-3417 (Linking)
VI  - 7
IP  - 6
DP  - 2022 Dec 6
TI  - The Initial Response to COVID-19 Disruptions for Older People with HIV in 
      Ukraine.
LID - 10.3390/geriatrics7060138 [doi]
LID - 138
AB  - 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.
FAU - Rozanova, Julia
AU  - Rozanova J
AD  - Section of Infectious Diseases, Yale University School of Medicine, New Haven, CT 
      06510, USA.
AD  - Centre for Interdisciplinary Research on AIDS (CIRA), Yale University School of 
      Public Health, New Haven, CT 06510, USA.
AD  - Department of Health Service and Population Research, King's College London, 
      London SE5 8AF, UK.
FAU - Rich, Katherine M
AU  - Rich KM
AD  - Harvard Medical School, Boston, MA 02115, USA.
FAU - Altice, Frederick L
AU  - Altice FL
AD  - Section of Infectious Diseases, Yale University School of Medicine, New Haven, CT 
      06510, USA.
AD  - Centre for Interdisciplinary Research on AIDS (CIRA), Yale University School of 
      Public Health, New Haven, CT 06510, USA.
AD  - Centre of Excellence of Research in AIDS (CERiA), University of Malaya, Kuala 
      Lumpur 59990, Malaysia.
AD  - Division of Epidemiology of Microbial Diseases, Yale University School of Public 
      Health, New Haven, CT 06510, USA.
FAU - Shenoi, Sheela V
AU  - Shenoi SV
AD  - Section of Infectious Diseases, Yale University School of Medicine, New Haven, CT 
      06510, USA.
AD  - Centre for Interdisciplinary Research on AIDS (CIRA), Yale University School of 
      Public Health, New Haven, CT 06510, USA.
FAU - Zaviryukha, Irina
AU  - Zaviryukha I
AD  - European Institute of Public Health Policy, 04123 Kyiv, Ukraine.
FAU - Kiriazova, Tetiana
AU  - Kiriazova T
AD  - European Institute of Public Health Policy, 04123 Kyiv, Ukraine.
FAU - Mamedova, Elmira
AU  - Mamedova E
AD  - Kyiv AIDS Centre, 03115 Kyiv, Ukraine.
FAU - Shipunov, Oleksandr
AU  - Shipunov O
AD  - Kyiv Sociotherapy Addiction Treatment Clinic, 03039 Kyiv, Ukraine.
FAU - Yariy, Volodymyr
AU  - Yariy V
AD  - Kyiv Sociotherapy Addiction Treatment Clinic, 03039 Kyiv, Ukraine.
FAU - Deac, Alexandra
AU  - Deac A
AD  - Department of Health Service and Population Research, King's College London, 
      London SE5 8AF, UK.
FAU - Zeziulin, Oleksandr
AU  - Zeziulin O
AD  - European Institute of Public Health Policy, 04123 Kyiv, Ukraine.
LA  - eng
GR  - UL1 TR001863/TR/NCATS NIH HHS/United States
GR  - R21AG072961/AG/NIA NIH HHS/United States
GR  - R34 MH130260/MH/NIMH NIH HHS/United States
GR  - k01da047194/DA/NIDA NIH HHS/United States
GR  - K01 DA047194/DA/NIDA NIH HHS/United States
GR  - R21 AG072961/AG/NIA NIH HHS/United States
GR  - Pilot Award/Fund for Gay and Lesbian Studies at Yale University/
PT  - Journal Article
DEP - 20221206
PL  - Switzerland
TA  - Geriatrics (Basel)
JT  - Geriatrics (Basel, Switzerland)
JID - 101704019
PMC - PMC9777936
OTO - NOTNLM
OT  - COVID-19 lockdown
OT  - HIV care
OT  - Ukraine
OT  - depression and anxiety symptoms
OT  - older adults with HIV
OT  - substance use
COIS- The authors declare no conflict of interest. Sheela Shenoi's spouse worked for 
      Merck Pharmaceuticals 1997-2007 and retains stock in a retirement account. There 
      is no conflict of interest regarding this manuscript, but it is included for full 
      disclosure.
EDAT- 2022/12/23 06:00
MHDA- 2022/12/23 06:01
PMCR- 2022/12/06
CRDT- 2022/12/22 10:07
PHST- 2022/10/24 00:00 [received]
PHST- 2022/11/23 00:00 [revised]
PHST- 2022/11/27 00:00 [accepted]
PHST- 2022/12/22 10:07 [entrez]
PHST- 2022/12/23 06:00 [pubmed]
PHST- 2022/12/23 06:01 [medline]
PHST- 2022/12/06 00:00 [pmc-release]
AID - geriatrics7060138 [pii]
AID - geriatrics-07-00138 [pii]
AID - 10.3390/geriatrics7060138 [doi]
PST - epublish
SO  - Geriatrics (Basel). 2022 Dec 6;7(6):138. doi: 10.3390/geriatrics7060138.