The initial response to COVID-19 disruptions for older people with HIV in Ukraine

Rozanova, Julia and Rich, Katherine M. and Altice, Frederick L. and Shenoi, Sheela V. and Zaviryukha, Irina and Kiriazova, Tetiana and Mamedova, Elmira and Shipunov, Oleksandr and Yariy, Volodymyr and Deac, Alexandra and Zeziulin, Oleksandr (2022) The initial response to COVID-19 disruptions for older people with HIV in Ukraine. Geriatrics (Switzerland), 7 (6). ISSN 23083417, DOI

Full text not available from this repository.


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, 95CI = 1.19–7.05), having concerns about potential barriers to HIV treatment (AOR: 8.90, 95CI = 1.31–104.94), and active drug use (AOR: 34.53, 95CI = 3.02–4885.85). Being female (AOR: 5.30, 95CI = 2.16–14.30) and having concerns about potential barriers to HIV treatment (AOR: 5.33, 95CI = 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. © 2022 by the authors.

Item Type: Article
Funders: National Institute of Mental Health [Grant No: 1R34MH130260], National Institute on Drug Abuse [Grant No: K01DA047194], National Institute on Aging [Grant No: R21AG072961], Yale University
Uncontrolled Keywords: COVID-19 lockdown; Depression and anxiety symptoms; HIV care; Older adults with HIV; Substance use; Ukraine
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Divisions: Centre of Excellence for Research in AIDS (CERiA)
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 01 Dec 2023 02:12
Last Modified: 01 Dec 2023 02:12

Actions (login required)

View Item View Item