Clinical Follow-Up in People Living with HIV During the COVID-19 Pandemic in Mexico

• Published in: AIDS and behavior Vol. 26; no. 8; pp. 2798 - 2812
• Main Authors: Gutiérrez-Velilla, Ester, Piñeirúa-Menéndez, Alicia, Ávila-Ríos, Santiago, Caballero-Suárez, Nancy Patricia
• Format: Journal Article
• Language: English
• Published: New York Springer US 01.08.2022; Springer Nature B.V
• Subjects: Antiretroviral agents; Antiretroviral drugs; Continuity of care; COVID-19; Disease management; Drug use; Failure; Health behavior; Health care; Health care delivery; Health Psychology; Health services; HIV; Human immunodeficiency virus; Infectious Diseases; Medicine; Medicine & Public Health; Original Paper; Pandemics; Patients; Public Health; Mexico; COVID-19 pandemic; Mexico; HIV; Clinical follow-up
• ISSN: 1090-7165; 1573-3254
• DOI: 10.1007/s10461-022-03626-4

Clinical follow-up in people living with HIV (PLWH) has individual and public health implications. The objectives of this study were to measure variables related to follow-up failures, identify self-reported reasons to maintain adequate follow-up or for having follow-up failures, and know how the pandemic influenced patients’ clinical follow-up. Participants were PLWH receiving HIV-health care at a hospital-based clinic in Mexico City which became an exclusive COVID-19 health service. Participants completed a telephone semi-structured interview and online psychological questionnaires. Lower educational and socioeconomic level, longer times of transportation to the clinic, being attended by different doctors, detectable viral load, having previous dropouts, inadequate antiretroviral adherence, and less HIV knowledge were related to follow-up failures. COVID-19 had a significant negative impact, but it also had positive repercussions for patients with adequate follow-up. These results could help develop effective psychosocial programs and improve healthcare in institutions to facilitate patient retention.