Impact of COVID-19 Pandemic on Quality of Life, Anxiety, Connections to Friends, and Access to Resources Among People with HIV: Using the Social Ecological Model
The purpose of this study was to understand the impact of the coronavirus disease 2019 (COVID-19) pandemic and mitigation efforts on health and social outcomes for people with HIV at the individual, social, and structural levels of the Social Ecological Model. The International Nursing Network for HIV collected data for a cross-sectional survey of people with HIV in Botswana, Canada, Colombia, Hong Kong, Kenya, Nigeria, South Africa, Thailand, and the United States from August 2021 through June 2023. Among 1,400 participants, 47.5% experienced decreased quality of life, 40.9% experienced increased anxiety, 33.0% had reduced connection with friends, and 38.8% had reduced access to resources. Participants' reported impacts of COVID-19 varied by socioeconomic factors. Among these people with HIV, changes in quality of life, anxiety, social connectedness, and access to resources due to the COVID-19 pandemic were significantly associated with individual, social, and structural level factors using the Social Ecological Framework.
Authors
- J. Craig Phillips (ORCID: https://orcid.org/0000-0002-6697-0515)
- Tongyao Wang (ORCID: https://orcid.org/0000-0003-3374-1078)
- Janessa Broussard
- Rebecca Schnall (ORCID: https://orcid.org/0000-0003-2184-4045)
- Lufuno Makhado (ORCID: https://orcid.org/0000-0003-1689-9308)
- Christine Horvat Davey (ORCID: https://orcid.org/0000-0002-3686-4391)
- Tania de Jesús-Espinosa (ORCID: https://orcid.org/0009-0007-3312-4121)
- Emily Huang (ORCID: https://orcid.org/0000-0003-2417-5887)
- Álvaro José Sierra-Perez (ORCID: https://orcid.org/0000-0002-4903-3060)
- Emilia Iwu (ORCID: https://orcid.org/0000-0003-0261-7218)
- Carol Dawson‐Rose (ORCID: https://orcid.org/0000-0001-6066-1853)
- Yvette P. Cuca (ORCID: https://orcid.org/0000-0002-5674-4741)
- Diane Santa Maria (ORCID: https://orcid.org/0000-0001-8202-226X)
- Laura A. Cox (ORCID: https://orcid.org/0000-0002-8836-3783)
- Kathleen V. Fitch (ORCID: https://orcid.org/0000-0002-0541-3707)
- Sheila Shaibu (ORCID: https://orcid.org/0000-0002-6300-4047)
- Panta Apiruknapanond
- Motshedisi Sabone (ORCID: https://orcid.org/0000-0001-5181-6534)
Institutions
- Rutgers, The State University of New Jersey (US)
- Global Development Network (IN)
- University of Ottawa (CA)
- University of California, San Francisco (US)
- Botswana Accountancy College (BW)
- Yale University (US)
- International Network for Economic, Social and Cultural Rights (US)
- Massachusetts General Hospital (US)
- Saint Louis College La Union (PH)
- International Network for Cancer Treatment and Research (BE)
- Aga Khan University Nairobi (KE)
- Massachusetts School Nurse Research Network (US)
- HIV Netherlands Australia Thailand Research Collaboration (TH)
- International Center for Tropical Agriculture (KE)
- Research Network (United States) (US)
- The University of Texas Health Science Center (US)
- HIV Legal Network (CA)
- Case Western Reserve University (US)
- International Center for Tropical Agriculture (CO)
- Columbia University (US)
- University of Venda (ZA)
- University of Hong Kong (HK)
- Universidad del Valle (CO)
Publication Details
- Journal
- AIDS and Behavior
- Published
- 2025-10-27
- DOI
- https://doi.org/10.1007/s10461-025-04928-z
- Citations
- 1
- Primary Topic
- COVID-19 and Mental Health
- Type
- article
- Field-Weighted Citation Impact
- 2.31