The Gigii-Bapiimin Study: resilience and the impacts of COVID-19 on health and wellbeing of Indigenous people living with HIV in Manitoba and Saskatchewan.

IF 1.2 4区 医学 Q4 HEALTH POLICY & SERVICES Aids Care-Psychological and Socio-Medical Aspects of Aids/hiv Pub Date : 2024-07-01 Epub Date: 2024-06-06 DOI:10.1080/09540121.2024.2361827
Rusty Souleymanov, Marni Still, Tara Christianson, Melissa Morris, Ann Favel, Danita Wahpoosewyan, Albert McLeod, Laverne Gervais, Alexandra King, Margaret Kîsikâw Piyesis, Randy Jackson, Mike Payne, Laurie Ringaert, Linda Larcombe, Gayle Restall, Dallas Montpetit
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Abstract

The Gigii-Bapiimin study explored the impacts of the COVID-19 pandemic on the health and wellbeing of First Nations, Inuit, and Métis people living with HIV in Manitoba and Saskatchewan, two provinces in Canada with alarmingly high rates of HIV infections. Participants (n = 28 in Manitoba and n = 23 in Saskatchewan) were recruited using various methods, including flyers, community organizations, peers, and social media. The qualitative interviews focused on the pandemic's impact on health, access to services, and ceremonies. The data were analyzed using inductive thematic analysis. The study identified three key themes: (a) resilience and coping; (b) negative impacts on health and substance use; (c) decreased access to health services, HIV care and harm reduction. The participants shared their experiences of social isolation and the loss of community support, which had deleterious effects on their mental health and substance use. The impacts on access to HIV care were exacerbated by poverty, homelessness, and distress over inadvertent disclosure of HIV status. Participants mitigated these impacts by relying on Indigenous knowledges, ceremonies, and resilience within their communities. Service providers must address the impacts of the COVID-19 pandemic on Indigenous people living with HIV and their access to HIV services and ceremonies.

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Gigii-Bapiimin 研究:COVID-19 对马尼托巴省和萨斯喀彻温省感染艾滋病毒的土著人健康和福祉的影响。
Gigii-Bapiimin 研究探讨了 COVID-19 大流行对马尼托巴省和萨斯喀彻温省第一民族、因纽特人和梅蒂斯人艾滋病毒感染者的健康和福祉的影响。参与者(马尼托巴省 28 人,萨斯喀彻温省 23 人)是通过各种方法招募的,包括传单、社区组织、同伴和社交媒体。定性访谈的重点是大流行病对健康、获得服务和仪式的影响。采用归纳式主题分析法对数据进行了分析。研究确定了三个关键主题:(a) 复原力和应对能力;(b) 对健康和药物使用的负面影响;(c) 获得医疗服务、艾滋病毒护理和减少伤害的机会减少。参与者分享了他们被社会孤立和失去社区支持的经历,这对他们的心理健康和药物使用产生了有害影响。贫穷、无家可归以及因无意中透露艾滋病毒感染状况而产生的痛苦,加剧了对获得艾滋病毒护理的影响。参与者依靠土著知识、仪式和社区内的复原力减轻了这些影响。服务提供者必须应对 COVID-19 大流行对土著艾滋病毒感染者的影响,以及他们获得艾滋病毒服务和仪式的机会。
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