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

Carol S. Dawson-Rose; Christine Horvat Davey; Emily Huang; Laura Cox; J. Craig Phillips; Motshedisi Sabone; Lufuno Makhado; Emilia Iwu; Kathleen V. Fitch; Sheila Shaibu; Diane Santa Maria; Rebecca Schnall; Panta Apiruknapanond; Tongyao Wang; Álvaro José Sierra Pérez; Tania de Jesús Espinosa; Janessa Broussard; Yvette P. Cuca

doi:10.1007/s10461-025-04928-z

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

Carol S. Dawson-Rose, Christine Horvat Davey, Emily Huang, Laura Cox, J. Craig Phillips, Motshedisi Sabone, Lufuno Makhado, Emilia Iwu, Kathleen V. Fitch, Sheila Shaibu, Diane Santa Maria, Rebecca Schnall, Panta Apiruknapanond, Tongyao Wang, Álvaro José Sierra Pérez, Tania de Jesús Espinosa, Janessa Broussard, Yvette P. Cuca

Research output: Contribution to journal › Article › peer-review

Abstract

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.

Original language	English (US)
Journal	AIDS and Behavior
DOIs	https://doi.org/10.1007/s10461-025-04928-z
Publication status	Accepted/In press - 2025
Externally published	Yes

Keywords

Access to resources
Anxiety
COVID-19
HIV
Quality of life
Social connections
Social ecological model

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s10461-025-04928-z

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Dawson-Rose, C. S., Horvat Davey, C., Huang, E., Cox, L., Phillips, J. C., Sabone, M., Makhado, L., Iwu, E., Fitch, K. V., Shaibu, S., Santa Maria, D., Schnall, R., Apiruknapanond, P., Wang, T., Sierra Pérez, Á. J., de Jesús Espinosa, T., Broussard, J., & Cuca, Y. P. (Accepted/In press). 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. AIDS and Behavior. https://doi.org/10.1007/s10461-025-04928-z

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title = "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",

abstract = "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{\textquoteright} 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.",

keywords = "Access to resources, Anxiety, COVID-19, HIV, Quality of life, Social connections, Social ecological model",

author = "Dawson-Rose, \{Carol S.\} and \{Horvat Davey\}, Christine and Emily Huang and Laura Cox and Phillips, \{J. Craig\} and Motshedisi Sabone and Lufuno Makhado and Emilia Iwu and Fitch, \{Kathleen V.\} and Sheila Shaibu and \{Santa Maria\}, Diane and Rebecca Schnall and Panta Apiruknapanond and Tongyao Wang and \{Sierra P{\'e}rez\}, \{{\'A}lvaro Jos{\'e}\} and \{de Jes{\'u}s Espinosa\}, Tania and Janessa Broussard and Cuca, \{Yvette P.\}",

note = "Publisher Copyright: {\textcopyright} The Author(s) 2025.",

year = "2025",

doi = "10.1007/s10461-025-04928-z",

language = "English (US)",

journal = "AIDS and Behavior",

issn = "1090-7165",

publisher = "Springer New York",

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Dawson-Rose, CS, Horvat Davey, C, Huang, E, Cox, L, Phillips, JC, Sabone, M, Makhado, L, Iwu, E, Fitch, KV, Shaibu, S, Santa Maria, D, Schnall, R, Apiruknapanond, P, Wang, T, Sierra Pérez, ÁJ, de Jesús Espinosa, T, Broussard, J & Cuca, YP 2025, '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', AIDS and Behavior. https://doi.org/10.1007/s10461-025-04928-z

TY - JOUR

T1 - Impact of COVID-19 Pandemic on Quality of Life, Anxiety, Connections to Friends, and Access to Resources Among People with HIV

T2 - Using the Social Ecological Model

AU - Dawson-Rose, Carol S.

AU - Horvat Davey, Christine

AU - Huang, Emily

AU - Cox, Laura

AU - Phillips, J. Craig

AU - Sabone, Motshedisi

AU - Makhado, Lufuno

AU - Iwu, Emilia

AU - Fitch, Kathleen V.

AU - Shaibu, Sheila

AU - Santa Maria, Diane

AU - Schnall, Rebecca

AU - Apiruknapanond, Panta

AU - Wang, Tongyao

AU - Sierra Pérez, Álvaro José

AU - de Jesús Espinosa, Tania

AU - Broussard, Janessa

AU - Cuca, Yvette P.

PY - 2025

Y1 - 2025

N2 - 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.

AB - 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.

KW - Access to resources

KW - Anxiety

KW - COVID-19

KW - HIV

KW - Quality of life

KW - Social connections

KW - Social ecological model

UR - https://www.scopus.com/pages/publications/105019790455

U2 - 10.1007/s10461-025-04928-z

DO - 10.1007/s10461-025-04928-z

M3 - Article

AN - SCOPUS:105019790455

SN - 1090-7165

JO - AIDS and Behavior

JF - AIDS and Behavior

ER -

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

Abstract

Keywords

UN SDGs

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