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Di Ciaccio M, Boulahdour N, Tadjeddine A, Brouk N, Ouchallal R, Hami N, Bourhaba O, Adami E, Lorente N, Delabre RM, Karkouri M, Rojas Castro D. Psychosocial experience of the Covid-19 crisis among people who use or inject drugs in Algeria: A community-based qualitative study. J Health Psychol 2024:13591053241259251. [PMID: 39045700 DOI: 10.1177/13591053241259251] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/25/2024] Open
Abstract
The COVID-19 crisis had a global impact and many marginalised groups, such as people who use or inject drugs, are more vulnerable to the SARS-CoV-2 virus and its consequences due to their pre-existing health inequalities. Moreover, people who use/inject drugs are also criminalised in some countries such as Algeria. This analysis aimed to explore the psychosocial experience of the COVID-19 crisis among people who use/inject drugs in Algeria. Twenty-nine qualitative interviews were conducted in 2021 with a community-based approach. Results of the thematic content analysis showed the intersectional effects of the COVID-19 crisis among people who use or inject drugs through the experience of a double crisis: one related to COVID-19 and the second to their specific difficulties related to drug use. Addressing social inequalities in health of people who use or inject drugs, through better recognition of their rights and needs, is crucial to improving their health.
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Affiliation(s)
| | | | | | - Nafaa Brouk
- Association de Protection Contre le Sida (APCS), Oran, Algeria
- Unité de dépistage du cancer du sein, EPSP, Alger, Algeria
| | - Rachida Ouchallal
- Association de Protection Contre le Sida (APCS), Oran, Algeria
- EHS Frantz-Fanon, Blida, Algeria
| | - Noria Hami
- Association de Protection Contre le Sida (APCS), Oran, Algeria
- Etablissement Hospitalier Pédiatrique, Oran, Algeria
| | - Othmane Bourhaba
- Association de Lutte Contre le Sida (ALCS), Casablanca, Morocco
- Community-based research laboratory, Coalition PLUS, Dakar, Senegal
| | - Elisa Adami
- Community-based research laboratory, Pantin, France
| | - Nicolas Lorente
- Community-based research laboratory, Pantin, France
- Centre d'Estudis Epidemiològics sobre les Infeccions de Transmissió Sexual i Sida de Catalunya (CEEISCAT), Departament de Salut, Generalitat de Catalunya, Badalona, España
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (CIBERESP), Madrid, España
| | | | - Mehdi Karkouri
- Association de Lutte Contre le Sida (ALCS), Casablanca, Morocco
- Community-based research laboratory, Coalition PLUS, Dakar, Senegal
- Centre Hospitalier Universitaire, Casablanca, Morocco
| | - Daniela Rojas Castro
- Community-based research laboratory, Pantin, France
- Aix Marseille Univ, Inserm, IRD, SESSTIM, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale, ISSPAM, Marseille, France
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Ribeiro LCS, Giami A, Freitas MIDF. Representations of people living with HIV: influences on the late diagnosis of infection. Rev Esc Enferm USP 2019; 53:e03439. [PMID: 30864619 DOI: 10.1590/s1980-220x2018009703439] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2018] [Accepted: 08/17/2018] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To analyze the representations constructed by people living with HIV on the infection and their influence on the late search for diagnosis. METHOD A qualitative study, conducted through an open interview with people who had a late diagnosis of HIV infection. The theoretical framework adopted was the Theory of Social Representations based on a critical approach. For data analysis, was used the Structural Analysis of Narration method and the MAXQDA 12® software. RESULTS Eighteen people participated in the study. The following original representations were unveiled: AIDS as a transmissible and dangerous disease; disease of the other; severe, incurable and deadly disease; and denial of risk due to trust in a steady partner. These representations contributed to the late search for diagnosis, either because of the attitude of distance from susceptible people, or because they did not perceive or deny the risks to which they were exposed in their life trajectories. CONCLUSION Understanding the reasons that lead people to a late diagnosis of HIV is imperative in the current epidemic scenario for the planning and implementation of new strategies and policies for the timely diagnosis of the infection.
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