{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:58:32Z","timestamp":1787169512703,"version":"build-2736575974"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>As the SARS-CoV-2 pandemic continues to ravage the world, its impact on the health systems and survival of people with chronic diseases especially People living with HIV [PLWH] could be undermined. It becomes relevant to assess the challenges PLWH face during this period to institute measures towards combating the negative effects of the pandemic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>This study aims to investigate the challenges faced by PLWH in accessing care during the lockdown period in Lagos, Nigeria. The study was a cross-sectional one involving PLWH aged 18 years and above who presented for care. An interviewer-administered questionnaire was used to obtain information on demographic characteristics, their knowledge about COVID-19 disease, and challenges experienced in accessing care during the COVID-19-induced lockdown. Ethical approval was obtained from the Institution Research Ethics Board (IRB) of NIMR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>Data generated from the survey was exported to Excel and analyzed using SPSS version 23.0.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The mean age of PLWH who participated in the study was 42.2 (\u00b112.2) years. The majority were female (74.3%), married (66.3%), employed (58.9%), and on less than $100 monthly income (80.5%). The commonest challenges experienced were psychological (78.5%), financial (68%) and food (40.7%). There were significant association among the income status, lack of food (OR: 2.5, CI: 1.4-4.5,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.002), financial challenges (OR: 1.7, CI: 1.0-3.0,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.048) and psychological challenges (OR; 1.8, CI: 1.0-3.5,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.05). Ninety-five percent of participants believed SARS-COV-2 infection is a viral infection.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>PLWH faces a myriad of challenges that would have a significant impact on their overall well-being and the gains of HIV care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/njcp.njcp_391_20","type":"journal-article","created":{"date-parts":[[2022,1,19]],"date-time":"2022-01-19T07:38:30Z","timestamp":1642577910000},"page":"49-54","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Challenges of Accessing Care in Art Clinic during COVID-19 Lockdown in Lagos"],"prefix":"10.4103","volume":"25","author":[{"given":"AO","family":"Salako","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"OO","family":"Odubela","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"HO","family":"Ohwodo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Opaneye","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"SO","family":"Ojuko","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"NL","family":"Nwankwo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"QE","family":"Ejiga","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"AN","family":"David","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"OC","family":"Ezechi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"BL","family":"Salako","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-9-20240907","doi-asserted-by":"crossref","first-page":"e25084","DOI":"10.1002\/jia2.25084","article-title":"Retention and mortality on antiretroviral therapy in sub-Saharan Africa: Collaborative analyses of HIV treatment programmes","volume":"21","author":"Haas","year":"2018","journal-title":"J Int AIDS Soc"},{"key":"R5-9-20240907","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1186\/1471-2334-13-401","article-title":"Prevalence and determinants of adherence to HAART amongst PLWHA in a tertiary health facility in south-south Nigeria","volume":"13","author":"Oku","year":"2013","journal-title":"BMC Infect Dis"},{"key":"R6-9-20240907","first-page":"69","article-title":"Adherence to antiretroviral therapy in Nigeria: An overview of research studies and implications for policy and practice","volume":"2","author":"Monjok","year":"2010","journal-title":"HIVAIDS (Auckl"},{"key":"R7-9-20240907","doi-asserted-by":"crossref","first-page":"2039","DOI":"10.1371\/journal.pmed.0030438","article-title":"Adherence to HAART: A systematic review of developed and developing nation patient-reported barriers and 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