the impact evaluation of the covid-19 prevention on risk factors of hiv and sexually transmitted comorbidity

Conditions: COVID-19 Pandemics; Human Immunodeficiency Virus

Summary: this is a cross-sectional research. the protection motivation theory (pmt) was applied as theoretical framework to analyze correlation of prevention knowledge, prevention intentions and anxiety, and prevention behavior of covid-19 and hiv risk feature and behavior and stigma of people living with hiv/aids (plwha), and hiv high-risk groups. purposive and snowball sampling will be applied to recruit participant who visit hospital, hiv/aids related institutions, and social media platforms. the investigators expect that the outcome could reveal the relationship of cognition and attitude of covid-19 to hiv prevention and treatment.

the prevention strategies can effectively block the spread of coronavirus disease (coronavirus disease 19; covid-19), and at the same time may indirectly reduce or increase the risk behaviors and factors of human immunodeficiency virus (hiv) and sexually transmitted comorbidities. the main purpose of this research is to apply the protection motivation theory (pmt) as the framework to analyze covid-19 prevention knowledge, covid-19 prevention intentions and anxiety level, and covid-19 prevention behavior and hiv risk behavior and risk factors of people living with hiv/aids (plwha) and hiv high-risk groups. the cross-sectional research method was adopted, and the subjects included the northern, central, southern, and eastern regions of taiwan.about 1100 plwha and 1100 high-risk groups will be recruited. the information of recruitment will be disseminated through the aids designated medical institutions and related institutions, and social media, snowball recruitment of interviewees will also be used. after completing the online questionnaire, the structural equation modeling (sem) will be applied to test the good of fit of the theory model and to explain the structural relationship between covid-19 prevention knowledge, attitudes, behaviors and hiv risk factors. the relationship with the above variables and stigma also been discussed. in addition to verifying the theories proposition of pmt, the research results also contribute to the prevention and treatment of hiv high-risk groups, and provide important references for prevention strategies for susceptible groups during the epidemic of emerging infectious diseases in the future.

Eligibility criteria:
inclusion criteria for hiv/aids participants: 1. participants who diagnosed with hiv/aids. 2. age over 18 years old. 3. participants who can read and communicate. exclusion criteria for hiv/aids participants: 1. participants who can't read and communicate. inclusion criteria for hiv high risk group: 1. participants who have experienced unsafe sex, regardless of their gender orientation, such as those who describe themselves as men who have sex with men (msm), heterosexuals, transgender, sex workers, etc. 2. injecting drug user(idu) 3. age over 18 years old. 4. participants who can read and communicate. exclusion criteria for hiv high risk group: 1. participants who can't read and communicate.

Keywords: attitude behavior coronavirus disease 19 (covid-19) hiv high risk group knowledge people living with hiv/aids (plwha) protection motivation theory (pmt) stigma