Determinants of psychological well-being during the Covid-19 pandemic among "people living with HIV/AIDS" in India

AIDS Care. 2022 Jul;34(7):813-820. doi: 10.1080/09540121.2021.1966696. Epub 2021 Aug 12.

Abstract

Using survey data on 647 "people living with HIV/AIDS" (PLHIV) respondents from India, we examine the association between human, economic, and social capital and psychological well-being during the Covid-19 pandemic, and whether pandemic-induced job and financial insecurity are significant stressors. We find that among human capital indicators, family health status results in a more positive mental state and fewer personal conflicts among PLHIV while having more working-age adults in the household results in more conflict. With regards to economic capital, PLHIV in salaried jobs and self-employment have a less positive mental state compared to those in daily wage work. Compared to daily wage workers, those in salaried jobs and self-employment exhibit lower addictive behavior. Self-employed PLHIV respondents also engage in fewer conflicts with their significant other. We do not find any correlation between social capital and psychological well-being. Job and financial insecurity are negatively associated with psychological well-being. While job insecurity is associated with an increase in addictive behavior, financial insecurity increases the likelihood of more frequent personal conflicts. We conclude that there is a need for greater economic and psychological support from institutions, community, and family to assuage the pandemic-induced psychological distress among PLHIV.ABBREVIATIONS: ART: antiretroviral treatment; GSNP+: Gujarat State Network of Positive People; MHI: mental health inventory; OBC: other backward castes; PLHIV: people living with HIV/AIDS; SC: scheduled castes; SD: standard deviation; ST: scheduled tribes.

Keywords: Covid-19; Human capital; economic capital; economic insecurity; psychological well-being; social capital.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acquired Immunodeficiency Syndrome*
  • Adult
  • COVID-19* / epidemiology
  • Cross-Sectional Studies
  • HIV Infections* / epidemiology
  • HIV Infections* / psychology
  • Humans
  • India / epidemiology
  • Pandemics