“Cold turkey meds again”: Access to community HIV/AIDS services during public health emergencies
Bibliographic record
Abstract
This paper works to explore the experiences of people living with HIV (PLWH) in relation to the closure of AIDS Service Organizations (ASOs) in Ontario, Canada, during the COVID-19 pandemic and offers recommendations on how to ensure a continuum of care for PLWH during public health emergencies like COVID-19. Semi-structured in-depth interviews were conducted with PLWH (n=8) and ASO service providers (n=8). Participants discussed their experiences with HIV services throughout the pandemic. Of the PLWH interviewed, individuals shared experiences of worsening mental health outcomes, difficulties accessing resources, disruption in medical care, and increased feelings of isolation. ASO service providers identified changes in their functions, increased barriers in service provision, and staff fatigue as challenges to their work. The results of this study demonstrate the need for reimagining HIV/AIDS and other service provisions during pandemics to ensure that resources remain accessible for PLWH and other marginalized populations. Essential ASO services to maintain a continuum of care during pandemic circumstances include prioritizing mental health supports, regular access to nutritious food, clothing, and financial support, and consistent check-ins between clients and service providers.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.005 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.015 | 0.008 |
| Scholarly communication | 0.005 | 0.003 |
| Open science | 0.001 | 0.007 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.005 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".