Evidence map›Paper›PMID 42900305›Full record

ArticleAIDS and behavior2026

The Effects of Extreme Climate Events on Healthcare Access, Mental Health, and Economic Stability Among PLHIV in Brazil.

Angelo Brandelli Costa, Isadora Graeff Bins-Ely, Lara Wiehe Chaves, Kisara Freeman, Lizi Lekveishvili, Guilherme Welter Wendt, Damião Soares de Almeida-Segundo, Laura Dos Santos Boeira

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Article in AIDS and behavior, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Angelo Brandelli CostaGraduate Program in Psychology, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil. angelo.costa@pucrs.br.ORCID http://orcid.org/0000-0002-0742-8152
Isadora Graeff Bins-ElyDepartment of Psychiatry, School of Medicine, Trinity College Dublin, Dublin, Ireland.ORCID http://orcid.org/0000-0001-7866-6679
Lara Wiehe ChavesGraduate Program in Medicine and Health Sciences, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil.
Kisara FreemanDepartment of Psychological and Social Sciences, John Cabot University, Rome, Italy.
Lizi LekveishviliDepartment of Psychological and Social Sciences, John Cabot University, Rome, Italy.
Guilherme Welter WendtGraduate Program in Health Sciences, Western Paraná State University, Cascavel, Brazil.ORCID http://orcid.org/0000-0002-9014-6120
Damião Soares de Almeida-SegundoGraduate Program in Psychology, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil.ORCID http://orcid.org/0000-0003-2407-0583
Laura Dos Santos BoeiraGraduate Program in Psychology, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Brazil.ORCID http://orcid.org/0000-0001-8450-0907

Funding

Conselho Nacional de Desenvolvimento Científico e Tecnológico CNPq #408330/2024-4Conselho Nacional de Desenvolvimento Científico e Tecnológico INCT SiMAIJG CDC HHS 006/2024
6 · The paper itself

Abstract

Climate change and HIV are intersecting crises, yet their combined impact on Latin America's HIV care continuum remains understudied. Using a descriptive cross-sectional design with data from the 2024 Brazilian HIV Stigma Index, we examined the consequences of extreme climate events-primarily the May 2024 floods in Porto Alegre-on healthcare access, mental health, and socioeconomic stability among 156 people living with HIV. These events were associated with substantial care disruptions, with many participants reporting rescheduled or canceled medical appointments and laboratory monitoring. Furthermore, 60.5% reported negative mental health impacts and 37.3% suffered household income reductions. Institutional support reached a minority, leaving many reliant on civil society for survival needs. These findings highlight an urgent need for climate-resilient HIV policies integrating mental health care and social protection to sustain treatment adherence during public calamities.

Indexed as

ClimateHealthcareHIVMental health

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.