Disparity in HIV Service Interruption in the Outbreak of COVID-19 in South Carolina

被引:64
作者
Qiao, Shan [1 ,2 ]
Li, Zhenlong [1 ,3 ]
Weissman, Sharon [1 ,4 ]
Li, Xiaoming [1 ,2 ]
Olatosi, Bankole [1 ,5 ]
Davis, Christal [6 ]
Mansaray, Ali B. [6 ]
机构
[1] Univ South Carolina, South Carolina SmartState Ctr Healthcare Qual, Arnold Sch Publ Hlth, Columbia, SC 29208 USA
[2] Univ South Carolina, Dept Hlth Promot Educ & Behav, Arnold Sch Publ Hlth, Columbia, SC 29208 USA
[3] Univ South Carolina, Dept Geog, Columbia, SC 29208 USA
[4] Univ South Carolina, Sch Med, Dept Internal Med, Columbia, SC USA
[5] Univ South Carolina, Dept Hlth Serv Policy & Management, Arnold Sch Publ Hlth, Columbia, SC 29208 USA
[6] South Carolina Dept Hlth & Environm Control, Columbia, SC USA
基金
美国国家卫生研究院;
关键词
COVID-19; HIV service; South Carolina; Health disparity; Geospatial data;
D O I
10.1007/s10461-020-03013-x
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
To examine HIV service interruptions during the COIVD-19 outbreak in South Carolina (SC) and identify geospatial and socioeconomic correlates of such interruptions, we collected qualitative, geospatial, and quantitative data from 27 Ryan White HIV clinics in SC in March, 2020. HIV service interruptions were categorized (none, minimal, partial, and complete interruption) and analyzed for geospatial heterogeneity. Nearly 56% of the HIV clinics were partially interrupted and 26% were completely closed. Geospatial heterogeneity of service interruption existed but did not exactly overlap with the geospatial pattern of COVID-19 outbreak. The percentage of uninsured in the service catchment areas was significantly correlated with HIV service interruption (F = 3.987, P = .02). This mixed-method study demonstrated the disparity of HIV service interruptions in the COVID-19 in SC and suggested a contribution of existing socioeconomic gaps to this disparity. These findings may inform the resources allocation and future strategies to respond to public health emergencies.
引用
收藏
页码:49 / 57
页数:9
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