Viral suppression rates in a safety-net HIV clinic in San Francisco destabilized during COVID-19

被引：90

作者：

Spinelli, Matthew A. ^{[1
]}

Hickey, Matthew D. ^{[1
]}

Glidden, David V. ^{[2
]}

Nguyen, Janet Q. ^{[1
]}

Oskarsson, Jon J. ^{[1
]}

Havlir, Diane ^{[1
]}

Gandhi, Monica ^{[2
]}

机构：

[1] Univ Calif San Francisco, Div HIV ID & Global Med, San Francisco, CA 94143 USA

[2] Univ Calif San Francisco, Dept Epidemiol & Biostat, San Francisco, CA USA

来源：

AIDS | 2020年 / 34卷 / 15期

关键词：

D O I：

10.1097/QAD.0000000000002677

中图分类号：

R392 [医学免疫学]; Q939.91 [免疫学];

学科分类号：

100102 ;

摘要：

The COVID-19 pandemic is expected to hinder US End the HIV Epidemic goals. We evaluated viral suppression and retention-in-care before and after telemedicine was instituted, in response to shelter-in-place mandates, in a large, urban HIV clinic. The odds of viral nonsuppression were 31% higher postshelter-in-place (95% confidence interval = 1.08-1.53) in spite of stable retention-in-care and visit volume, with disproportionate impact on homeless individuals. Measures to counteract the effect of COVID-19 on HIV outcomes are urgently needed.

引用

页码：2328 / 2331

页数：4

共 9 条

[1] "Taking a Half Day at a Time:" Patient Perspectives and the HIV Engagement in Care Continuum [J].

Christopoulos, Katerina A. ;

Massey, Amina D. ;

Lopez, Andrea M. ;

Geng, Elvin H. ;

Johnson, Mallory O. ;

Pilcher, Christopher D. ;

Fielding, Hegla ;

Dawson-Rose, Carol .

AIDS PATIENT CARE AND STDS, 2013, 27 (04) :223-230

[2] Degree of Housing Instability Shows Independent "Dose-Response" With Virologic Suppression Rates Among People Living With Human Immunodeficiency Virus [J].

Clemenzi-Allen, Angelo ;

Geng, Elvin ;

Christopoulos, Katerina ;

Hammer, Hali ;

Buchbinder, Susan ;

Havlir, Diane ;

Gandhi, Monica .

OPEN FORUM INFECTIOUS DISEASES, 2018, 5 (03)

[3] Ending the HIV Epidemic A Plan for the United States [J].

Fauci, Anthony S. ;

Redfield, Robert R. ;

Sigounas, George ;

Weahkee, Michael D. ;

Giroir, Brett P. .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2019, 321 (09) :844-845

[4]

Fuller T., NY TIMES

[5]

Mehrotra A, 2020, IMPACT COVID 19 PAND, DOI [10.26099/ds9e-jm36, DOI 10.26099/DS9E-JM36]

[6] Beyond Core Indicators of Retention in HIV Care: Missed Clinic Visits Are Independently Associated With All-Cause Mortality [J].

Mugavero, Michael J. ;

Westfall, Andrew O. ;

Cole, Stephen R. ;

Geng, Elvin H. ;

Crane, Heidi M. ;

Kitahata, Mari M. ;

Mathews, W. Christopher ;

Napravnik, Sonia ;

Eron, Joseph J. ;

Moore, Richard D. ;

Keruly, Jeanne C. ;

Mayer, Kenneth H. ;

Giordano, Thomas P. ;

Raper, James L. .

CLINICAL INFECTIOUS DISEASES, 2014, 59 (10) :1471-1479

[7]

People's Vaccine Alliance, 2022, Among those 22 low-income countries, only two (Mozambique and Uganda) have a full set of data and the data availability of the remaining countries varies depending on the year

[8]

Selvin S., 1996, Statistical analysis of epidemiologic data, P213

[9]

UNAIDS, 2020, MOD EXTR COVID 19 AI

← 1 →