Core Elements of a National COVID-19 Strategy: Lessons Learned from the US National HIV/AIDS Strategy

Holtgrave, David R.; Valdiserri, Ronald O.; Kalichman, Seth C.; Rı́o, Carlos del; Thompson, Melanie

doi:10.1007/s10461-020-03045-3

Cited by 12 publications

(11 citation statements)

References 8 publications

(5 reference statements)

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“…The National HIV/AIDS Strategy for the United States [ 69 ] can potentially serve as a model for a National COVID-19 Strategy, including as a means of preventing COVID-19 from becoming another entrenched pandemic of the poor. Holtgrave and colleagues (2020) outlined such a National COVID-19 Strategy, with topics such as addressing social factors that lead to disparities in exposure to the new coronavirus, preventing transmission with current tools, promoting early diagnosis and enabling contact tracing, and understanding racial and ethnic disparities by building systems to achieve health equity [ 70 ]. Moreover, AABL PLWH have an important role to play in sharing lessons learned from the HIV pandemic as applied to COVID-19.…”

Section: Discussionmentioning

confidence: 99%

Black and Latino Persons Living with HIV Evidence Risk and Resilience in the Context of COVID-19: A Mixed-Methods Study of the Early Phase of the Pandemic

Gwadz

Campos

Freeman³

et al. 2021

AIDS Behav

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The COVID-19 pandemic has great potential to disrupt the lives of persons living with HIV (PLWH). The present convergent parallel design mixed-methods study explored the early effects of COVID-19 on African American/Black or Latino (AABL) long-term survivors of HIV in a pandemic epicenter, New York City. A total of 96 AABL PLWH were recruited from a larger study of PLWH with non-suppressed HIV viral load. They engaged in structured assessments focused on knowledge, testing, trust in information sources, and potential emotional, social, and behavioral impacts. Twenty-six of these participants were randomly selected for in-depth semi-structured interviews. Participants were mostly men (64%), African American/Black (75%), and had lived with HIV for 17 years, on average (SD=9 years). Quantitative results revealed high levels of concern about and the adoption of recommended COVID-19 prevention recommendations. HIV care visits were commonly canceled but, overall, engagement in HIV care and antiretroviral therapy use were not seriously disrupted. Trust in local sources of information was higher than trust in various federal sources. Qualitative findings complemented and enriched quantitative results and provided a multifaceted description of both risk factors (e.g., phones/internet access were inadequate for some forms of telehealth) and resilience (e.g., “hustling” for food supplies). Participants drew a direct line between structural racism and the disproportional adverse effects of COVID-19 on communities of color, and their knowledge gleaned from the HIV pandemic was applied to COVID-19. Implications for future crisis preparedness are provided, including how the National HIV/AIDS Strategy can serve as a model to prevent COVID-19 from becoming another pandemic of the poor.

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Section: Discussionmentioning

confidence: 99%

Black and Latino Persons Living with HIV Evidence Risk and Resilience in the Context of COVID-19: A Mixed-Methods Study of the Early Phase of the Pandemic

Gwadz

Campos

Freeman³

et al. 2021

AIDS Behav

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“…On the other hand, social context has a significant influence on the ways of HIV transmission, as HIV is transmitted through human behaviors, such as sexual intercourse and intravenous drug injection, which are significantly influenced by local socio-cultural and political contexts ( 7 ). In China, the southwestern border area has the highest HIV/AIDS prevalence and is thus considered to be the epicenter of HIV in China ( 8 ).…”

Section: Introductionmentioning

confidence: 99%

Ways of HIV transmission in China: The effect of age, period, and cohort

Wang

et al. 2022

Front. Public Health

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BackgroundAcquired immunodeficiency syndrome (AIDS) is a global pandemic caused by human immunodeficiency virus (HIV), which is transmitted through human behaviors, such as sexual intercourse, intravenous drug injection, and blood transfusion. Rare studies have focused on the evaluation of the effects of culture, society, and HIV-related policies in adjusting people's HIV-related behaviors, i.e., ways of HIV transmission.MethodsBy taking the new HIV infections in Hubei Province each year from 1995 to 2020 as the sample, our study used the Hierarchical Age-Period-Cohort (HAPC) model to analyze the effects of age, period, and cohort on the trends of ways of HIV transmission.ResultsFrom 1995 to 2020, the number of new HIV infections in Hubei presented a general upward trend. A total of 34,636 HIV infections were reported during this period. According to the statistics of the new HIV infections in Hubei Province between 1995 and 2020, there is a negative correlation between age (−0.099, p < 0.001), squared age (−0.002, p < 0.001), and the rate of blood transmission. While there is a positive correlation between age (0.143, p < 0.001), squared age (0.002, p < 0.001), and the rate of HIV infection through sexual transmission. The significant period and cohort effects on ways of HIV transmission were also observed in the Chinese population.ConclusionSexual and blood transmission are the two main ways of HIV infection in China and Hubei. The trend of blood transmission is in accordance with the wave of blood trade in the early 1990s in China. The trend of sexual transmission indicates an increasing need to promote safer sexual behavior among the older population and later generations and design more tailored, innovative, and diverse HIV prevention strategies, especially for the high-risk groups.

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“…In March 2020, more than a month following the first death from COVID-19 in the US [ 9 ], the Centers for Disease Control and Prevention (CDC) issued recommendations to avoid social gatherings but did not institute a national strategy for stemming infections [ 10 ]. Without a national plan for managing the COVID-19 outbreak [ 11 ], state and local health departments were required to formulate strategies to mitigate the spread of the virus. The City of Atlanta, for example acted to issue protective orders including invoking a state of emergency and closing all non-essential businesses [ 12 ], which did not however include health service providers.…”

Section: Introductionmentioning

confidence: 99%

Trust in health information sources and its associations with COVID-19 disruptions to social relationships and health services among people living with HIV

et al. 2021

Self Cite

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Background SARS-CoV-2 infection (COVID-19) is potentially severe for individuals with compromised immune systems, including people living with HIV. Along with the direct health threats of COVID-19, there are disruptions to social relationships and health services resulting from mitigation efforts instituted by public health authorities. This study examined the relationship between trust in the government and trust in COVID-19 health information from the US CDC, state health departments, and social media on the experience of COVID-19 social and health services-related disruptions. Methods People living with HIV (N = 459) recruited through social media advertisements and chain referrals completed confidential surveys delivered through an online platform. Results Participants experienced high-levels of disruptions to social relationships and health services attributable to COVID-19 mitigation efforts. We also observed high-rates of inaccurate information and low-levels of trust in government and sources of COVID-19 information. Greater disruptions to social relationships were predicted by more concern about oneself and others contracting COVID-19, whereas disruptions to health services were predicted by greater concern for oneself contracting COVID-19, greater general medical mistrust, and less trust in information from the CDC. Conclusions Findings have implications for the necessity of rebuilding public trust in credible sources of health information and stepping up efforts to counter sources of inaccurate information.

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Core Elements of a National COVID-19 Strategy: Lessons Learned from the US National HIV/AIDS Strategy

Cited by 12 publications

References 8 publications

Black and Latino Persons Living with HIV Evidence Risk and Resilience in the Context of COVID-19: A Mixed-Methods Study of the Early Phase of the Pandemic

Black and Latino Persons Living with HIV Evidence Risk and Resilience in the Context of COVID-19: A Mixed-Methods Study of the Early Phase of the Pandemic

Ways of HIV transmission in China: The effect of age, period, and cohort

Trust in health information sources and its associations with COVID-19 disruptions to social relationships and health services among people living with HIV

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