COVID-19 and the HIV continuum in people living with HIV enrolled in Collaborating Consortium of Cohorts Producing NIDA Opportunities (C3PNO) cohorts

Lesko, Catherine R.; Keruly, Jeanne C.; Moore, Richard D.; Shen, Nicola M.; Pytell, Jarratt D.; Lau, Bryan; Fojo, Anthony T.; Mehta, Shruti H.; Kipke, Michele D.; Baum, Marianna K.; Shoptaw, Steven; Gorbach, Pamina M.; Mustanski, Brian; Javanbakht, Marjan; Siminski, Suzanne; Chander, Geetanjali

doi:10.1016/j.drugalcdep.2022.109355

Cited by 9 publications

(7 citation statements)

References 51 publications

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“…Furthermore, a multi-continent study of the impact of COVID-19 on HIV care provisions found a reduction in the number of in-person care events and a decrease in linkage to care despite the increase in positive HIV tests [ 24 ]. A survey-based study of 773 PLWH at 6 North American cohort sites from May 2020 to February 2021 found that socioeconomic factors such as unstable housing, food insecurity, low resiliency, and disruptions to access to mental health care were associated with both missed care visits and missed ART doses during the pandemic [ 25 ]. Changes in care recommendations, as proposed by the World Health Organization (WHO), could help explain changes in care utilization.…”

Section: Discussionmentioning

confidence: 99%

“…Social isolation, fear of COVID-19 exposure, financial woes, and intimate partner violence may have worsened mental health rates among TGW thereby worsening HIV care outcomes [ 29 , 32 , 33 ]. Social factors, such as mental health and stigma, have also been shown to affect access to care and are associated with more missed health care visits and worse HIV outcomes [ 25 ]. Despite ongoing efforts by INI staff to overcome barriers to engagement and retention in care for TGW by using preferred names and pronouns, promoting a trans-friendly space with gender-neutral accommodations, offering trans specific transportation, providing legal assistance, and having trans staff members working in the clinic, the indicators were still worse for TGW [ 34 ].…”

Section: Discussionmentioning

confidence: 99%

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The Impact of COVID-19 on HIV Care in Rio de Janeiro, Brazil 2019–2021: Disparities by Age and Gender

et al. 2023

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We evaluated COVID-19’s impact on HIV care indicators among INI/FIOCRUZ’s HIV Clinical Cohort in Rio de Janeiro, Brazil: (1) Adequate care visits: two visits ≥ 90 days apart; (2) Adequate viral load monitoring: ≥ 2 viral load results ≥ 90 days apart; (3) Consistent viral suppression: all viral loads < 40 copies/mL; and (4) ART medication possession ratio (MPR) ≥ 95%. Chi-square tests compared the fraction of participants meeting each indicator per period: pre-pandemic (3/1/2019–2/29/2020) and post-pandemic (3/1/2020–2/28/2021). Logistic regression models were used to assess disparities in adequate care visits. Among 906 participants, care visits and viral load monitoring decreased pre-pandemic to post-pandemic: 77.0–55.1% and 36.6–11.6% (both p < 0.001), respectively. The optimal MPR rate improved from 25.5 to 40.0% (p < 0.001). Post-pandemic period (aOR 0.33, CI 0.28–0.40), transgender women (aOR 0.34, CI 0.22–0.53), and those aged 18–24 years (aOR 0.67, CI 0.45–0.97) had lower odds of adequate care visits. COVID-19 disrupted care access disproportionately for transgender women and younger participants. Supplementary Information The online version contains supplementary material available at 10.1007/s10461-023-03988-3.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The Impact of COVID-19 on HIV Care in Rio de Janeiro, Brazil 2019–2021: Disparities by Age and Gender

et al. 2023

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“…Norwood et al similarly found a 33% decrease in medical encounters among PWH in the second quarter of 2020 compared to the second quarter of 2019 [ 14 ]. While our study did not examine reasons for poor retention in HIV care during the pandemic, other studies have found that unstable housing, food insecurity, substance use, and mental health care disruptions were associated with missed HIV care visits [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Measuring Retention in HIV Care in the First Year of the COVID-19 Pandemic: The Impact of Telehealth

et al. 2022

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It is unknown how the COVID-19 pandemic impacted traditional measures of retention in HIV care. We calculated six different retention measures at an urban HIV care clinic for two time periods: pre-pandemic, and during the first year of the COVID-19 pandemic, with and without inclusion of telehealth appointments. Spearman rank correlation was used to assess correlation between different measures of retention. For both the pre-pandemic and pandemic time periods, there was strong correlation among measures of missed visits (range 0.857–0.957). More patients were considered retained in care during the pandemic when telehealth appointments were included in the analysis.

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“…In this study, the patient had a low CD4 count, which raises the risk of serious illness and death in people with concurrent HIV/AIDS and COVID-19. A pandemic's psychological stress, interruption in the continuity of treatment for patients living with HIV, and greater social isolation are all potential aggravators of the mental health issues that patients living with HIV are more likely to experience [12]. The COVID-19 pandemic and active TB infection stimulates the host immune system and increase the immunological load even more.…”

Section: Discussionmentioning

confidence: 99%

A case report of COVID-19 associated with AIDS-related pulmonary tuberculosis

Bereda¹

2022

Preprint

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Patients immunocompromised by HIV or with TB lung disease could be more susceptible to severe COVID-19 infection. The COVID-19 pandemic poses a serious hazard to tuberculosis sufferers. A 67-year-old black African house wife with an HIV/AIDS diagnosis arrived at the emergency room on September 28, 2022. The admitted woman had significant complaints included muscle weakness, a loss of weight about 33 pounds during the preceding week, headache, and a cough. Reduced breath sounds were audible on chest auscultation in the right middle and upper lungs. His electrocardiogram showed sinus tachycardia and anterior-lateral lead ST-depression. She had two nasopharyngeal swabs for COVID-19 testing, which were positive. For the first five days of her stay in the hospital, the patient needed continuous oxygen delivered through a nasal cannula at a rate of four liters per minute, and she is still taking her ART regimen. For TB treatment, she took rifampicin 150 mg, isoniazid 75 mg, pyrazinamide 400 mg, and ethambutol 275 mg during a two-month intensive phase of her TB therapy, then rifampicin 150 mg and isoniazid 75 mg for a four-month continuous phase.

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COVID-19 and the HIV continuum in people living with HIV enrolled in Collaborating Consortium of Cohorts Producing NIDA Opportunities (C3PNO) cohorts

Cited by 9 publications

References 51 publications

The Impact of COVID-19 on HIV Care in Rio de Janeiro, Brazil 2019–2021: Disparities by Age and Gender

The Impact of COVID-19 on HIV Care in Rio de Janeiro, Brazil 2019–2021: Disparities by Age and Gender

Measuring Retention in HIV Care in the First Year of the COVID-19 Pandemic: The Impact of Telehealth

A case report of COVID-19 associated with AIDS-related pulmonary tuberculosis

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