COVID-19 Pandemic Disrupts HIV Continuum of Care and Prevention: Implications for Research and Practice Concerning Community-Based Organizations and Frontline Providers

Pinto, Rogério M.; Park, Sunggeun

doi:10.1007/s10461-020-02893-3

Cited by 114 publications

(103 citation statements)

References 27 publications

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“…In Maryland, a comprehensive patient and family centered HIV primary care was interrupted among racial, sexual and gender minority youth living with HIV, which might impede their medicine adherence and clinical improvement [ 28 ]. To prevent the further widening of the disparities in existing HIV care system, strengthening and empowering community partners of HIV clinics could be essential for more effective and accountable responses to public health emergencies [ 29 – 31 ].…”

Section: Discussionmentioning

confidence: 99%

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

Qiao

Weissman

et al. 2020

AIDS Behav

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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.

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Section: Discussionmentioning

confidence: 99%

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

Qiao

Weissman

et al. 2020

AIDS Behav

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“…In major urban centers of the United States, COVID-19 might exacerbate the burden of HIV in disproportionately affected populations with existing health challenges, especially Black and Latinx Americans. 1,2 The reported reductions in access to health services due to the COVID-19 pandemic such as routine HIV testing, initiation or continuation of antiretroviral therapy (ART) for people living with HIV (PLHIV), pre-exposure prophylaxis (PrEP) for men who have sex with men at high-risk of HIV infection, medications, and harm reduction services for people who inject drugs (PWID) [3][4][5][6][7] may prompt increases in HIV transmissions, further challenging national efforts toward the 'Ending the HIV Epidemic' goals. 8 At present, there is limited evidence on the clinical relationship between SARS-CoV-2 and HIV.…”

Section: Introductionmentioning

confidence: 99%

The Potential Epidemiological Impact of Coronavirus Disease 2019 (COVID-19) on the Human Immunodeficiency Virus (HIV) Epidemic and the Cost-effectiveness of Linked, Opt-out HIV Testing: A Modeling Study in 6 US Cities

Zang

Krebs

Chen

et al. 2020

Clinical Infectious Diseases

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Background Widespread viral and serological testing for SARS-CoV-2 may present a unique opportunity to also test for HIV infection. We estimated the potential impact of adding linked, opt-out HIV testing alongside SARS-CoV-2 testing on HIV incidence and the cost-effectiveness of this strategy in six US cities. Methods Using a previously-calibrated dynamic HIV transmission model, we constructed three sets of scenarios for each city: (1) sustained current levels of HIV-related treatment and prevention services (status quo); (2) temporary disruptions in health services and changes in sexual and injection risk behaviours at discrete levels between 0%-50%; and (3) linked HIV and SARS-CoV-2 testing offered to 10%-90% of the adult population in addition to scenario (2). We estimated cumulative HIV infections between 2020-2025 and incremental cost-effectiveness ratios of linked HIV testing over 20 years. Results In the absence of linked, opt-out HIV testing, we estimated a total of 16.5% decrease in HIV infections between 2020-2025 in the best-case scenario (50% reduction in risk behaviours and no service disruptions), and 9.0% increase in the worst-case scenario (no behavioural change and 50% reduction in service access). We estimated that HIV testing (offered at 10%-90% levels) could avert a total of 576-7,225 (1.6%-17.2%) new infections. The intervention would require an initial investment of $20.6M-$220.7M across cities; however, the intervention would ultimately result in savings in health care costs in each city. Conclusions A campaign in which HIV testing is linked with SARS-CoV-2 testing could substantially reduce HIV incidence and reduce direct and indirect health care costs attributable to HIV.

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“…As part of social distancing requirements in many settings, routine HIV care is being offered via telemedicine [7,19]. For women who may not have disclosed their HIV status to their partners, this form of care provision, although necessary during these times, may not be a feasible option for many women living with HIV.…”

Section: Implications For Women-centred Hiv Care and Future Researchmentioning

confidence: 99%

When Home is Not a Safe Place: Impacts of Social Distancing Directives on Women Living with HIV

et al. 2020

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COVID-19 Pandemic Disrupts HIV Continuum of Care and Prevention: Implications for Research and Practice Concerning Community-Based Organizations and Frontline Providers

Cited by 114 publications

References 27 publications

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

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

The Potential Epidemiological Impact of Coronavirus Disease 2019 (COVID-19) on the Human Immunodeficiency Virus (HIV) Epidemic and the Cost-effectiveness of Linked, Opt-out HIV Testing: A Modeling Study in 6 US Cities

When Home is Not a Safe Place: Impacts of Social Distancing Directives on Women Living with HIV

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