HIV Infection Prevalence Significantly Intersects With COVID-19 Infection At the Area Level: A US County-Level Analysis

Luan, Hui; Song, Insang; Fiellin, David A.; Ransome, Yusuf

doi:10.1097/qai.0000000000002758

Cited by 10 publications

(4 citation statements)

References 53 publications

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“…In contrast, several studies suggest that access to health care during 2020 among general population was delayed or reduced [20], [21]. Our findings could also be explained in part by lower COVID-19 morbidity among PWDH; however, this is not supported by current literature [3], [22]. We do not believe vaccination played a significant role in the current analysis, as vaccines were not widely available during the considered time period.…”

Section: Discussioncontrasting

confidence: 73%

Mortality among persons with HIV in the United States during the COVID-19 pandemic: a population-level analysis

Viguerie

Song

Bosh

et al. 2023

Preprint

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Background: Whether COVID-19 has had a disproportionate impact on mortality among persons with diagnosed HIV (PWDH) in United States is unclear. Through our macro-scale analysis, we seek to better understand how COVID-19 and subsequent behavioral changes affected mortality among PWDH. Methods: We obtained mortality and population size data for the years 2018-2020 from the National HIV Surveillance System (NHSS) for the PWDH population aged ≥13 years in the United States, and from publicly available data for the general population. We computed mortality rates and excess mortality for both the general and PWDH populations. Stratifications by age, race/ethnicity, and sex-at birth were considered. For each group, we determined whether the 2020 mortality rates and mortality risk ratio showed a statistically significant change from 2018-2019. Results: Mortality rates increased in 2020 from 2018-2019 across the general population in all groups. Among PWDH, mortality rates either increased, or showed no statistically significant change. The mortality risk ratio between PWDH and the general population decreased 7.7% in 2020. Approximately 1550 excess deaths occurred among PWDH in 2020, with Black, Hispanic/Latino and PWDH above 55 and older representing the majority of excess deaths. Conclusions: While mortality rates among PWDH increased in 2020 relative to 2018-2019, the increases were smaller than those observed in the general population. This suggests that COVID-19 and resulting behavioral changes among PWDH did not result in disproportionate mortality among PWDH. These findings suggest that COVID-19, and any associated indirect effects, do not represent a proportionally greater risk for PWDH compared to the general population.

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Section: Discussioncontrasting

confidence: 73%

Mortality among persons with HIV in the United States during the COVID-19 pandemic: a population-level analysis

Viguerie

Song

Bosh

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Among those who may be disproportionately affected by the pandemic are people living with HIV (PLWH), a socially vulnerable population overrepresented in U.S. minorities ( Centers for Disease Control and Prevention, 2020b , Dailey et al, 2019 ). Indeed, COVID-19 infections correlate with social vulnerability ( Dasgupta et al, 2020 , Karaye and Horney, 2020 ) and with county-level HIV prevalence ( Luan et al, 2021 ). The available evidence indicates that PLWH may have a heightened risk of poor COVID-19 outcomes, in part due to social determinants of health and multimorbidity ( Mirzaei et al, 2020 , Ssentongo et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

HIV, psychological resilience, and substance misuse during the COVID-19 pandemic: A multi-cohort study

Baum

Tamargo

Diaz-Martinez

et al. 2022

Drug and Alcohol Dependence

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“…Therefore, it is important to evaluate the association between these harms at the county level to identify counties to target for federal funding and prevention resources. 13 For instance, the Ending the HIV Epidemic Initiative used surveillance data to identify 57 counties to prioritize with additional resources for HIV prevention. 14 There is an urgent need for empirical evidence to identify those counties most impacted by these twin crises of mental health and COVID-19 across the U.S. to help deploy resources in the most efficient manner.…”

Section: Introductionmentioning

confidence: 99%

Association of Poor Mental-Health Days With COVID-19 Infection Rates in the U.S.

Ransome

Luan

Song

et al. 2022

American Journal of Preventive Medicine

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HIV Infection Prevalence Significantly Intersects With COVID-19 Infection At the Area Level: A US County-Level Analysis

Abstract: Supplemental Digital Content is Available in the Text.

Cited by 10 publications

References 53 publications

Mortality among persons with HIV in the United States during the COVID-19 pandemic: a population-level analysis

Mortality among persons with HIV in the United States during the COVID-19 pandemic: a population-level analysis

HIV, psychological resilience, and substance misuse during the COVID-19 pandemic: A multi-cohort study

Association of Poor Mental-Health Days With COVID-19 Infection Rates in the U.S.

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