Author | Bocage, Anne E. | |
Author | Coelho, Lara E. | |
Author | Lake, Jordan E. | |
Author | Clark, Jesse L. | |
Author | Torres, Thiago S. | |
Author | Jalil, Emília M. | |
Author | Cardoso, Sandra W. | |
Author | Moreira, Ronaldo I. | |
Author | Veloso, Valdiléa G. | |
Author | Grinsztejn, Beatriz | |
Author | Luz, Paula M. | |
Access date | 2023-03-03T11:58:31Z | |
Available date | 2023-03-03T11:58:31Z | |
Document date | 2023 | |
Citation | BOCAGE, Anne E. et al. The Impact of COVID-19 on HIV Care in Rio de Janeiro, Brazil 2019-2021: Disparities by Age and Gender. AIDS and Behavior, v. 30, p. 1-13, Jan. 2023. | |
ISSN | 1090-7165 | |
URI | https://www.arca.fiocruz.br/handle/icict/57198 | |
Sponsorship | This research is supported by the UCLA South American Program in HIV Prevention Research (Grant No. NIH R25 MH087222); the NIH-funded Caribbean, Central, and South America network for HIV epidemiology (CCASAnet), a member cohort of the International Epidemiologic Databases to Evaluate AIDS (leDEA) (Grant No. U01AI069923); the Instituto Nacional de Infectologia Evandro Chagas (INI, Fiocruz); and Fundação de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ, Grant No. E-26/210.820/2021). PML, TST acknowledge funding from Conselho Nacional de Desenvolvimento Científco e Tecnológico (CNPq) and FAPERJ. BG receives Grants from CNPq (Grant No. 305789/2019-8) and FAPERJ (Grant No. E-26/202.915/2018). | |
Language | eng | |
Publisher | Plenum Press | |
Rights | open access | |
Title | The Impact of COVID-19 on HIV Care in Rio de Janeiro, Brazil 2019-2021: Disparities by Age and Gender | |
Type | Article | |
DOI | 10.1007/s10461-023-03988-3 | |
Abstract | 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. | |
Affilliation | University of California. David Geffen School of Medicine. South American Program in HIV Prevention Research. Los Angeles, CA, USA / The Warren Alpert Medical School of Brown University. Providence, RI, USA. | |
Affilliation | Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil. | |
Affilliation | University of California. David Geffen School of Medicine. South American Program in HIV Prevention Research. Los Angeles, CA, USA / UTHealth Houston. Houston, TX, USA. | |
Affilliation | University of California. David Geffen School of Medicine. South American Program in HIV Prevention Research. Los Angeles, CA, USA / University of California. Center for HIV Identification, Prevention, and Treatment Services. Department of Family Medicine. Los Angeles, CA, USA. | |
Affilliation | Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil. | |
Affilliation | Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil. | |
Affilliation | Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil. | |
Affilliation | Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil. | |
Affilliation | Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil. | |
Affilliation | Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil. | |
Affilliation | Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. STD and AIDS Clinical Research Laboratory. Rio de Janeiro, RJ, Brazil. | |
Subject | COVID-19 | |
Subject | HIV care continuum | |
Subject | Health disparities | |
e-ISSN | 1573-3254 | |