大流行
医学
公共卫生
人口学
病毒载量
联动装置(软件)
累积发病率
入射(几何)
医疗保健
人类免疫缺陷病毒(HIV)
危险系数
2019年冠状病毒病(COVID-19)
家庭医学
环境卫生
老年学
队列
置信区间
政治学
内科学
传染病(医学专业)
护理部
疾病
法学
社会学
化学
生物化学
物理
光学
基因
作者
Courtney Maierhofer,Brian W. Pence,Erika Samoff,Abigail Norris Turner,Victoria Mobley,Jason Maxwell,William C. Miller,Kimberly A. Powers
标识
DOI:10.2105/ajph.2025.308108
摘要
Objectives. To examine changes to HIV care outcomes during the COVID-19 pandemic. Methods. We used North Carolina HIV surveillance data between 2018 and 2022 to calculate cumulative incidence differences (CIDs) and subdistribution hazard ratios (sdHRs) for (1) 30-day initial HIV care linkage, (2) 150-day stable linkage, and (3) 180-day viral suppression, comparing persons diagnosed with HIV during (starting March 1, 2020) versus before the pandemic. We defined a notable decrease as CID of −0.05 or less or an sdHR of 0.95 or less. Results. Overall, there were no notable decreases in linkage and viral suppression during the pandemic. In subgroup analyses, Black, Hispanic, and transgender persons had higher rates of initial linkage and unchanged or lower rates of stable linkage during versus before the pandemic. Hispanic persons had progressively lower viral suppression incidence during the pandemic. Conclusions. The North Carolina HIV care system appeared robust to pandemic harms overall; however, we observed notable differences in some subpopulations and pandemic subintervals. Public Health Implications. Statewide programs will need to build on past successes while strengthening current efforts to meet national HIV goals, particularly in groups experiencing pandemic harms to care. ( Am J Public Health. Published online ahead of print May 29, 2025:e1–e10. https://doi.org/10.2105/AJPH.2025.308108 )
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