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

Detalhes bibliográficos
Autor(a) principal: Bocage, Anne E.
Data de Publicação: 2023
Outros Autores: Coelho, Lara E., Lake, Jordan E., Clark, Jesse L., Torres, Thiago S., Jalil, Emília M., Cardoso, Sandra W., Moreira, Ronaldo I., Veloso, Valdiléa G., Grinsztejn, Beatriz, Luz, Paula M.
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/57198
Resumo: 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).
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spelling Bocage, Anne E.Coelho, Lara E.Lake, Jordan E.Clark, Jesse L.Torres, Thiago S.Jalil, Emília M.Cardoso, Sandra W.Moreira, Ronaldo I.Veloso, Valdiléa G.Grinsztejn, BeatrizLuz, Paula M.2023-03-03T11:58:31Z2023-03-03T11:58:31Z2023BOCAGE, 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. 2023.1090-7165https://www.arca.fiocruz.br/handle/icict/5719810.1007/s10461-023-03988-31573-3254This 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).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.Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil.University of California. David Geffen School of Medicine. South American Program in HIV Prevention Research. Los Angeles, CA, USA / UTHealth Houston. Houston, TX, USA.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.Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil.Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil.Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil.Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil.Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil.Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil.Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Diseases. Rio de Janeiro, RJ, Brazil.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.engPlenum PressThe Impact of COVID-19 on HIV Care in Rio de Janeiro, Brazil 2019-2021: Disparities by Age and Genderinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleCOVID-19HIV care continuumHealth disparitiesinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txttext/plain1748https://www.arca.fiocruz.br/bitstream/icict/57198/1/license.txt8a4605be74aa9ea9d79846c1fba20a33MD51ORIGINALve_Anne_Bocage_etal_INI_2023_COVID-19.pdfve_Anne_Bocage_etal_INI_2023_COVID-19.pdfapplication/pdf827742https://www.arca.fiocruz.br/bitstream/icict/57198/2/ve_Anne_Bocage_etal_INI_2023_COVID-19.pdfde7294d8f6d560f610c6b86c59ddc427MD52icict/571982023-05-18 23:00:03.961oai:www.arca.fiocruz.br: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Repositório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-05-19T02:00:03Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false
dc.title.none.fl_str_mv The Impact of COVID-19 on HIV Care in Rio de Janeiro, Brazil 2019-2021: Disparities by Age and Gender
title The Impact of COVID-19 on HIV Care in Rio de Janeiro, Brazil 2019-2021: Disparities by Age and Gender
spellingShingle The Impact of COVID-19 on HIV Care in Rio de Janeiro, Brazil 2019-2021: Disparities by Age and Gender
Bocage, Anne E.
COVID-19
HIV care continuum
Health disparities
title_short The Impact of COVID-19 on HIV Care in Rio de Janeiro, Brazil 2019-2021: Disparities by Age and Gender
title_full The Impact of COVID-19 on HIV Care in Rio de Janeiro, Brazil 2019-2021: Disparities by Age and Gender
title_fullStr The Impact of COVID-19 on HIV Care in Rio de Janeiro, Brazil 2019-2021: Disparities by Age and Gender
title_full_unstemmed The Impact of COVID-19 on HIV Care in Rio de Janeiro, Brazil 2019-2021: Disparities by Age and Gender
title_sort The Impact of COVID-19 on HIV Care in Rio de Janeiro, Brazil 2019-2021: Disparities by Age and Gender
author Bocage, Anne E.
author_facet Bocage, Anne E.
Coelho, Lara E.
Lake, Jordan E.
Clark, Jesse L.
Torres, Thiago S.
Jalil, Emília M.
Cardoso, Sandra W.
Moreira, Ronaldo I.
Veloso, Valdiléa G.
Grinsztejn, Beatriz
Luz, Paula M.
author_role author
author2 Coelho, Lara E.
Lake, Jordan E.
Clark, Jesse L.
Torres, Thiago S.
Jalil, Emília M.
Cardoso, Sandra W.
Moreira, Ronaldo I.
Veloso, Valdiléa G.
Grinsztejn, Beatriz
Luz, Paula M.
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Bocage, Anne E.
Coelho, Lara E.
Lake, Jordan E.
Clark, Jesse L.
Torres, Thiago S.
Jalil, Emília M.
Cardoso, Sandra W.
Moreira, Ronaldo I.
Veloso, Valdiléa G.
Grinsztejn, Beatriz
Luz, Paula M.
dc.subject.en.none.fl_str_mv COVID-19
HIV care continuum
Health disparities
topic COVID-19
HIV care continuum
Health disparities
description 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).
publishDate 2023
dc.date.accessioned.fl_str_mv 2023-03-03T11:58:31Z
dc.date.available.fl_str_mv 2023-03-03T11:58:31Z
dc.date.issued.fl_str_mv 2023
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv 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.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/57198
dc.identifier.issn.none.fl_str_mv 1090-7165
dc.identifier.doi.none.fl_str_mv 10.1007/s10461-023-03988-3
dc.identifier.eissn.none.fl_str_mv 1573-3254
identifier_str_mv 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.
1090-7165
10.1007/s10461-023-03988-3
1573-3254
url https://www.arca.fiocruz.br/handle/icict/57198
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Plenum Press
publisher.none.fl_str_mv Plenum Press
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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collection Repositório Institucional da FIOCRUZ (ARCA)
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