Impact of the 12 January 2010 earthquake on HIV case reporting in Haiti
Impact of the 12 January 2010 earthquake on HIV case reporting in Haiti
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DOI：
10.1097/qad.0000000000002466
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发表时间：
2020-04-01
期刊：
影响因子：
3.8
通讯作者：
Joseph, Nadjy
中科院分区：
文献类型：
--
作者：
Delcher, Chris;Bae, Jungjun;Joseph, Nadjy
目标：评估 2010 年 1 月 12 日地震对海地国家艾滋病毒监测系统中艾滋病毒病例的影响，并评估地震前后一年艾滋病毒感染者的特征。设计：间断时间序列设计和横截面分析。方法：我们使用自回归积分移动平均结构来模拟来自 HIV 护理诊所的每月 HIV 病例数的突然变化，这些病例数由临床网络 (n = 3) 和地震仪器烈度区 (n = 4) 报告给海地 HIV 主动纵向跟踪系统（法语缩写 SALVH）。使用chi(2) 检验、t 检验、Wilcoxon 秩和检验检查震前和震后患者特征（包括临床价值）的差异。结果：在地震发生后的一个月里，所有三个临床网络的报告病例数均出现统计上显着下降：iSante (-31.4%)、Groupe Haitien d'Etude du Sarcome de Kaaposi et des Infections Opportunistes (-29.9%) 和 Zamni Lasante (-32.2%)。 8 区（最严重）是唯一出现统计显着下降的区域 (-45.5%)。在我们的研究期结束时，三个临床网络中只有 iSante 恢复到了震前的报告水平。地震后患者的特征没有发生显着变化。结论：尽管病例报告有所下降，特别是在震中附近的诊所，但 SALVH 仍然完好无损，影响小于预期。该国家系统是海地战略卫生信息系统举措的重要组成部分，在艾滋病毒监测和评估工作中发挥着核心作用。
Objective: To evaluate the impact of the 12 January 2010 earthquake on HIV cases from Haiti's national HIV surveillance system and assess the characteristics of people living with HIV 1-year before and after the earthquake. Design: An interrupted time-series design and cross-sectional analysis. Methods: We used autoregressive integrated moving average structures to model abrupt changes to the monthly, incident HIV case counts from HIV care clinics as reported to the Haitian Active Longitudinal Tracking of HIV System (French acronym SALVH) by clinical networks (n = 3) and earthquake instrumental intensity zones (n = 4). Preearthquake and postearthquake differences in patient-level characteristics including clinical values were examined using the chi(2) test, t tests, Wilcoxon rank-sum test. Results: In the month immediately following the earthquake, all three clinical networks experienced statistically significant declines in cases reported: iSante (-31.4%), Groupe Haitien d'Etude du Sarcome de Kaposi et des Infections Opportunistes (-29.9%) and Zamni Lasante (-32.2%). Zone 8 (the most severe) was the only area with a statistically significant decline (-45.5%). Of the three clinical networks, only iSante returned to preearthquake reporting levels by the end of our study period. Patient-level characteristics did not change dramatically after the earthquake. Conclusion: Despite case reporting declines, especially in clinics near the earthquake epicenter, SALVH remained intact with less impact than expected. This national system is a critical component of Haiti's strategic health information system initiative and plays a central role to HIV monitoring and evaluation efforts.