The impact of COVID-19 pandemic on HIV care continuum in Jiangsu, China.
The impact of COVID-19 pandemic on HIV care continuum in Jiangsu, China.
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DOI：
10.1186/s12879-021-06490-0
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发表时间：
2021-08-07
影响因子：
3.7
通讯作者：
Fu G
中科院分区：
文献类型：
--
作者：
Shi L;Tang W;Hu H;Qiu T;Marley G;Liu X;Chen Y;Chen Y;Fu G
COVID-19疫情严重威胁全球的公共卫生服务。本研究旨在评估COVID-19大流行对中国江苏省艾滋病护理连续体的影响。从中国基于网络的艾滋病毒/艾滋病综合应对信息管理系统（CRIMS）中检索了2016年至2020年新诊断的艾滋病毒感染者数据。我们从江苏省卫生健康委员会公开的疾病数据库中记录了严格执行COVID-19措施的前三个月（2020年1月至3月）的数据。我们使用季节性自回归整合移动平均（SARIMA）和指数平滑的预测参数。使用卡方检验评估亚组差异。与估计比例相比，在实施COVID-19措施的首三个月，艾滋病毒检测率下降了49. 0%（919，938）。在同一时期预计的1 555例艾滋病毒新诊断中，只有63.0%（980例）的新诊断记录在案。根据所述期间记录的实际数据，980名检测呈阳性的人接受了确认性检测，其中71.4%（700人）据报与护理有关。在预计的475名新诊断的艾滋病毒感染者中，只有49.5%（235人）接受了CD 4细胞计数检测。与此同时，91.6%（208人）接受CD 4计数检测的新诊断艾滋病毒感染者开始接受抗逆转录病毒治疗，而预期为227人。与二零一六年至二零一九年同期相比，30岁以下的艾滋病毒携带者和流动人口更容易受到COVID-19政策的影响。2019冠状病毒病疫情对中国江苏省的艾滋病医疗系统产生了负面影响。需要采取进一步措施，消除这一流行病的影响，以保持艾滋病毒护理的连续性。在线版本包含补充材料，可通过10.1186/s12879-021-06490-0获得。
The COVID-19 pandemic seriously threatens general public health services globally. This study aimed to evaluate the impact of the COVID-19 pandemic on the HIV care continuum in Jiangsu province, China. Data on newly diagnosed HIV persons for analysis were retrieved from Chinas’ web-based Comprehensive Response Information Management System (CRIMS) for HIV/AIDS from 2016 to 2020. We recorded data for the first 3 months (January to March, 2020) of strictly implementing COVID-19 measures from publicly available disease databases of the Jiangsu provincial Health Committee. We used seasonal autoregressive integrated moving average (SARIMA) and exponential smoothing in forecasting the parameters. Subgroup differences were accessed using Chi-square tests. Compared to the estimated proportions, the HIV testing rates decreased by 49.0% (919,938) in the first three months of implementing COVID-19 measures. Of an estimated 1555 new HIV diagnosis expected in the same period, only 63.0% (980) new diagnoses were recorded. According to actual data recorded during the said period, 980 positively tested persons received confirmatory tests, of which 71.4% (700) were reportedly linked to care. And only 49.5% (235) out of the expected 475 newly diagnosed HIV persons received CD4 cell count testing. Meanwhile 91.6% (208) of newly diagnosed HIV persons who received CD4 count tests reportedly initiated antiretroviral therapy (ART) compared to the 227 expected. Compared to the same period from 2016 to 2019, PLWH less than 30 years old and migrants were more likely to be affected by the COVID-19 policies. The COVID-19 pandemic negatively impacted HIV healthcare systems in Jiangsu, China. Further measures that can counter the impact of the pandemic are needed to maintain the HIV care continuum. The online version contains supplementary material available at 10.1186/s12879-021-06490-0.
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影响因子：
2.7
作者：
Wu J;Wu H;Li P;Lu C
通讯作者：
Lu C
DOI：
10.15557/pimr.2020.0003
发表时间：
2020-01-01
影响因子：
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作者：
通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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影响因子：
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作者：
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通讯作者：
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