COVID-19 Testing and the Impact of the Pandemic on the Miami Adult Studies on HIV Cohort.
COVID-19 Testing and the Impact of the Pandemic on the Miami Adult Studies on HIV Cohort.
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DOI：
10.1097/qai.0000000000002680
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发表时间：
2021-08-01
期刊：
影响因子：
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通讯作者：
Baum MK
中科院分区：
文献类型：
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作者：
Tamargo JA;Martin HR;Diaz-Martinez J;Trepka MJ;Delgado-Enciso I;Johnson A;Mandler RN;Siminski S;Gorbach PM;Baum MK
在COVID-19大流行期间，社会经济劣势和潜在的免疫力低下引起了艾滋病毒感染者（PLWH）和其他边缘化社区的特别关注。在这项研究中，我们探讨了COVID-19检测和大流行对迈阿密艾滋病毒成人研究队列参与者的影响，该队列主要由感染和未感染艾滋病毒的低收入少数群体组成。2020年7月至8月期间，对299名迈阿密成人艾滋病毒研究参与者进行了电话调查，以评估COVID-19检测、预防行为和心理社会压力源。将大流行期间的医疗保健利用、抗逆转录病毒治疗依从性、粮食不安全和药物使用与他们上次队列访问（7.8 ± 2.9个月前）的情况进行比较。一半的受访者接受了COVID-19检测，8人检测呈阳性，2人住院。PLWH（n = 183）比未感染HIV的参与者接受检测的可能性低42%。然而，在对年龄、就业、COVID-19症状、精神卫生保健和物质使用进行调整后，艾滋病毒状况的影响不再显著。PLWH更有可能去看过医疗保健提供者、使用面罩并避免乘坐公共交通工具，并且不太可能出现食物不安全和危险饮料。与之前相比，疫情期间物质使用模式发生了重大变化。与未感染艾滋病毒的同龄人相比，艾滋病毒携带者更有可能在大流行期间采取预防措施和医疗保健，从而可能减少他们对COVID-19的暴露。在坚持抗逆转录病毒治疗或利用保健方面没有报告变化，但在药物使用方面有变化;随着危机的发展，需要对这些变化进行监测。
Socioeconomic disadvantages and potential immunocompromise raise particular concerns for people living with HIV (PLWH) and other marginalized communities during the COVID-19 pandemic. In this study, we explored COVID-19 testing and the impact of the pandemic among participants from the Miami Adult Studies on HIV cohort, predominantly composed of low-income minorities living with and without HIV. Between July and August 2020, a telephone survey was administered to 299 Miami Adult Studies on HIV participants to assess COVID-19 testing, prevention behaviors, and psychosocial stressors. Health care utilization, antiretroviral adherence, food insecurity, and substance use during the pandemic were compared with those of their last cohort visit (7.8 ± 2.9 months earlier). Half of surveyed participants had been tested for COVID-19, 8 had tested positive and 2 had been hospitalized. PLWH (n = 183) were 42% times less likely than HIV-uninfected participants to have been tested. However, after adjustment for age, employment, COVID-19 symptoms, mental health care, and substance use, the effect of HIV status was no longer significant. PLWH were more likely to have seen a health care provider, use face coverings, and avoid public transportation and less likely to be food insecure and drink hazardously. There were significant changes in substance use patterns during the pandemic when compared with those before. PLWH, compared with their HIV-uninfected peers, were more likely to engage in preventive measures and health care during the pandemic, potentially reducing their exposure to COVID-19. There were no reported changes in antiretroviral adherence or health care utilization, but there were changes in substance use; these need to be monitored as this crisis progresses.