Viral suppression rates in a safety-net HIV clinic in San Francisco destabilized during COVID-19.
Viral suppression rates in a safety-net HIV clinic in San Francisco destabilized during COVID-19.
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DOI：
10.1097/qad.0000000000002677
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发表时间：
2020-12-01
期刊：
影响因子：
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通讯作者：
Gandhi M
中科院分区：
文献类型：
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作者：
Spinelli MA;Hickey MD;Glidden DV;Nguyen JQ;Oskarsson JJ;Havlir D;Gandhi M
新冠肺炎疫情预计将阻碍美国结束艾滋病毒流行的目标。我们评估了在一家大型城市艾滋病毒诊所实施远程医疗之前和之后的病毒抑制和留存护理，以回应就地庇护的要求。就地安置后病毒未被抑制的几率高出31%(95%可信区间=1.08-1.53)，尽管收容所和访视量稳定，对无家可归者的影响不成比例。迫切需要采取措施来抵消新冠肺炎对艾滋病毒结果的影响。
The COVID-19 pandemic is expected to hinder U.S. End the HIV Epidemic goals. We evaluated viral suppression and retention-in-care before and after telemedicine was instituted, in response to shelter-in-place mandates, in a large, urban HIV clinic. The odds of viral non-suppression were 31% higher post-shelter-in-place (95% Confidence Interval=1.08–1.53) in spite of stable retention-in-care and visit volume, with disproportionate impact on homeless individuals. Measures to counteract the effect of COVID-19 on HIV outcomes are urgently needed.