Disparity in HIV Service Interruption in the Outbreak of COVID-19 in South Carolina
Disparity in HIV Service Interruption in the Outbreak of COVID-19 in South Carolina
复制标题
DOI：
10.1007/s10461-020-03013-x
复制
发表时间：
2020-08-27
影响因子：
4.4
通讯作者：
Mansaray, Ali B.
中科院分区：
文献类型：
--
作者：
Qiao, Shan;Li, Zhenlong;Mansaray, Ali B.
为了检查南卡罗来纳州 (SC) COIVD-19 爆发期间的 HIV 服务中断情况，并确定此类中断的地理空间和社会经济相关性，我们于 2020 年 3 月从南卡罗来纳州 27 个 Ryan White HIV 诊所收集了定性、地理空间和定量数据。对 HIV 服务中断进行了分类（无中断、轻微中断、部分中断和完全中断），并分析了地理空间异质性。近 56% 的艾滋病毒诊所部分中断，26% 完全关闭。服务中断的地理空间异质性存在，但与 COVID-19 爆发的地理空间模式并不完全重叠。服务范围内未参保的比例与艾滋病毒服务中断显着相关（F = 3.987，P = .02）。这项混合方法研究证明了南卡罗莱纳州因 COVID-19 而导致艾滋病毒服务中断的差异，并表明现有的社会经济差距是导致这种差异的原因之一。这些发现可能会为资源分配和未来应对突发公共卫生事件的策略提供信息。
To examine HIV service interruptions during the COIVD-19 outbreak in South Carolina (SC) and identify geospatial and socioeconomic correlates of such interruptions, we collected qualitative, geospatial, and quantitative data from 27 Ryan White HIV clinics in SC in March, 2020. HIV service interruptions were categorized (none, minimal, partial, and complete interruption) and analyzed for geospatial heterogeneity. Nearly 56% of the HIV clinics were partially interrupted and 26% were completely closed. Geospatial heterogeneity of service interruption existed but did not exactly overlap with the geospatial pattern of COVID-19 outbreak. The percentage of uninsured in the service catchment areas was significantly correlated with HIV service interruption (F = 3.987, P = .02). This mixed-method study demonstrated the disparity of HIV service interruptions in the COVID-19 in SC and suggested a contribution of existing socioeconomic gaps to this disparity. These findings may inform the resources allocation and future strategies to respond to public health emergencies.