Viral suppression rates in a safety-net HIV clinic in San Francisco destabilized during COVID-19
Matthew A. Spinelli, Matthew D. Hickey, David V. Glidden, Janet Nguyen, Jon J. Oskarsson, Diane V. Havlir, Monica Gandhi
Abstract
: The COVID-19 pandemic is expected to hinder US 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 nonsuppression were 31% higher postshelter-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.
Topics & Concepts
Coronavirus disease 2019 (COVID-19)2019-20 coronavirus outbreakSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)VirologyHuman immunodeficiency virus (HIV)BetacoronavirusMedicineViral diseaseCoronavirus InfectionsInternal medicineInfectious disease (medical specialty)OutbreakDiseaseHIV/AIDS Research and InterventionsHIV, Drug Use, Sexual RiskHepatitis B Virus Studies