Viral suppression during COVID-19 among people with HIV experiencing homelessness in a low-barrier clinic-based program
Matthew D. Hickey, Elizabeth Imbert, David V. Glidden, Jan Bing Del Rosario, Mary Chong, Angelo Clemenzi-Allen, Jon Oskarsson, Elise D. Riley, Monica Gandhi, Diane V. Havlir
Abstract
Coronavirus disease-2019 (COVID-19) threatens to further worsen HIV outcomes among people experiencing homelessness. We conducted an interrupted time-series analysis of care engagement and viral suppression among unhoused individuals in the 'POP-UP' low-barrier, high-intensity HIV primary care program during COVID-19. Among 85 patients, care engagement and viral suppression did not decrease in the 5 months following implementation of San Francisco's 'shelter-in-place' ordinance. Low-barrier, in-person HIV care for homeless individuals may be important for maintaining HIV outcomes during COVID-19.