Viral suppression rates in a safety-net HIV clinic in San Francisco destabilized during COVID-19

AIDS. 2020 Dec 1;34(15):2328-2331. doi: 10.1097/QAD.0000000000002677.

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.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Age Factors
  • Anti-HIV Agents / therapeutic use*
  • Betacoronavirus
  • Black or African American
  • COVID-19
  • Communicable Disease Control*
  • Coronavirus Infections / prevention & control*
  • Delivery of Health Care*
  • Female
  • HIV Infections / blood
  • HIV Infections / drug therapy*
  • Health Services Accessibility
  • Humans
  • Ill-Housed Persons / statistics & numerical data
  • Male
  • No-Show Patients / statistics & numerical data
  • Odds Ratio
  • Pandemics / prevention & control*
  • Pneumonia, Viral / prevention & control*
  • Public Policy*
  • Retention in Care / statistics & numerical data
  • SARS-CoV-2
  • Safety-net Providers
  • San Francisco
  • Sustained Virologic Response*
  • Telemedicine*
  • Viral Load
  • White People

Substances

  • Anti-HIV Agents