在旧金山的一家艾滋病医疗服务机构中，艾滋病毒抑制率在 COVID-19 期间变得不稳定。
Viral suppression rates in a safety-net HIV clinic in San Francisco destabilized during COVID-19.
机构信息
Division of HIV, ID, and Global Medicine.
Department of Epidemiology and Biostatistics, University of California, San Francisco, California, USA.
出版信息
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.
摘要
：预计 COVID-19 大流行将阻碍美国实现终结艾滋病流行的目标。我们评估了在因就地避难令而引入远程医疗之后，在一家大型城市 HIV 诊所中，病毒抑制和保持在治疗中的情况。尽管保持在治疗中且就诊量稳定，但就地避难后病毒未被抑制的几率增加了 31%（95%置信区间为 1.08-1.53），这对无家可归者的影响尤为显著。迫切需要采取措施来抵消 COVID-19 对 HIV 结果的影响。
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