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《COVID-19 对博茨瓦纳艾滋病护理连续体的影响：一项中断时间序列研究》

The Impact of COVID-19 on the HIV Cascade of Care in Botswana - An Interrupted Time Series.

机构信息

Division of Epidemiology and Biostatistics, Stellenbosch University, Cape Town, South Africa.

Harvard AIDS Institute Partnership, Gaberone, Botswana.

出版信息

AIDS Behav. 2024 Aug;28(8):2630-2638. doi: 10.1007/s10461-024-04388-x. Epub 2024 Jun 10.

DOI:10.1007/s10461-024-04388-x
PMID:38856847
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11286653/
Abstract

Globally, Botswana has one of the highest burdens of HIV. This study estimated the impact of the COVID-19 pandemic on the HIV cascade of care in Sub-Saharan Africa. We conducted an interrupted time series analysis on national-level data to estimate the effect of COVID-19 on the numbers of HIV tests, positive HIV tests and ART initiations from April 2019 until March 2021. In multivariable Poisson interrupted time series regression, the COVID-19 lockdown was associated with a 27% decrease in the monthly numbers of HIV tests (IRR 0.73, 95%CI 0.72-0.73), a 25% decrease in HIV positive tests (IRR 0.75, 95%CI 0.71-0.79), and a 43% reduction in ART initiations (IRR 0.57, 95%CI 0.55-0.60). The impact of the pandemic on all three outcomes was worse in males and those aged ≥ 50 years. In conclusion, COVID-19 had a strong negative impact on HIV screening, diagnosis and ART initiation in Botswana.

摘要

在全球范围内，博茨瓦纳的艾滋病毒负担最重之一。本研究估计了 COVID-19 大流行对撒哈拉以南非洲艾滋病毒护理连续体的影响。我们对国家级数据进行了中断时间序列分析，以估计 COVID-19 对 2019 年 4 月至 2021 年 3 月期间艾滋病毒检测、阳性艾滋病毒检测和抗逆转录病毒治疗（ART）启动数量的影响。在多变量泊松中断时间序列回归中，COVID-19 封锁与每月艾滋病毒检测数量减少 27%（相对危险度 0.73，95%CI 0.72-0.73）、艾滋病毒阳性检测减少 25%（相对危险度 0.75，95%CI 0.71-0.79）和抗逆转录病毒治疗启动减少 43%（相对危险度 0.57，95%CI 0.55-0.60）有关。大流行对所有三个结果的影响在男性和年龄≥50 岁的人群中更为严重。总之，COVID-19 对博茨瓦纳的艾滋病毒筛查、诊断和抗逆转录病毒治疗启动产生了强烈的负面影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e14/11286653/94e453283772/10461_2024_4388_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e14/11286653/8d3c607466f8/10461_2024_4388_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e14/11286653/1331da1e00a4/10461_2024_4388_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e14/11286653/94e453283772/10461_2024_4388_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e14/11286653/8d3c607466f8/10461_2024_4388_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e14/11286653/1331da1e00a4/10461_2024_4388_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0e14/11286653/94e453283772/10461_2024_4388_Fig3_HTML.jpg

相似文献

[1]
The Impact of COVID-19 on the HIV Cascade of Care in Botswana - An Interrupted Time Series.

AIDS Behav. 2024-8

[2]
The impact of the COVID-19 lockdown on HIV care in 65 South African primary care clinics: an interrupted time series analysis.

Lancet HIV. 2021-3

[3]
Assessing the resilience of HIV healthcare services provided to adolescents and young adults after the COVID-19 pandemic in the city of Beira (Mozambique): an interrupted time series analysis.

AIDS Res Ther. 2024-5-9

[4]
Impact of COVID-19 pandemic on Tuberculosis and HIV services in Ghana: An interrupted time series analysis.

PLoS One. 2023

[5]
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[6]
Effect of the COVID-19 pandemic on HIV, malaria and tuberculosis indicators in Togo: an interrupted time series analysis.

BMJ Glob Health. 2024-4-3

[7]
Reduction in initiations of HIV treatment in South Africa during the COVID pandemic.

BMC Health Serv Res. 2022-3-31

[8]
Assessing the impact of the COVID-19 restrictions on HIV testing services in Malawi: an interrupted time series analysis.

Afr J AIDS Res. 2023-7

[9]
Potential effects of disruption to HIV programmes in sub-Saharan Africa caused by COVID-19: results from multiple mathematical models.

Lancet HIV. 2020-8-6

[10]
Effects of the COVID-19 Pandemic on ART Initiation and Access to HIV Viral Load Monitoring in Adults Living With HIV in West Africa: A Regression Discontinuity Analysis.

J Acquir Immune Defic Syndr. 2024-6-1

本文引用的文献

[1]
The impacts of COVID-19 pandemic on service delivery and treatment outcomes in people living with HIV: a systematic review.

AIDS Res Ther. 2023-1-6

[2]
Nurses and COVID-19 response in Botswana.

J Nurs Scholarsh. 2023-1

[3]
Feasibility of oral HIV self-testing in female sex workers in Gaborone, Botswana.

PLoS One. 2021

[4]
Impact of coronavirus disease (COVID-19) on HIV testing and care provision across four continents.

HIV Med. 2022-2

[5]
Human Immunodeficiency Virus (HIV) Care Models During the Coronavirus Disease 2019 (COVID-19) Era.

Clin Infect Dis. 2021-9-7

[6]
Transient Reductions in Human Immunodeficiency Virus (HIV) Clinic Attendance and Food Security During the Coronavirus Disease 2019 (COVID-19) Pandemic for People Living With HIV in 4 African Countries.

Clin Infect Dis. 2021-11-16

[7]
People Living With Human Immunodeficiency Virus During the COVID-19 Pandemic: Experiences With Telemedicine.

Health Promot Pract. 2021-5

[8]
The Impact of the COVID-19 Pandemic on People Living with HIV in Victoria, Australia.

AIDS Res Hum Retroviruses. 2021-4

[9]
The impact of the COVID-19 lockdown on HIV care in 65 South African primary care clinics: an interrupted time series analysis.

Lancet HIV. 2021-3

[10]
Collateral damage: Impact of SARS-CoV-2 pandemic in people living with HIV.

J Neurovirol. 2021-2

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