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Impact of COVID-19 Pandemic on HIV Testing, Recent Infections, and Annualized Incidence Among Cisgender Men Who Have Sex With Men and Transgender Women in Brazil.

作者信息

Jalil Cristina M, Teixeira Sylvia L M, Coutinho Carolina, Nazer Sandro C, Carvalheira Eduardo, Hoagland Brenda, Cardoso Sandra W, Luz Paula M, Veloso Valdilea G, Grinsztejn Beatriz, Jalil Emilia M, Torres Thiago S

机构信息

Instituto Nacional de Infectologia Evandro Chagas, Fundação Oswaldo Cruz (INI-Fiocruz), Rio de Janeiro, Brazil ; and.

Instituto Oswaldo Cruz, Fundação Oswaldo Cruz (IOC-Fiocruz), Rio de Janeiro, Brazil .

出版信息

J Acquir Immune Defic Syndr. 2025 Jan 1;98(1):12-19. doi: 10.1097/QAI.0000000000003531. Epub 2024 Dec 5.


DOI:10.1097/QAI.0000000000003531
PMID:39642281
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11623371/
Abstract

BACKGROUND: The COVID-19 pandemic had great impact on HIV care and prevention worldwide, including in Brazil. We compared HIV testing, recent infection, and annualized incidence according to the COVID-19 pandemic period among cisgender men who have sex with men (MSM) and transgender women (TGW). SETTING: HIV and sexually transmitted infection testing, prevention, and treatment referral service in Rio de Janeiro, Brazil. METHODS: We used Maxim HIV-1 Limiting Antigen Avidity EIA as part of a recent infection testing algorithm to identify recent HIV infection cases and estimate annualized HIV incidences in the pre- (March 2018-February 2020) and post-COVID-19 pandemic onset period (March 2020-January 2022). Multivariable logistic regression model assessed factors associated with recent HIV infection. RESULTS: Among 3814 MSM and 776 TGW, 593 (12.9%) tested positive for HIV and 119 (2.6%) were identified as having recent infection. Percentage of recent HIV infection did not differ between the COVID-19 periods. Overall annualized HIV incidence rates were 6.0% (95% confidence interval [CI]: 4.2 to 7.7) and 6.6% (95% CI: 4.3 to 9.0) in the pre- and post-COVID-19 periods, respectively. During the post-COVID-19 period, higher incidence rates were observed among TGW (8.4% [95% CI: 2.9 to 13.9]), those aged 18-24 years (7.8% [95% CI: 4.0 to 11.7]), of Black race (7.9% [95% CI: 3.8 to 12.0]), and those with <12 years of schooling (7.8% [95% CI: 4.8 to 10.8]). Compared to the pre-COVID-19 period, incidence rates were significantly higher in the post-COVID-19 period for those aged >30 years and TGW, while being lower for those with more years of schooling. CONCLUSION: HIV incidence estimates remain high among MSM and TGW in Brazil, especially among the most vulnerable. The consequences of the COVID-19 pandemic on the HIV epidemic will likely persist and contribute to worsening HIV outcomes.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8034/11623371/c83d55f2ba8e/qai-98-12-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8034/11623371/c83d55f2ba8e/qai-98-12-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8034/11623371/c83d55f2ba8e/qai-98-12-g001.jpg

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Impact of COVID-19 Pandemic on HIV Testing, Recent Infections, and Annualized Incidence Among Cisgender Men Who Have Sex With Men and Transgender Women in Brazil.

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引用本文的文献

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本文引用的文献

[1]
Recent HIV infection and annualized HIV incidence rates among sexual and gender minorities in Brazil and Peru (ImPrEP seroincidence study): a cross-sectional, multicenter study.

Lancet Reg Health Am. 2023-12-2

[2]
Temporary changes in STI & HIV testing & diagnoses across different phases of the COVID-19 pandemic, Chicago IL.

Front Reprod Health. 2023-5-3

[3]
Mobility restrictions during the COVID-19 pandemic and reduced outpatient HIV and syphilis testing in Brazil.

Braz J Infect Dis. 2023

[4]
The Impact of COVID-19 on HIV Care in Rio de Janeiro, Brazil 2019-2021: Disparities by Age and Gender.

AIDS Behav. 2023-8

[5]
Same-day initiation of oral pre-exposure prophylaxis among gay, bisexual, and other cisgender men who have sex with men and transgender women in Brazil, Mexico, and Peru (ImPrEP): a prospective, single-arm, open-label, multicentre implementation study.

Lancet HIV. 2023-2

[6]
Characterizing the Impact of the COVID-19 Pandemic on HIV PrEP care: A Review and Synthesis of the Literature.

AIDS Behav. 2023-7

[7]
Covid-19 Outbreak in Brazil: Health, Social, Political, and Economic Implications.

Int J Health Serv. 2022-10

[8]
Complementary Recruitment Strategies to Reach Men Who Have Sex with Men and Transgender Women: The Experience of a Large Brazilian HIV Prevention Service.

AIDS Behav. 2022-8

[9]
Evaluation of multi-assay algorithms for identifying individuals with recent HIV infection: HPTN 071 (PopART).

PLoS One. 2021

[10]
The worldwide burden of HIV in transgender individuals: An updated systematic review and meta-analysis.

PLoS One. 2021

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