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Coronavirus Disease 2019 (COVID-19) Infection Among People With Human Immunodeficiency Virus in New York City: A Population-Level Analysis of Linked Surveillance Data.
Braunstein, Sarah L; Lazar, Rachael; Wahnich, Amanda; Daskalakis, Demetre C; Blackstock, Oni J.
Afiliação
  • Braunstein SL; Bureau of HIV, New York City Department of Health and Mental Hygiene, Long Island City, New York, USA.
  • Lazar R; Bureau of HIV, New York City Department of Health and Mental Hygiene, Long Island City, New York, USA.
  • Wahnich A; Bureau of HIV, New York City Department of Health and Mental Hygiene, Long Island City, New York, USA.
  • Daskalakis DC; Division of Disease Control, New York City Department of Health and Mental Hygiene, Long Island City, New York, USA.
  • Blackstock OJ; Bureau of HIV, New York City Department of Health and Mental Hygiene, Long Island City, New York, USA.
Clin Infect Dis ; 72(12): e1021-e1029, 2021 06 15.
Article em En | MEDLINE | ID: mdl-33252620
BACKGROUND: New York City (NYC) was hard-hit by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic and is also home to a large population of people with human immunodeficiency virus (PWH). METHODS: We matched laboratory-confirmed coronavirus disease 2019 (COVID-19) case and death data reported to the NYC Health Department as of 2 June 2020 against the NYC HIV surveillance registry. We describe and compare the characteristics and COVID-19-related outcomes of PWH diagnosed with COVID-19 with all NYC PWH and with all New Yorkers diagnosed with COVID-19. RESULTS: Through 2 June, 204 583 NYC COVID-19 cases were reported. The registry match identified 2410 PWH with diagnosed COVID-19 eligible for analysis (1.06% of all COVID-19 cases). Compared with all NYC PWH and all New Yorkers diagnosed with COVID-19, a higher proportion of PWH with COVID-19 were older, male, Black, or Latino, and living in high-poverty neighborhoods. At least 1 underlying condition was reported for 58.9% of PWH with COVID-19. Compared with all NYC COVID-19 cases, a higher proportion of PWH with COVID-19 experienced hospitalization, intensive care unit admission, and/or death; most PWH who experienced poor COVID-19-related outcomes had CD4 <500 cells/µL. CONCLUSIONS: Given NYC HIV prevalence is 1.5%, PWH were not overrepresented among COVID-19 cases. However, compared with NYC COVID-19 cases overall, a greater proportion of PWH had adverse COVID-19-related outcomes, perhaps because of a higher prevalence of factors associated with poor COVID-19 outcomes. Given the pandemic's exacerbating effects on health inequities, HIV public health and clinical communities must strengthen services and support for people living with and affected by HIV.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções por HIV / COVID-19 Tipo de estudo: Prognostic_studies / Risk_factors_studies / Screening_studies Limite: Humans / Male País/Região como assunto: America do norte Idioma: En Revista: Clin Infect Dis Assunto da revista: DOENCAS TRANSMISSIVEIS Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções por HIV / COVID-19 Tipo de estudo: Prognostic_studies / Risk_factors_studies / Screening_studies Limite: Humans / Male País/Região como assunto: America do norte Idioma: En Revista: Clin Infect Dis Assunto da revista: DOENCAS TRANSMISSIVEIS Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Estados Unidos