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Rodriguez-Hart C, Boone CA, Del Río-González AM, Kutner BA, Baral S, Burns PA, German D, Eaton L, Lucas L, Remien RH, Ellis M, Dale SK. Monitoring Intersectional Stigma: A Key Strategy to Ending the HIV Epidemic in the United States. Am J Public Health 2022; 112:S350-S355. [PMID: 35763745 PMCID: PMC9241480 DOI: 10.2105/ajph.2022.306733] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/10/2022] [Indexed: 11/04/2022]
Affiliation(s)
- Cristina Rodriguez-Hart
- Cristina Rodriguez-Hart is with the New York City Department of Health and Mental Hygiene, New York, NY. Cheriko A. Boone and Ana María del Río-González are with the Department of Psychological and Brain Sciences, George Washington University, Washington, DC. Bryan A. Kutner and Robert H. Remien are with the HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute, New York, NY. Stefan Baral and Lisa Lucas are with the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Paul A. Burns is with the John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson. Danielle German is with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health. Lisa Eaton is with the University of Connecticut, Department of Human Development and Family Sciences, Storrs. Marcia Ellis is with the DC Center for AIDS Research, Washington, DC. Sannisha K. Dale is with the Department of Psychology, University of Miami, Miami, FL
| | - Cheriko A Boone
- Cristina Rodriguez-Hart is with the New York City Department of Health and Mental Hygiene, New York, NY. Cheriko A. Boone and Ana María del Río-González are with the Department of Psychological and Brain Sciences, George Washington University, Washington, DC. Bryan A. Kutner and Robert H. Remien are with the HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute, New York, NY. Stefan Baral and Lisa Lucas are with the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Paul A. Burns is with the John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson. Danielle German is with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health. Lisa Eaton is with the University of Connecticut, Department of Human Development and Family Sciences, Storrs. Marcia Ellis is with the DC Center for AIDS Research, Washington, DC. Sannisha K. Dale is with the Department of Psychology, University of Miami, Miami, FL
| | - Ana María Del Río-González
- Cristina Rodriguez-Hart is with the New York City Department of Health and Mental Hygiene, New York, NY. Cheriko A. Boone and Ana María del Río-González are with the Department of Psychological and Brain Sciences, George Washington University, Washington, DC. Bryan A. Kutner and Robert H. Remien are with the HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute, New York, NY. Stefan Baral and Lisa Lucas are with the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Paul A. Burns is with the John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson. Danielle German is with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health. Lisa Eaton is with the University of Connecticut, Department of Human Development and Family Sciences, Storrs. Marcia Ellis is with the DC Center for AIDS Research, Washington, DC. Sannisha K. Dale is with the Department of Psychology, University of Miami, Miami, FL
| | - Bryan A Kutner
- Cristina Rodriguez-Hart is with the New York City Department of Health and Mental Hygiene, New York, NY. Cheriko A. Boone and Ana María del Río-González are with the Department of Psychological and Brain Sciences, George Washington University, Washington, DC. Bryan A. Kutner and Robert H. Remien are with the HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute, New York, NY. Stefan Baral and Lisa Lucas are with the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Paul A. Burns is with the John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson. Danielle German is with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health. Lisa Eaton is with the University of Connecticut, Department of Human Development and Family Sciences, Storrs. Marcia Ellis is with the DC Center for AIDS Research, Washington, DC. Sannisha K. Dale is with the Department of Psychology, University of Miami, Miami, FL
| | - Stefan Baral
- Cristina Rodriguez-Hart is with the New York City Department of Health and Mental Hygiene, New York, NY. Cheriko A. Boone and Ana María del Río-González are with the Department of Psychological and Brain Sciences, George Washington University, Washington, DC. Bryan A. Kutner and Robert H. Remien are with the HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute, New York, NY. Stefan Baral and Lisa Lucas are with the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Paul A. Burns is with the John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson. Danielle German is with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health. Lisa Eaton is with the University of Connecticut, Department of Human Development and Family Sciences, Storrs. Marcia Ellis is with the DC Center for AIDS Research, Washington, DC. Sannisha K. Dale is with the Department of Psychology, University of Miami, Miami, FL
| | - Paul A Burns
- Cristina Rodriguez-Hart is with the New York City Department of Health and Mental Hygiene, New York, NY. Cheriko A. Boone and Ana María del Río-González are with the Department of Psychological and Brain Sciences, George Washington University, Washington, DC. Bryan A. Kutner and Robert H. Remien are with the HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute, New York, NY. Stefan Baral and Lisa Lucas are with the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Paul A. Burns is with the John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson. Danielle German is with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health. Lisa Eaton is with the University of Connecticut, Department of Human Development and Family Sciences, Storrs. Marcia Ellis is with the DC Center for AIDS Research, Washington, DC. Sannisha K. Dale is with the Department of Psychology, University of Miami, Miami, FL
| | - Danielle German
- Cristina Rodriguez-Hart is with the New York City Department of Health and Mental Hygiene, New York, NY. Cheriko A. Boone and Ana María del Río-González are with the Department of Psychological and Brain Sciences, George Washington University, Washington, DC. Bryan A. Kutner and Robert H. Remien are with the HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute, New York, NY. Stefan Baral and Lisa Lucas are with the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Paul A. Burns is with the John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson. Danielle German is with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health. Lisa Eaton is with the University of Connecticut, Department of Human Development and Family Sciences, Storrs. Marcia Ellis is with the DC Center for AIDS Research, Washington, DC. Sannisha K. Dale is with the Department of Psychology, University of Miami, Miami, FL
| | - Lisa Eaton
- Cristina Rodriguez-Hart is with the New York City Department of Health and Mental Hygiene, New York, NY. Cheriko A. Boone and Ana María del Río-González are with the Department of Psychological and Brain Sciences, George Washington University, Washington, DC. Bryan A. Kutner and Robert H. Remien are with the HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute, New York, NY. Stefan Baral and Lisa Lucas are with the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Paul A. Burns is with the John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson. Danielle German is with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health. Lisa Eaton is with the University of Connecticut, Department of Human Development and Family Sciences, Storrs. Marcia Ellis is with the DC Center for AIDS Research, Washington, DC. Sannisha K. Dale is with the Department of Psychology, University of Miami, Miami, FL
| | - Lisa Lucas
- Cristina Rodriguez-Hart is with the New York City Department of Health and Mental Hygiene, New York, NY. Cheriko A. Boone and Ana María del Río-González are with the Department of Psychological and Brain Sciences, George Washington University, Washington, DC. Bryan A. Kutner and Robert H. Remien are with the HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute, New York, NY. Stefan Baral and Lisa Lucas are with the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Paul A. Burns is with the John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson. Danielle German is with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health. Lisa Eaton is with the University of Connecticut, Department of Human Development and Family Sciences, Storrs. Marcia Ellis is with the DC Center for AIDS Research, Washington, DC. Sannisha K. Dale is with the Department of Psychology, University of Miami, Miami, FL
| | - Robert H Remien
- Cristina Rodriguez-Hart is with the New York City Department of Health and Mental Hygiene, New York, NY. Cheriko A. Boone and Ana María del Río-González are with the Department of Psychological and Brain Sciences, George Washington University, Washington, DC. Bryan A. Kutner and Robert H. Remien are with the HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute, New York, NY. Stefan Baral and Lisa Lucas are with the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Paul A. Burns is with the John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson. Danielle German is with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health. Lisa Eaton is with the University of Connecticut, Department of Human Development and Family Sciences, Storrs. Marcia Ellis is with the DC Center for AIDS Research, Washington, DC. Sannisha K. Dale is with the Department of Psychology, University of Miami, Miami, FL
| | - Marcia Ellis
- Cristina Rodriguez-Hart is with the New York City Department of Health and Mental Hygiene, New York, NY. Cheriko A. Boone and Ana María del Río-González are with the Department of Psychological and Brain Sciences, George Washington University, Washington, DC. Bryan A. Kutner and Robert H. Remien are with the HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute, New York, NY. Stefan Baral and Lisa Lucas are with the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Paul A. Burns is with the John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson. Danielle German is with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health. Lisa Eaton is with the University of Connecticut, Department of Human Development and Family Sciences, Storrs. Marcia Ellis is with the DC Center for AIDS Research, Washington, DC. Sannisha K. Dale is with the Department of Psychology, University of Miami, Miami, FL
| | - Sannisha K Dale
- Cristina Rodriguez-Hart is with the New York City Department of Health and Mental Hygiene, New York, NY. Cheriko A. Boone and Ana María del Río-González are with the Department of Psychological and Brain Sciences, George Washington University, Washington, DC. Bryan A. Kutner and Robert H. Remien are with the HIV Center for Clinical and Behavioral Studies, NY State Psychiatric Institute, New York, NY. Stefan Baral and Lisa Lucas are with the Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Paul A. Burns is with the John D. Bower School of Population Health, University of Mississippi Medical Center, Jackson. Danielle German is with the Department of Health, Behavior, and Society, Johns Hopkins Bloomberg School of Public Health. Lisa Eaton is with the University of Connecticut, Department of Human Development and Family Sciences, Storrs. Marcia Ellis is with the DC Center for AIDS Research, Washington, DC. Sannisha K. Dale is with the Department of Psychology, University of Miami, Miami, FL
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Shi L, Tang W, Hu H, Qiu T, Marley G, Liu X, Chen Y, Chen Y, Fu G. The impact of COVID-19 pandemic on HIV care continuum in Jiangsu, China. BMC Infect Dis 2021; 21:768. [PMID: 34364383 PMCID: PMC8346346 DOI: 10.1186/s12879-021-06490-0] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2020] [Accepted: 07/26/2021] [Indexed: 01/02/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic seriously threatens general public health services globally. This study aimed to evaluate the impact of the COVID-19 pandemic on the HIV care continuum in Jiangsu province, China. METHODS Data on newly diagnosed HIV persons for analysis were retrieved from Chinas' web-based Comprehensive Response Information Management System (CRIMS) for HIV/AIDS from 2016 to 2020. We recorded data for the first 3 months (January to March, 2020) of strictly implementing COVID-19 measures from publicly available disease databases of the Jiangsu provincial Health Committee. We used seasonal autoregressive integrated moving average (SARIMA) and exponential smoothing in forecasting the parameters. Subgroup differences were accessed using Chi-square tests. RESULTS Compared to the estimated proportions, the HIV testing rates decreased by 49.0% (919,938) in the first three months of implementing COVID-19 measures. Of an estimated 1555 new HIV diagnosis expected in the same period, only 63.0% (980) new diagnoses were recorded. According to actual data recorded during the said period, 980 positively tested persons received confirmatory tests, of which 71.4% (700) were reportedly linked to care. And only 49.5% (235) out of the expected 475 newly diagnosed HIV persons received CD4 cell count testing. Meanwhile 91.6% (208) of newly diagnosed HIV persons who received CD4 count tests reportedly initiated antiretroviral therapy (ART) compared to the 227 expected. Compared to the same period from 2016 to 2019, PLWH less than 30 years old and migrants were more likely to be affected by the COVID-19 policies. CONCLUSIONS The COVID-19 pandemic negatively impacted HIV healthcare systems in Jiangsu, China. Further measures that can counter the impact of the pandemic are needed to maintain the HIV care continuum.
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Affiliation(s)
- Lingen Shi
- Institute for STI and HIV Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, No. 172 Jiangsu Road, Gulou District, Nanjing, 21009 Jiangsu China
| | - Weiming Tang
- University of North Carolina Project-China, Guangzhou, 510095 China
| | - Haiyang Hu
- Institute for STI and HIV Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, No. 172 Jiangsu Road, Gulou District, Nanjing, 21009 Jiangsu China
| | - Tao Qiu
- Institute for STI and HIV Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, No. 172 Jiangsu Road, Gulou District, Nanjing, 21009 Jiangsu China
| | - Gifty Marley
- Department of Epidemiology and Health Statistics, Nanjing Medical University, Nanjing, China
| | - Xiaoyan Liu
- Institute for STI and HIV Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, No. 172 Jiangsu Road, Gulou District, Nanjing, 21009 Jiangsu China
| | - Yuheng Chen
- Institute for STI and HIV Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, No. 172 Jiangsu Road, Gulou District, Nanjing, 21009 Jiangsu China
| | - Yunting Chen
- Institute for STI and HIV Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, No. 172 Jiangsu Road, Gulou District, Nanjing, 21009 Jiangsu China
| | - Gengfeng Fu
- Institute for STI and HIV Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, No. 172 Jiangsu Road, Gulou District, Nanjing, 21009 Jiangsu China
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