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The impact of COVID-19 non-pharmaceutical interventions on HIV care continuum in China: An interrupted time series analysis

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收录情况： ◇ SCIE ◇ SSCI

作者：
Wu Xinsheng[1] * ; Wu Guohui[2] * ; Ma Yanmin[3] * ; Huang Xiaojie[4] * ; Yang Yuecheng[5] * ; Cai Yanshan[6] * ; Luo Ganfeng[1] ; Ma Ping[7,8] ; Qiao Ying[9] ; Chen Yuanyi[1] ; Lin Yi-Fan[1] ; Gao Yanxiao[1] ; Zhan Yuewei[10] ; Song Wei[11] ; Wang Yingying[12] ; Wang Rugang[13] ; Yang Xuejuan[14] ; Sun Lijun[4] ; Wei Hongxia[15] ; Li Quanmin[16] ; Xin Xiaoli[17] ; Wang Lijing[18] ; Wang Xicheng[14] ; Xie Ronghui[14] ; Yang Lijuan[14] ; Meng Xiaojun[19] ; Zhao Jin[20,*1] ; Li Linghua[16,*1] ; Zhang Tong[4,*1] ; Xu Junjie[21,*1] ; Fu Gengfeng[22,*1] ; Zou Huachun[1,*1] ;
机构： [1]School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, People's Republic of China. [2]Institute for AIDS/STD Control and Prevention, Chongqing Center for Disease Control and Prevention, Chongqing, People's Republic of China. [3]Institute for AIDS/STD Control and Prevention, Henan Provincial Center for Disease, Zhengzhou, People's Republic of China. [4]Clinical and Research Center for Infectious Diseases, Beijing Youan Hospital, Capital Medical University, Beijing, People's Republic of China. [5]Dehong Prefecture Center for Disease Control and Prevention, Dehong, People's Republic of China. [6]Department of AIDS Control and Prevention, Guangzhou Center for Disease Control and Prevention, Guangzhou, People's Republic of China. [7]Department of Infectious Diseases, Tianjin Second People's Hospital, Tianjin, People's Republic of China. [8]Tianjin Association of STD/AIDS Prevention and Control, Tianjin, People's Republic of China. [9]No.2 Hospital of Huhhot, Huhhot, People's Republic of China. [10]Talents and Discipline Office, Shenzhen People's Hospital, Shenzhen, People's Republic of China. [11]Shenyang Center for Disease Control and Prevention, Shenyang, People's Republic of China. [12]Department of STD/AIDS Control and Prevention, Shijiazhuang Center for Disease Control and Prevention, Shijiazhuang, People's Republic of China. [13]Dalian Public Health Clinical Center, Dalian, People's Republic of China. [14]Department of Infectious Diseases, Yunnan Provincial Infectious Disease Hospital/Yunnan AIDS Care Center, Kunming, People's Republic of China. [15]Department of infectious disease, The Second Hospital of Nanjing, Nanjing University of Chinese Medicine, Nanjing, People's Republic of China. [16]Infectious disease Center, Guangzhou Eighth People's Hospital, Guangzhou Medical University, Guangzhou, People's Republic of China. [17]No.6 People's Hospital of Shenyang, Shenyang, People's Republic of China. [18]Shijiazhuang Fifth Hospital, Shijiazhuang, People's Republic of China. [19]Emergency Management Office, Wuxi Municipal Center for Disease Control and Prevention, Wuxi, People's Republic of China. [20]Shenzhen Center for Disease Control and Prevention, Shenzhen, People's Republic of China. [21]Clinical Research Academy, Peking University Shenzhen Hospital, Peking University, Shenzhen, People's Republic of China. [22]Department of STD/AIDS Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, People's Republic of China.
出处：
DOI： 10.1016/j.lanwpc.2022.100569

关键词： COVID-19 Non-pharmaceutical interventions (NPIs) HIV Interrupted time series analysis China

摘要：
China implemented strict non-pharmaceutical interventions to contain COVID-19 at the early stage. We aimed to evaluate the impact of COVID-19 on HIV care continuum in China.Aggregated data on HIV care continuum between 1 January 2017 and 31 December 2020 were collected from centers for disease control and prevention at different levels and major infectious disease hospitals in various regions in China. We used interrupted time series analysis to characterize temporal trend in weekly numbers of HIV post-exposure prophylaxis (PEP) prescriptions, HIV tests, HIV diagnoses, median time intervals between HIV diagnosis and antiretroviral therapy (ART) initiation (time intervals, days), ART initiations, mean CD4+ T cell counts at ART initiation (CD4 counts, cells/μL), ART collections, and missed visits for ART collection, before and after the implementation of massive NPIs (23 January to 7 April 2020). We used Poisson segmented regression models to estimate the immediate and long-term impact of NPIs on these outcomes.A total of 16,780 PEP prescriptions, 1,101,686 HIV tests, 69,659 HIV diagnoses, 63,409 time intervals and ART initiations, 61,518 CD4 counts, 1,528,802 ART collections, and 6656 missed visits were recorded during the study period. The majority of outcomes occurred in males (55·3-87·4%), 21-50 year olds (51·7-90·5%), Southwestern China (38·2-82·0%) and heterosexual transmission (47·9-66·1%). NPIs was associated with 71·5% decrease in PEP prescriptions (IRR 0·285; 95% CI 0·192-0·423), 36·1% decrease in HIV tests (0·639, 0·497-0·822), 32·0% decrease in HIV diagnoses (0·680, 0·511-0·904), 59·3% increase in time intervals (1·593, 1·270-1·997) and 17·4% decrease in CD4 counts (0·826, 0·746-0·915) in the first week during NPIs. There was no marked change in the number of ART initiations, ART collections and missed visits during the NPIs. By the end of 2020, the number of HIV tests, HIV diagnoses, time intervals, ART initiations, and CD4 counts reached expected levels, but the number of PEP prescriptions (0·523, 0·394-0·696), ART collections (0·720, 0·595-0·872), and missed visits (0·137, 0·086-0·220) were still below expected levels. With the ease of restrictions, PEP prescriptions (slope change 1·024/week, 1·012-1·037), HIV tests (1·016/week, 1·008-1·026), and CD4 counts (1·005/week, 1·001-1·009) showed a significant increasing trend.HIV care continuum in China was affected by the COVID-19 NPIs at various levels. Preparedness and efforts to maintain the HIV care continuum during public health emergencies should leverage collaborations between stakeholders.Natural Science Foundation of China.© 2022 The Authors.

基金：
Natural Science Foundation of China
语种：
外文
被引次数：
WOS：
PubmedID：
中科院(CAS)分区：
出版当年[2022]版：
大类 | 2 区 医学
小类 | 2 区 卫生保健与服务 2 区 公共卫生、环境卫生与职业卫生
最新[2023]版：
大类 | 1 区 医学
小类 | 1 区 卫生保健与服务 1 区 公共卫生、环境卫生与职业卫生
JCR分区：
出版当年[2021]版：
Q1 HEALTH CARE SCIENCES & SERVICES Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
最新[2023]版：
Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Q1 HEALTH CARE SCIENCES & SERVICES

影响因子： 最新[2023版] 最新五年平均 出版当年[2021版] 出版当年五年平均 出版前一年[2020版] 出版后一年[2022版]

第一作者：
第一作者机构： [1]School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, People's Republic of China.
共同第一作者：
通讯作者：
通讯机构： [1]School of Public Health (Shenzhen), Sun Yat-sen University, Shenzhen, People's Republic of China. [4]Clinical and Research Center for Infectious Diseases, Beijing Youan Hospital, Capital Medical University, Beijing, People's Republic of China. [16]Infectious disease Center, Guangzhou Eighth People's Hospital, Guangzhou Medical University, Guangzhou, People's Republic of China. [20]Shenzhen Center for Disease Control and Prevention, Shenzhen, People's Republic of China. [21]Clinical Research Academy, Peking University Shenzhen Hospital, Peking University, Shenzhen, People's Republic of China. [22]Department of STD/AIDS Control and Prevention, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, People's Republic of China. [*1]No. 66, Gongchang Road, Guangming District, Shenzhen, Guangdong 518107, PR China
推荐引用方式(GB/T 7714)：
Wu Xinsheng,Wu Guohui,Ma Yanmin,et al.The impact of COVID-19 non-pharmaceutical interventions on HIV care continuum in China: An interrupted time series analysis[J].LANCET REGIONAL HEALTH-WESTERN PACIFIC.2022,29:doi:10.1016/j.lanwpc.2022.100569.
APA：
Wu Xinsheng,Wu Guohui,Ma Yanmin,Huang Xiaojie,Yang Yuecheng...&Zou Huachun.(2022).The impact of COVID-19 non-pharmaceutical interventions on HIV care continuum in China: An interrupted time series analysis.LANCET REGIONAL HEALTH-WESTERN PACIFIC,29,
MLA：
Wu Xinsheng,et al."The impact of COVID-19 non-pharmaceutical interventions on HIV care continuum in China: An interrupted time series analysis".LANCET REGIONAL HEALTH-WESTERN PACIFIC 29.(2022)

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