دورية أكاديمية
The Impact of COVID-19 on the HIV Cascade of Care in Botswana - An Interrupted Time Series.
العنوان: | The Impact of COVID-19 on the HIV Cascade of Care in Botswana - An Interrupted Time Series. |
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المؤلفون: | Sehurutshi A; Division of Epidemiology and Biostatistics, Stellenbosch University, Cape Town, South Africa.; Harvard AIDS Institute Partnership, Gaberone, Botswana., Farooqui H; Department of Population Medicine, College of Medicine, QU Health, Qatar University, P.O. Box 2713, Doha, Qatar., Chivese T; Department of Population Medicine, College of Medicine, QU Health, Qatar University, P.O. Box 2713, Doha, Qatar. tchivese@qu.edu.qa. |
المصدر: | AIDS and behavior [AIDS Behav] 2024 Aug; Vol. 28 (8), pp. 2630-2638. Date of Electronic Publication: 2024 Jun 10. |
نوع المنشور: | Journal Article |
اللغة: | English |
بيانات الدورية: | Publisher: Springer Science + Business Media Country of Publication: United States NLM ID: 9712133 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3254 (Electronic) Linking ISSN: 10907165 NLM ISO Abbreviation: AIDS Behav Subsets: MEDLINE |
أسماء مطبوعة: | Publication: 2005- : New York, NY : Springer Science + Business Media Original Publication: New York, NY : Plenum Press, 1997- |
مواضيع طبية MeSH: | COVID-19*/epidemiology , COVID-19*/prevention & control , HIV Infections*/epidemiology , Interrupted Time Series Analysis* , SARS-CoV-2*, Humans ; Botswana/epidemiology ; Male ; Female ; Adult ; Middle Aged ; HIV Testing/statistics & numerical data ; Young Adult ; Anti-HIV Agents/therapeutic use ; Pandemics |
مستخلص: | 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. (© 2024. The Author(s).) |
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فهرسة مساهمة: | Keywords: Antiretroviral therapy (ART) initiation; Botswana; COVID-19; HIV cascade of care; HIV screening; Human immunodeficiency virus (HIV); Sub-saharan africa |
المشرفين على المادة: | 0 (Anti-HIV Agents) |
تواريخ الأحداث: | Date Created: 20240610 Date Completed: 20240729 Latest Revision: 20240801 |
رمز التحديث: | 20240801 |
مُعرف محوري في PubMed: | PMC11286653 |
DOI: | 10.1007/s10461-024-04388-x |
PMID: | 38856847 |
قاعدة البيانات: | MEDLINE |
تدمد: | 1573-3254 |
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DOI: | 10.1007/s10461-024-04388-x |