The Impact of COVID-19 on the HIV Cascade of Care in Botswana – An Interrupted Time Series.
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,...
| Publicado en: | AIDS & Behavior Vol. 28; no. 8; pp. 2630 - 2639 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2024
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=178677556&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 178677556 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10907165 G1T jtl: AIDS & Behavior issn: 10907165 maglogo: N pubinfo: dt: Aug2024 vid: 28 iid: 8 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 178677556 177770356 178677556 178677556 10.1007/s10461-024-04388-x 178677556 ppf: 2630 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: The Impact of COVID-19 on the HIV Cascade of Care in Botswana – An Interrupted Time Series. aug: au: Sehurutshi, Alice Farooqui, Habib Chivese, Tawanda affil: https://ror.org/05bk57929 Division of Epidemiology and Biostatistics, Stellenbosch University, Cape Town, South Africa sug: subj: COVID-19 Pandemic Prevention and Control HIV Infections Drug Therapy HIV Infections Diagnosis Health Screening Human Botswana Interrupted Time Series Analysis Africa South of the Sahara Anti-Retroviral Agents Therapeutic Use Poisson Distribution Descriptive Statistics Confidence Intervals Stay-at-Home Orders HIV Seropositivity Male Female Sex Factors Middle Age Aged Aged, 80 and Over HIV Infections Epidemiology Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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