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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.
  • 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 in English | MEDLINE | ID: covidwho-1269562
ABSTRACT

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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Full text: Available Collection: International databases Database: MEDLINE Main subject: HIV Infections / COVID-19 Type of study: Observational study / Prognostic study Topics: Long Covid Limits: Humans / Male Country/Region as subject: North America Language: English Journal: Clin Infect Dis Journal subject: Communicable Diseases Year: 2021 Document Type: Article Affiliation country: Cid

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Full text: Available Collection: International databases Database: MEDLINE Main subject: HIV Infections / COVID-19 Type of study: Observational study / Prognostic study Topics: Long Covid Limits: Humans / Male Country/Region as subject: North America Language: English Journal: Clin Infect Dis Journal subject: Communicable Diseases Year: 2021 Document Type: Article Affiliation country: Cid