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. 2020 Dec 1;34(15):2328-2331.
doi: 10.1097/QAD.0000000000002677.

Viral suppression rates in a safety-net HIV clinic in San Francisco destabilized during COVID-19

Matthew A Spinelli  1 , Matthew D Hickey  1 , David V Glidden  2 , Janet Q Nguyen  1 , Jon J Oskarsson  1 , Diane Havlir  1 , Monica Gandhi  2
Affiliations

Viral suppression rates in a safety-net HIV clinic in San Francisco destabilized during COVID-19

Matthew A Spinelli et al. AIDS. .

Abstract

: The COVID-19 pandemic is expected to hinder US End the HIV Epidemic goals. We evaluated viral suppression and retention-in-care before and after telemedicine was instituted, in response to shelter-in-place mandates, in a large, urban HIV clinic. The odds of viral nonsuppression were 31% higher postshelter-in-place (95% confidence interval = 1.08-1.53) in spite of stable retention-in-care and visit volume, with disproportionate impact on homeless individuals. Measures to counteract the effect of COVID-19 on HIV outcomes are urgently needed.

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