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. 2023 Jun 1;93(2):92-100.
doi: 10.1097/QAI.0000000000003177. Epub 2023 Feb 21.

COVID-19 Vaccination and Hospitalization Among Persons Living With Diagnosed HIV in New York State

Elizabeth M Rosenthal  1   2   3 , Wendy Patterson  4 , Joyce Chicoine  4 , Vajeera Dorabawila  5 , Natalia Adamashvili  1   6 , Deepa T Rajulu  4 , Eli S Rosenberg  2   3   7 , James M Tesoriero  1   2   3
Affiliations

COVID-19 Vaccination and Hospitalization Among Persons Living With Diagnosed HIV in New York State

Elizabeth M Rosenthal et al. J Acquir Immune Defic Syndr. .

Abstract

Background: Persons living with diagnosed HIV (PLWDH) have higher COVID-19 diagnoses rates and poorer COVID-19-related outcomes than persons living without diagnosed HIV. The intersection of COVID-19 vaccination status and likelihood of severe COVID-19 outcomes has not been fully investigated for PLWDH.

Setting: New York State (NYS).

Methods: We matched HIV surveillance, immunization, and hospitalization databases to compare COVID-19 vaccination and COVID-19-related hospitalizations among PLWDH during B.1.617.2 (Delta) and B.1.1.529 (Omicron) predominance.

Results: Through March 4, 2022, 69,137 of the 101,205 (68%) PLWDH were fully vaccinated or boosted for COVID-19. PLWDH who were virally suppressed or in care were more often to be fully vaccinated or boosted compared with PLWDH who were not virally suppressed (77% vs. 44%) or without evidence of care (74% vs. 33%). Overall hospitalization rates were lower among virally suppressed PLWDH. During Delta predominance, PLWDH with any vaccination history who were in care had lower hospitalization rates compared with those not in care; during Omicron predominance, this was the case only for boosted PLWDH.

Conclusions: Approximately 28% (28,255) of PLWDH in NYS remained unvaccinated for COVID-19, a rate roughly double of that observed in the overall adult NYS population. PLWDH of color were more often than non-Hispanic White persons to be unvaccinated, as were the virally unsuppressed and those without evidence of HIV-related care, threatening to expand existing disparities in COVID-19-related outcomes. Vaccination was protective against COVID-19-related hospitalizations for PLWDH; however, differences in hospitalization rates between fully vaccinated and unvaccinated PLWDH were smaller than those among all New Yorkers.

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

FIGURE 1.
FIGURE 1.
COVID-19 hospitalization rates among infection during Deltaa and Omicronb predominance periods by vaccination status. aDelta variant predominance period (June 26, 2021–December 17, 2021). bOmicron variant predominance period (December 18, 2021–February 24, 2022). cVaccination status cohorts varied based on COVID-19 variant predominance period. Vaccination status cohorts during Delta variant predominance period was defined by vaccination status determined as of June 25, 2021, based on status ≥14 days since receipt of most recent dose. Vaccination status cohorts during Omicron variant predominance period was defined by vaccination status determined as of December 17, 2021, based on status ≥14 days since receipt of most recent dose.
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References

    1. New York State Department of Health. COVID-19 data in New York. https://coronavirus.health.ny.gov/covid-19-data-new-york. Accessed April 28, 2022.
    1. Centers for Disease Control and Prevention. COVID data tracker. US department of health and human services, CDC. https://covid.cdc.gov/covid-data-tracker. Accessed January 6, 2023.
    1. Centers for Disease Control and Prevention. HIV surveillance report, 2020. Vol 33; 2022. https://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. Accessed January 6, 2023.
    1. New York State Department of Health. Vaccination progress to date. https://coronavirus.health.ny.gov/vaccination-progress-date. Accessed August 4, 2022.
    1. Leon TM, Dorabawila V, Nelson L, et al. COVID-19 cases and hospitalizations by COVID-19 vaccination status and previous COVID-19 diagnosis - California and New York, May-November 2021. MMWR Morb Mortal Wkly Rep. 2022;71:125–131. - PMC - PubMed

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