Impact of the COVID-19 Pandemic on HIV Healthcare Service Engagement, Treatment Adherence, and Viral Suppression in the United States: A Systematic Literature Review
The COVID-19 pandemic has necessitated adaptations in how healthcare services are rendered. However, it is unclear how these adaptations have impacted HIV healthcare services across the United States. We conducted a systematic review to assess the impacts of the pandemic on service engagement, treat...
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Veröffentlicht in: | AIDS and behavior 2023-01, Vol.27 (1), p.344-357 |
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description | The COVID-19 pandemic has necessitated adaptations in how healthcare services are rendered. However, it is unclear how these adaptations have impacted HIV healthcare services across the United States. We conducted a systematic review to assess the impacts of the pandemic on service engagement, treatment adherence, and viral suppression. We identified 26 total studies spanning the beginning of the pandemic (March 11, 2020) up until November 5, 2021. Studies were conducted at the national, state, and city levels and included representation from all four CDC HIV surveillance regions. Studies revealed varying impacts of the pandemic on HIV healthcare retention/engagement, medication adherence, and viral suppression rates, including decreases in HIV healthcare visits, provider cancellations, and inability to get prescription refills. Telehealth was critical to ensuring continued access to care and contributed to improved retention and engagement in some studies. Disparities existed in who had access to the resources needed for telehealth, as well as among populations living with HIV whose care was impacted by the pandemic. |
doi_str_mv | 10.1007/s10461-022-03771-w |
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However, it is unclear how these adaptations have impacted HIV healthcare services across the United States. We conducted a systematic review to assess the impacts of the pandemic on service engagement, treatment adherence, and viral suppression. We identified 26 total studies spanning the beginning of the pandemic (March 11, 2020) up until November 5, 2021. Studies were conducted at the national, state, and city levels and included representation from all four CDC HIV surveillance regions. Studies revealed varying impacts of the pandemic on HIV healthcare retention/engagement, medication adherence, and viral suppression rates, including decreases in HIV healthcare visits, provider cancellations, and inability to get prescription refills. Telehealth was critical to ensuring continued access to care and contributed to improved retention and engagement in some studies. Disparities existed in who had access to the resources needed for telehealth, as well as among populations living with HIV whose care was impacted by the pandemic.</description><identifier>ISSN: 1090-7165</identifier><identifier>EISSN: 1573-3254</identifier><identifier>DOI: 10.1007/s10461-022-03771-w</identifier><identifier>PMID: 35916951</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adaptation ; COVID-19 ; COVID-19 - epidemiology ; Delivery of Health Care ; Health care ; Health care access ; Health Psychology ; Health services ; HIV ; HIV Infections - drug therapy ; HIV Infections - epidemiology ; Human immunodeficiency virus ; Humans ; Infectious Diseases ; Literature reviews ; Medicine ; Medicine & Public Health ; Pandemics ; Patient compliance ; Public Health ; Retention ; Substantive Review ; Surveillance ; Telemedicine ; Treatment Adherence and Compliance ; Treatment compliance ; United States - epidemiology</subject><ispartof>AIDS and behavior, 2023-01, Vol.27 (1), p.344-357</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2022</rights><rights>2022. 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However, it is unclear how these adaptations have impacted HIV healthcare services across the United States. We conducted a systematic review to assess the impacts of the pandemic on service engagement, treatment adherence, and viral suppression. We identified 26 total studies spanning the beginning of the pandemic (March 11, 2020) up until November 5, 2021. Studies were conducted at the national, state, and city levels and included representation from all four CDC HIV surveillance regions. Studies revealed varying impacts of the pandemic on HIV healthcare retention/engagement, medication adherence, and viral suppression rates, including decreases in HIV healthcare visits, provider cancellations, and inability to get prescription refills. Telehealth was critical to ensuring continued access to care and contributed to improved retention and engagement in some studies. Disparities existed in who had access to the resources needed for telehealth, as well as among populations living with HIV whose care was impacted by the pandemic.</description><subject>Adaptation</subject><subject>COVID-19</subject><subject>COVID-19 - epidemiology</subject><subject>Delivery of Health Care</subject><subject>Health care</subject><subject>Health care access</subject><subject>Health Psychology</subject><subject>Health services</subject><subject>HIV</subject><subject>HIV Infections - drug therapy</subject><subject>HIV Infections - epidemiology</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Literature reviews</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Pandemics</subject><subject>Patient compliance</subject><subject>Public Health</subject><subject>Retention</subject><subject>Substantive 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Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Meyer, Diane</au><au>Slone, Sarah E.</au><au>Ogungbe, Oluwabunmi</au><au>Duroseau, Brenice</au><au>Farley, Jason E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of the COVID-19 Pandemic on HIV Healthcare Service Engagement, Treatment Adherence, and Viral Suppression in the United States: A Systematic Literature Review</atitle><jtitle>AIDS and behavior</jtitle><stitle>AIDS Behav</stitle><addtitle>AIDS Behav</addtitle><date>2023-01-01</date><risdate>2023</risdate><volume>27</volume><issue>1</issue><spage>344</spage><epage>357</epage><pages>344-357</pages><issn>1090-7165</issn><eissn>1573-3254</eissn><abstract>The COVID-19 pandemic has necessitated adaptations in how healthcare services are rendered. However, it is unclear how these adaptations have impacted HIV healthcare services across the United States. We conducted a systematic review to assess the impacts of the pandemic on service engagement, treatment adherence, and viral suppression. We identified 26 total studies spanning the beginning of the pandemic (March 11, 2020) up until November 5, 2021. Studies were conducted at the national, state, and city levels and included representation from all four CDC HIV surveillance regions. Studies revealed varying impacts of the pandemic on HIV healthcare retention/engagement, medication adherence, and viral suppression rates, including decreases in HIV healthcare visits, provider cancellations, and inability to get prescription refills. Telehealth was critical to ensuring continued access to care and contributed to improved retention and engagement in some studies. 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subjects | Adaptation COVID-19 COVID-19 - epidemiology Delivery of Health Care Health care Health care access Health Psychology Health services HIV HIV Infections - drug therapy HIV Infections - epidemiology Human immunodeficiency virus Humans Infectious Diseases Literature reviews Medicine Medicine & Public Health Pandemics Patient compliance Public Health Retention Substantive Review Surveillance Telemedicine Treatment Adherence and Compliance Treatment compliance United States - epidemiology |
title | Impact of the COVID-19 Pandemic on HIV Healthcare Service Engagement, Treatment Adherence, and Viral Suppression in the United States: A Systematic Literature Review |
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