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
Hauptverfasser: Meyer, Diane, Slone, Sarah E., Ogungbe, Oluwabunmi, Duroseau, Brenice, Farley, Jason E.
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container_start_page 344
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creator Meyer, Diane
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Ogungbe, Oluwabunmi
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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.
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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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