ArticleJournal of acquired immune deficiency syndromes (1999)2021
HIV Infection Prevalence Significantly Intersects With COVID-19 Infection At the Area Level: A US County-Level Analysis.
Article in Journal of acquired immune deficiency syndromes (1999), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- COVID-19 knowledge, attitudes, and practices among people vulnerable to HIV in Uganda: A cross-sectional cohort analysis.PloS one · 2026Article
- Ending the HIV Epidemic in Black America: Qualitative Insights Following COVID-19.Journal of racial and ethnic health disparities · 2025Article
- Knowledge, attitudes and practices related to SARS-CoV-2 prevention in Kenya.Journal of public health in Africa · 2025Article
- Church Closings Were Associated with Higher COVID-19 Infection Rates: Implications for Community Health Equity.Journal of urban health : bulletin of the New York Academy of Medicine · 2023Article
- Review
- HIV, psychological resilience, and substance misuse during the COVID-19 pandemic: A multi-cohort study.Drug and alcohol dependence · 2022Article
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Authors and funding
4 authors.
Funding
Abstract
backgroundLimited empirical evidence exists about the extent to which the current HIV epidemic intersects with COVID-19 infections at the area/geographic level. Moreover, little is known about how demographic, social, economic, behavioral, and clinical determinants are jointly associated with these infectious diseases.
settingContiguous US counties (N = 3108).
methodsWe conducted a cross-sectional analysis and investigated the joint association between new HIV infection prevalence in 2018 and COVID-19 infections (January 22, 2020 and October 7, 2020) and explore the contribution of factors such as income inequality, binge drinking, and socioeconomic deprivation. We used Bayesian multivariate spatial models to estimate the cross-disease correlations between these diseases and identified hotspots, which we defined as a county with a posterior probability greater than 80% of being in the top decile of that disease.
resultsNew HIV infection prevalence and COVID-19 infection moderately and significantly intersect [spatial correlation = 0.37, 95% credible interval (CrI) = 0.36-0.37]. Seventy-five counties, mostly in the south, were at elevated burden for HIV and COVID-19 infections. Higher income inequality was positively associated with both COVID-19 (relative risk 1.05, 95% CrI = 1.03-1.07) and HIV infection (relative risk = 1.12, 95% CrI = 1.09-1.15).
conclusionsWe found that there is a considerable intersection between the current distribution of HIV burden with COVID-19 infections at the area level. We identified areas that federal funding and vaccination campaigns should prioritize for prevention and care efforts.
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