Evidence map›Paper›PMID 41983598›Full record

ArticleJournal of acquired immune deficiency syndromes (1999)2026

Effect of COVID-19 on Late HIV Diagnosis Rates by Race/Ethnicity in Ending the HIV Epidemic Priority Jurisdictions in the United States.

Qiyou Wu, Sayyeda Karim, Minh-Tri Van, Benjamin Enns, Brenda C Guerra-Alejos, Brandon D L Marshall, Bruce R Schackman, Carlos Del Rio, Czarina N Behrends, Eva Enns and 8 more

Abstract read
In one paragraph

Article in Journal of acquired immune deficiency syndromes (1999), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

18 authors.

Qiyou WuDivision of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN.
Sayyeda KarimDivision of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN.ORCID 0000-0002-3072-5120
Minh-Tri VanCentre for Advancing Health Outcomes, Vancouver, British Columbia, Canada.
Benjamin EnnsCentre for Advancing Health Outcomes, Vancouver, British Columbia, Canada.
Brenda C Guerra-AlejosCentre for Advancing Health Outcomes, Vancouver, British Columbia, Canada.
Brandon D L MarshallDepartment of Epidemiology, Brown University School of Public Health, Providence, RI.
Bruce R SchackmanDepartment of Healthcare Policy and Research, Weill Cornell Medical College, New York, NY.
Carlos Del RioDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA.
Czarina N BehrendsDepartment of Healthcare Policy and Research, Weill Cornell Medical College, New York, NY.
Eva EnnsDivision of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN.
Hansel E TookesDivision of Infectious Diseases, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL.
Lisa Rosen-MetschDepartment of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY.
Matthew GoldenDepartment of Medicine, Division of Allergy & Infectious Disease, Adjunct in Epidemiology, University of Washington, Seattle, WA.
Steffanie A StrathdeeDivision of Infectious Diseases and Global Public Health, University of California San Diego, San Diego, CA.
Shruti H MehtaDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Wendy S ArmstrongDivision of Infectious Diseases, Department of Medicine, Emory University School of Medicine, Atlanta, GA.
Bohdan NosykCentre for Advancing Health Outcomes, Vancouver, British Columbia, Canada.
Xiao ZangDivision of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, MN.ORCID 0000-0002-5722-8255

Funding

Localized economic modeling to support implementation of the Ending the HIV Epidemic initiativeR01DA041747 · NIDA · SIMON FRASER UNIVERSITY · PI NOSYK, BOHDAN · 2016 to 2025
$5.5M
NIDA NIH HHS R01 DA041747NIDA NIH HHS R01-DA041747
6 · The paper itself

Abstract

introductionThis study aims to determine the effect of the COVID-19 pandemic on changes in late HIV diagnoses by race/ethnicity across Ending the HIV Epidemic (EHE) priority jurisdictions in the US.

methodsWe analyzed annual county-level and state-level (when county-level data were unavailable) late HIV diagnosis data in EHE priority jurisdictions from local epidemiological profiles and the AIDSVu between 2017 and 2022. Descriptive analyses were conducted to examine the percentages of late diagnoses across racial/ethnic groups before and after the onset of the pandemic. We then used interrupted time-series analysis to assess changes in both the level and trend of late diagnosis percentages across non-Hispanic White, non-Hispanic Black, and Hispanic populations.

resultsWe included a total of 31 jurisdictions. The highest percentages of late HIV diagnoses were more often reported among Black or Hispanic populations. There were statistically significant ( P < 0.05) downward trends in late diagnosis percentages before the pandemic among the Black population in Kings County, NY (-3.8%), Georgia (-0.8%), and Los Angeles County, CA (-4.5%), and among the Hispanic population in Georgia (-4.9%). Subsequently, there were significant immediate increases in 2020 in the Black population in Kings County, NY (11.5%), Georgia (2.5%), and Los Angeles County, CA (10.8%), and among the Hispanic population in Georgia (11.5%). In addition, there was a significant annual increase in the trend after the onset of the pandemic in both the Black (1.0%) and Hispanic populations (4.8%) in Georgia. By contrast, no statistically significant changes were found in the White population.

conclusionsThe COVID-19 pandemic seems to have exacerbated existing race/ethnic disparities in late HIV diagnoses among several EHE jurisdictions.

Indexed as

COVID-19Delayed DiagnosisEthnicityHIV InfectionsBlack or African AmericanHispanic or LatinoHumansPandemicsRacial GroupsUnited StatesWhiteCOVID-19HIV testinginterrupted time-serieslate HIV diagnosisracial and ethnic disparities

Identifiers

PMID41983598
PMCPMC13377573

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.