A Postpandemic Assessment of COVID-19 Prevention Disparities Among People Living With HIV: A Multisite International Study
ABSTRACT: The COVID-19 pandemic highlighted global health care disparities, significantly affecting people living with HIV. Widespread access to testing and vaccines is crucial to safeguard this susceptible group. This multisite, cross-sectional study examined determinants of COVID-19 prevention among 1,397 people living with HIV across eight countries. Participants were from Botswana, China (Hong Kong), Colombia, Kenya, Nigeria, South Africa, Thailand, and the United States. Key outcomes included adherence to restrictions, vaccination, and testing. Results showed that South Africa had the lowest adherence to COVID-19 restrictions, Nigeria had the lowest vaccination rates, and testing access was limited in Colombia, Kenya, and Nigeria. Influential factors included country, housing stability, sexual activity, age, race, information sources, and local prevention policies. These findings reveal how social, structural, geospatial, and informational factors drive COVID-19 prevention disparities among people living with HIV. Context-tailored interventions are critical to reduce inequities and boost future pandemic preparedness among people living with HIV.
Authors
- J. Craig Phillips (ORCID: https://orcid.org/0000-0002-6697-0515)
- Lufuno Makhado (ORCID: https://orcid.org/0000-0003-1689-9308)
- Christine Horvat Davey (ORCID: https://orcid.org/0000-0002-3686-4391)
- Emilia Iwu (ORCID: https://orcid.org/0000-0003-0261-7218)
- Wei‐Ti Chen (ORCID: https://orcid.org/0000-0002-2342-045X)
- Gladys Eugenia Canaval (ORCID: https://orcid.org/0000-0001-9841-5084)
- Yvette P. Cuca (ORCID: https://orcid.org/0000-0002-5674-4741)
- Diane Santa Maria (ORCID: https://orcid.org/0000-0001-8202-226X)
- Chia‐Chin Lin (ORCID: https://orcid.org/0000-0001-9551-0991)
- Sheila Shaibu (ORCID: https://orcid.org/0000-0002-6300-4047)
- Panta Apiruknapanond
- Jialing Chen (ORCID: https://orcid.org/0009-0001-2430-4506)
- Motshedisi Sabone (ORCID: https://orcid.org/0000-0001-5181-6534)
- Rebecca Schnall
- Carol S. Dawson-Rose
- Solymar Solís-Báez
- Inge Corless
- Tongyao Wang (ORCID: https://orcid.org/0000-0003-3374-1078)
Institutions
- University of Ottawa (CA)
- University of Botswana (BW)
- MGH Institute of Health Professions (US)
- University of California, San Francisco (US)
- University of Puerto Rico System (PR)
- West Coast University (US)
- Alice Ho Miu Ling Nethersole Hospital (CN)
- Aga Khan University Nairobi (KE)
- York University (US)
- Institute of Human Virology (NG)
- Bangkok University (TH)
- Case Western Reserve University (US)
- University of San Francisco (US)
- University of Venda (ZA)
- University of Hong Kong (HK)
- Universidad del Valle (CO)
- The University of Texas Health Science Center at Houston (US)
Publication Details
- Journal
- Journal of the Association of Nurses in AIDS Care
- Published
- 2026-04-21
- DOI
- https://doi.org/10.1097/jnc.0000000000000639
- Primary Topic
- HIV/AIDS Research and Interventions
- Type
- article
- Field-Weighted Citation Impact
- 0.00