Author, as appears in the article.: Nomah, DK; Díaz, Y; Bruguera, A; Moreno-Fornés, S; Aceiton, J; Reyes-Urueña, J; Llibre, JM; Falcó, V; Imaz, A; Fanjul, FJ; Peraire, J; Deig, E; Domingo, P; Inciarte, A; Casabona, J; Miró, JM
Department: Medicina i Cirurgia
URV's Author/s: Peraire Forner, José Joaquin
Keywords: Vaccination Sars-cov-2 Migrants Hiv-infection Hiv Health Covid-19
Abstract: Background. Coronavirus disease 2019 (COVID-19) disproportionately affects migrants and ethnic minorities, including those with human immunodeficiency virus (HIV). Comprehensive studies are needed to understand the impact and risk factors.Methods. Using data from the PISCIS cohort of people with HIV (PWH) in Catalonia, Spain, we investigated COVID-19 outcomes and vaccination coverage. Among 10 640 PWH we compared migrants and non-migrants assessing rates of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) testing, diagnosis, and associated clinical outcomes through propensity score matching and multivariable Cox regression.Results. The cohort (mean age, 43 years; 83.5% male) included 57.4% (3053) Latin American migrants. Migrants with HIV (MWH) had fewer SARS-CoV-2 tests (67.8% vs 72.1%, P < .0001) but similar COVID-19 diagnoses (29.2% vs 29.4%, P = .847) compared to Spanish natives. Migrants had lower complete vaccination (78.9% vs 85.1%, P < .0001) and booster doses (63.0% vs 65.5%, P = .027). COVID-19 hospitalizations (8.1% vs 5.1%, P < .0001) and intensive care unit (ICU) admissions (2.9% vs 1.2%, P < .0001) were higher among migrants, with similar hospitalization duration (5.5 vs 4.0 days, P = .098) and mortality (3 [0.2%] vs 6 [0.4%], P = .510). Age >= 40 years, CD4 counts <200 cells/mu L, >= 2 comorbidities, and incomplete/nonreception of the SARS-CoV-2 vaccine increased the risk of severe COVID-19 among migrants.Conclusions. MWH had lower rates of SARS-CoV-2 testing and vaccination coverage, although the rates of COVID-19 diagnosis were similar between migrants and non-migrants. Rates of COVID-19-associated hospitalizations and ICU admissions were higher among migrants in comparison with non-migrants, with similar hospitalization duration and mortality. These findings can inform policies to address disparities in future pandemic responses for MWH.
Thematic Areas: Saúde coletiva Oncology Neurology (clinical) Microbiology Medicina ii Medicina i Infectious diseases Immunology Ciências biológicas i
licence for use: https://creativecommons.org/licenses/by/3.0/es/
Author's mail: joaquim.peraire@urv.cat
Author identifier: 0000-0001-7808-5479
Record's date: 2024-08-03
Papper version: info:eu-repo/semantics/publishedVersion
Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
Papper original source: Open Forum Infectious Diseases. 11 (1):
APA: Nomah, DK; Díaz, Y; Bruguera, A; Moreno-Fornés, S; Aceiton, J; Reyes-Urueña, J; Llibre, JM; Falcó, V; Imaz, A; Fanjul, FJ; Peraire, J; Deig, E; Doming (2024). Disparities in Coronavirus Disease 2019 Clinical Outcomes and Vaccination Coverage Among Migrants With Human Immunodeficiency Virus in the PISCIS Cohort: A Population-Based Propensity Score-Matched Analysis. Open Forum Infectious Diseases, 11(1), -. DOI: 10.1093/ofid/ofad693
Entity: Universitat Rovira i Virgili
Journal publication year: 2024
Publication Type: Journal Publications
Repositori URV