Impact of the initial wave of COVID-19 pandemic in Taiwan on local HIV services: Results from a cross-sectional online survey

Purpose: This study aimed to investigate the impact of the initial wave of the COVID-19 pandemic on HIV services in Taiwan. Methods: An online, cross-sectional survey was conducted among people living with HIV (PLWH), individuals at risk of HIV infection (IAR), and service prescribers between 20th O...

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Main Authors: Wang-Da Liu, Hsiu-Yin Wang, Sih-Cheng Du, Chien-Ching Hung
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Journal of Microbiology, Immunology and Infection
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1684118222000287
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author Wang-Da Liu
Hsiu-Yin Wang
Sih-Cheng Du
Chien-Ching Hung
author_facet Wang-Da Liu
Hsiu-Yin Wang
Sih-Cheng Du
Chien-Ching Hung
author_sort Wang-Da Liu
collection DOAJ
description Purpose: This study aimed to investigate the impact of the initial wave of the COVID-19 pandemic on HIV services in Taiwan. Methods: An online, cross-sectional survey was conducted among people living with HIV (PLWH), individuals at risk of HIV infection (IAR), and service prescribers between 20th October and 30th November, 2020. Representatives from patient advocacy groups were interviewed. Results: In total, 66 PLWH, 104 IAR, and 32 prescribers from Taiwan completed the survey. Mild to moderate disruptions to HIV-related services (including medical consultation, HIV-related testing, and medications) were found by the survey, with IAR appearing more affected than PLWH. Nine (13.6%) PLWH and 31 (29.8%) IAR reported disruptions in hospital/clinic visits and two (3.0%) PLWH and 25 (24.0%) IAR reported decreased frequency of HIV testing. Similar observations were also made by four patient advocacy group representatives interviewed. Telehealth services were received by only limited proportions of PLWH and IAR who participated in the survey. Conclusion: HIV services in Taiwan were not severely affected by the initial wave of COVID-19, but notable disruptions were still observed in HIV screening and prevention services. Multi-pronged strategies, including telehealth services, are warranted to overcome new challenges in HIV care in the COVID-19 era.
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spelling doaj.art-182936cc6e354c39b0052b4ee102e8162022-12-22T04:30:41ZengElsevierJournal of Microbiology, Immunology and Infection1684-11822022-12-0155611351143Impact of the initial wave of COVID-19 pandemic in Taiwan on local HIV services: Results from a cross-sectional online surveyWang-Da Liu0Hsiu-Yin Wang1Sih-Cheng Du2Chien-Ching Hung3Department of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Chung-Shan South Road, Taipei 100, Taiwan; Department of Medicine, National Taiwan University Cancer Center, No. 57, Ln. 155, Sec. 3, Keelung Road, Taipei 106, TaiwanGilead Sciences Hong Kong Ltd. Taiwan Branch, 10F, No. 32-1 & 36-1, SongRen Road, Taipei 110, TaiwanTaiwan Tongzhi (LGBTQ+) Hotline Association, 12F, No. 70, Sec. 2, Roosevelt Road, Taipei 100, TaiwanDepartment of Internal Medicine, National Taiwan University Hospital and National Taiwan University College of Medicine, No. 7, Chung-Shan South Road, Taipei 100, Taiwan; Department of Tropical Medicine and Parasitology, National Taiwan University College of Medicine, No. 1, Jen-Ai Road, Taipei 100, Taiwan; Department of Medical Research, China Medical University Hospital, No. 2, Yude Rd, North District, Taichung 404, Taiwan; China Medical University, No. 2, Yude Rd, North District, Taichung 404, Taiwan; Corresponding author. No. 7, Chung-Shan South Road, Taipei 100, Taiwan.Purpose: This study aimed to investigate the impact of the initial wave of the COVID-19 pandemic on HIV services in Taiwan. Methods: An online, cross-sectional survey was conducted among people living with HIV (PLWH), individuals at risk of HIV infection (IAR), and service prescribers between 20th October and 30th November, 2020. Representatives from patient advocacy groups were interviewed. Results: In total, 66 PLWH, 104 IAR, and 32 prescribers from Taiwan completed the survey. Mild to moderate disruptions to HIV-related services (including medical consultation, HIV-related testing, and medications) were found by the survey, with IAR appearing more affected than PLWH. Nine (13.6%) PLWH and 31 (29.8%) IAR reported disruptions in hospital/clinic visits and two (3.0%) PLWH and 25 (24.0%) IAR reported decreased frequency of HIV testing. Similar observations were also made by four patient advocacy group representatives interviewed. Telehealth services were received by only limited proportions of PLWH and IAR who participated in the survey. Conclusion: HIV services in Taiwan were not severely affected by the initial wave of COVID-19, but notable disruptions were still observed in HIV screening and prevention services. Multi-pronged strategies, including telehealth services, are warranted to overcome new challenges in HIV care in the COVID-19 era.http://www.sciencedirect.com/science/article/pii/S1684118222000287Antiretroviral therapyIndividuals at risk of HIVPatient advocacy groupPeople living with HIVPost-exposure prophylaxisPre-exposure prophylaxis
spellingShingle Wang-Da Liu
Hsiu-Yin Wang
Sih-Cheng Du
Chien-Ching Hung
Impact of the initial wave of COVID-19 pandemic in Taiwan on local HIV services: Results from a cross-sectional online survey
Journal of Microbiology, Immunology and Infection
Antiretroviral therapy
Individuals at risk of HIV
Patient advocacy group
People living with HIV
Post-exposure prophylaxis
Pre-exposure prophylaxis
title Impact of the initial wave of COVID-19 pandemic in Taiwan on local HIV services: Results from a cross-sectional online survey
title_full Impact of the initial wave of COVID-19 pandemic in Taiwan on local HIV services: Results from a cross-sectional online survey
title_fullStr Impact of the initial wave of COVID-19 pandemic in Taiwan on local HIV services: Results from a cross-sectional online survey
title_full_unstemmed Impact of the initial wave of COVID-19 pandemic in Taiwan on local HIV services: Results from a cross-sectional online survey
title_short Impact of the initial wave of COVID-19 pandemic in Taiwan on local HIV services: Results from a cross-sectional online survey
title_sort impact of the initial wave of covid 19 pandemic in taiwan on local hiv services results from a cross sectional online survey
topic Antiretroviral therapy
Individuals at risk of HIV
Patient advocacy group
People living with HIV
Post-exposure prophylaxis
Pre-exposure prophylaxis
url http://www.sciencedirect.com/science/article/pii/S1684118222000287
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