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COVID-19 Vaccination and Hospitalization Among Persons Living With Diagnosed HIV in New York State

Elizabeth M Rosenthal1,2,3, Wendy Patterson4, Joyce Chicoine4

  • 1Center for Program Development, Implementation, Research and Evaluation, AIDS Institute, New York State Department of Health, Albany, NY.

Journal of Acquired Immune Deficiency Syndromes (1999)
|February 28, 2023
PubMed

Insights

COVID-19 vaccination reduces hospitalization for people with HIV (PLWDH), but disparities persist. Unvaccinated PLWDH, especially those of color, face higher risks, highlighting the need for equitable vaccine access.

Area of Science:

  • Public Health
  • Infectious Diseases
  • Immunology

Background:

  • Persons living with diagnosed HIV (PLWDH) experience higher COVID-19 diagnosis rates and worse outcomes.
  • The impact of COVID-19 vaccination status on severe outcomes in PLWDH requires further investigation.

Purpose of the Study:

  • To assess COVID-19 vaccination status and hospitalization risks among PLWDH in New York State.
  • To compare these risks during the Delta and Omicron variants' predominance.

Main Methods:

  • Matching HIV surveillance, immunization, and hospitalization databases.
  • Comparing COVID-19 vaccination and hospitalization rates in PLWDH during Delta and Omicron variant periods.

Main Results:

  • 68% of PLWDH were fully vaccinated or boosted by March 2022.
  • Virally suppressed PLWDH were more likely to be vaccinated.
  • Vaccination was protective, but hospitalization rate differences were smaller than in the general population.

Conclusions:

  • 28% of PLWDH remained unvaccinated, double the rate in the general adult population.
  • PLWDH of color, the unsuppressed, and those not in care were more likely to be unvaccinated, increasing disparities.
  • Vaccination offered protection, yet disparities in COVID-19 outcomes persist among PLWDH.
Abstract

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