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Mortality Among Persons With HIV in the United States During the COVID-19 Pandemic: A Population-Level Analysis

Alex Viguerie1, Ruiguang Song1, Karin Bosh2

  • 1Centers for Disease Control and Prevention (CDC), National Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), Division of HIV Prevention (DHP), Quantitative Sciences Branch (QSB), Atlanta, GA; and.

Journal of Acquired Immune Deficiency Syndromes (1999)
|November 21, 2023
PubMed

Insights

The COVID-19 pandemic did not disproportionately increase mortality for people with diagnosed HIV (PWDH) in the US. Mortality increases among PWDH were similar to or smaller than the general population.

Area of Science:

  • Epidemiology
  • Public Health
  • Infectious Disease

Background:

  • The COVID-19 pandemic's impact on mortality among people with diagnosed HIV (PWDH) in the US remains unclear.
  • Understanding this impact is crucial for public health interventions and resource allocation.

Purpose of the Study:

  • To analyze the effect of the COVID-19 pandemic on mortality rates among PWDH in the United States.
  • To compare mortality trends in PWDH with the general population during the pandemic.

Main Methods:

  • Utilized mortality and population data from 2018-2020 from the National HIV Surveillance System and public sources.
  • Calculated mortality rates and excess mortality for PWDH and the general population.
  • Analyzed changes in mortality risk ratios, stratified by age, race/ethnicity, and sex.

Main Results:

  • Approximately 1550 excess deaths occurred among PWDH in 2020, primarily affecting Black, Hispanic/Latino individuals, and those aged 55+.
  • Mortality rates increased across the general population and among PWDH in 2020 compared to 2018-2019.
  • Increases in mortality among PWDH were similar to or smaller than those in the general population, decreasing the mortality risk ratio by 7.7%.

Conclusions:

  • Despite increased mortality rates in 2020, PWDH did not experience a disproportionately elevated risk from the COVID-19 pandemic compared to the general population.
  • Findings were consistent across age, sex, and racial/ethnic subpopulations.
  • The study provides evidence against an elevated mortality risk for PWDH due to the COVID-19 pandemic.
Abstract

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