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Evaluating the Relationship between Various Risk Factors and COVID-19 Incidence in People Living with HIV: A
Hamid Harandi1, Esmaeil Mehraeen2, Soudabeh Yarmohammadi3
1Iranian Research Center for HIV/AIDS, Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran.
Insights
People living with HIV (PLWH) are more vulnerable to COVID-19. Multiple COVID-19 vaccine doses reduce infection risk, while antiretroviral adherence is crucial for managing viral illnesses in PLWH.
Area of Science:
- Infectious Diseases
- Public Health
- Immunology
Background:
- People living with HIV (PLWH) face increased susceptibility and severity of COVID-19.
- Understanding COVID-19 risk factors in PLWH is critical for public health strategies.
Purpose of the Study:
- To investigate the association between COVID-19 infection and various risk factors in people living with HIV.
- To analyze the impact of vaccination status and antiretroviral therapy on COVID-19 outcomes in PLWH.
Main Methods:
- A descriptive-analytical study involving 160 people living with HIV (PLWH) in Tehran.
- Data collected via checklist, analyzed using descriptive and inferential statistics (chi-square, t-tests, logistic regression) in R software.
- Convenient sampling method used for patient recruitment.
Main Results:
- COVID-19 incidence showed a significant association with hepatitis C and duration since HIV diagnosis (p<0.001).
- While the first COVID-19 vaccine dose correlated with increased incidence, subsequent doses (second and third) demonstrated a reduced risk.
- No significant link was found between antiretroviral medication use and COVID-19 infection (p>0.05).
Conclusions:
- Multiple COVID-19 vaccinations are recommended for people living with HIV to decrease infection probability.
- Adherence to health protocols is essential for PLWH, particularly those not compliant with antiretroviral therapy, due to their heightened vulnerability.
Introduction:
People living with HIV (PLWH) are more susceptible to acquiring and having serious consequences from COVID-19. The objective of this study was to examine the correlation between COVID-19 infection and other risk factors in these patients.
Methods:
This is a descriptive-analytical study recruiting 160 PLWH referred to the Behavioral Disease Counselling Centre of Imam Khomeini Hospital in Tehran in 2021. The patients were selected through convenient sampling. A checklist was used to collect the necessary data. Descriptive statistical tests, such as mean and standard deviation, were employed alongside inferential statistics, including chi-square, Fisher, independent t-tests, and logistic regression, all evaluated at a significance level of p<0.05 using the R software.
Results:
The patients' average age was 43.15 ± 11.23. Forty-four women and 116 men were present. A notable association was observed between the incidence of COVID-19 and variables such as hepatitis C and the duration of time since HIV diagnosis (p<0.001). Moreover, a strong correlation was found between the amount of COVID-19 vaccination doses given to patients and their probability of acquiring the disease. The first vaccination dose was linked to a 5.45 percent increase in COVID-19 incidence in patients, whereas the second and third doses (t=2.95, t=7.57) reduced the risk of getting COVID-19. Furthermore, no discernible link (p>0.05) was found between the use of various antiretroviral medications and COVID-19 infection.
Conclusion:
This study finds that vaccine type does not impact COVID-19 outcomes in HIV-positive patients, but receiving more doses decreases the probability of occurrence of COVID-19, advocating for multiple vaccinations. However, PLWH, especially those non-compliant with antiretrovirals, need strict adherence to health protocols due to heightened vulnerability to viral illnesses.
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