Ryan White Participation Increased the Prevalence of COVID-19 Vaccination among PLWH in Michigan

Details

• Alternative Title:
  J Acquir Immune Defic Syndr
• Personal Author:
  Convery, Christine ; Diesel, Jill ; Brantley, Antoine ; Miller, Jennifer ; Karram, Sarah
• Description:
  Introduction:
  
  People Living with HIV (PLWH) have higher prevalence of adverse COVID-19 outcomes, and many reside in socially vulnerable communities. Our aim is to evaluate how engagement in HIV care may increase vaccination likelihood.
  
  Methods:
  
  Michigan HIV surveillance data were extracted from the Enhanced HIV/AIDS Reporting System (eHARS) and matched at the person-level to COVID-19 vaccination records from the Michigan Care Improvement Registry (MCIR) (through December 31, 2021 (n=15,537)). Based on residential census tract, we classified PLWH into quartiles (<25th percentile (least vulnerable), 25th to <50th, 50th to <75th, ≥75th (most vulnerable)) of the 2018 CDC Social Vulnerability Index 1. Using log binomial regression, we estimated the relative prevalence of COVID-19 vaccine series initiation among PLWH by quartile of social vulnerability and Ryan White participation; models were adjusted for covariates.
  
  Results:
  
  By December 31, 2021, 67% of PLWH in Michigan had initiated a COVID-19 vaccine series; 47% resided in an area deemed most vulnerable and 54% had participated in Ryan White services. Compared to PLWH in the most vulnerable quartile, those who resided in least vulnerable quartiles had higher prevalence of vaccine initiation (Prevalence Ratio (95% Confidence Interval): 1.67 (1.50, 1.86)). Participants in Ryan White had greater prevalence of initiation (1.52 (1.42, 1.62)) compared to those who were not participants; initiation remained higher when adjusted for covariates including social vulnerability quartile.
  
  Conclusion:
  
  Ryan White participation was associated with increased COVID-19 vaccine initiation regardless of community-level vulnerability. Wraparound services may be key in vaccine promotion interventions in this vulnerable population.
  
  
• Subjects:
  COVID-19 COVID-19 Vaccines HIV HIV Infections Immunizations Michigan Vaccination
• Keywords:
  Ryan White
• Source:
  J Acquir Immune Defic Syndr. 95(1):6-9
• Pubmed ID:
  37797232
• Pubmed Central ID:
  PMC10841853
• Document Type:
  Text
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/ ; 18-1802/CC/CDC HHSUnited States/ ; 19-1901/CC/CDC HHSUnited States/
• Genre:
  Journal Article
• Place as Subject:
  Michigan ; OSHA Region 5
• CIO:
  National Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP)
• Topic:
  Diseases & Conditions
• Location:
  North America
• Pages in Document:
  9 pdf pages
• Volume:
  95
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:6c3991906fc144872f8893b3d8e6a21d3868be342c5709fa73c48c03a8fcfde5c851ff9b0468fb1c7156a836ee5f681d6aaa1cbaede69c79df879739ecde4c6b
• Download URL:
  https://stacks.cdc.gov/view/cdc/147714/cdc_147714_DS1.pdf
• File Type:
  [PDF - 84.73 KB ]