新型冠状病毒肺炎流行对HIV感染者卫生需求影响的快速评估

目的 了解新型冠状病毒肺炎暴发流行对HIV感染者卫生需求影响,为政府和感染者社区快速制定应对措施提供参考依据。方法 于2020年2月5-10日,通过网络招募年满18周岁并已开始服用抗反转录病毒药物（ARV）的HIV感染者参加网络匿名调查,了解新型冠状病毒肺炎流行期间,受访者在预防新型冠状病毒肺炎、获取HIV防治相关服务和心理支持需求等方面的信息。结果 调查共收集1 014份来自全国各省的HIV感染者的调查问卷,93.79%的调查对象表示自己所在的社区提供了新型冠状病毒肺炎的预防信息,同时更加关心HIV感染者相关的新型冠状病毒肺炎预防措施以及防护品短缺问题;32.64%的调查对象表示自己现有的ARV不足以满足交通和旅行管制期间的需求,其中部分感染者在未来1个月面临断药风险。湖北省需要补充药物的HIV感染者中,64.15%的人表示因为"封锁和行动受限"而难以获得HIV治疗药物。调查还发现,28.93%的调查对象希望获得社会心理支持;对政府的期待方面,85.31%的调查对象希望可以进一步完善HIV感染者异地取药流程。结论 HIV感染者希望了解该人群预防新型冠状病毒肺炎暴发的相关信息,部分返乡或居住在交通管制地区的感染者,仍存在定期领药等方面的困难。疫情形势下,HIV感染者获取药物面临困难,我们应当进一步开展系统调查了解新型冠状病毒肺炎流行对HIV感染的影响,并提高卫生系统应急储备和处置能力。

Quick community survey on the impact of COVID-19 outbreak for the healthcare of people living with HIV

Objective To collect the current status and healthcare needs of people living with HIV (PLHIV) in China during the COVID-19 outbreak to inform quick response from government and communities. Methods During February 5^th to 10^th, 2020, a national anonymous survey was conducted using an online questionnaire among PLHIV at least 18 years of age and had started antiretroviral treatment (ART) to collect the information on COVID-19 prevention, HIV-related health services and the needs on psychosocial support. Current status and needs of people living with HIV were analyzed in Hubei and other regions. Results A total of 1 014 valid questionnaires were collected, with PLHIV respondents cross the country. The survey revealed that 93.79% of the respondents could obtain information regarding the prevention of COVID-19 from their communities or villages. Respondents were concerned with HIV-specific protective measures and personal protective equipment shortage. 32.64% of all respondents were not carrying sufficient antiretroviral medicines (ARVs) to meet the needs under traffic and travel restrictions, and some could face stock-outs in the coming month. In Hubei province where 53 respondents needed ARV refill, 64.15% reported difficulty accessing ARV due to the "blockage". 28.93% respondents were in need of sociopsychological support, and 85.31% anticipated further improvement of the out-of-town ARV refill process from the government. Conclusion PLHIV wants to know HIV-specific protective measures against COVID-19 outbreak. PLHIV who returned to their home-towns and affected by the lock-downs reported challenges with refills. We should undertake a more systematic study on impacts of the COVID-19 on PLHIV to develop preparedness capacity for future public health emergency.