A Postpandemic Assessment of COVID-19 Prevention Disparities Among People Living With HIV: A Multisite International Study

Tongyao Wang; Jialing Chen; Chia Chin Lin; Yvette P. Cuca; Panta Apiruknapanond; Sheila Shaibu; G. E. Canaval-Erazo; Emilia Iwu; Motshedisi Sabone; Lufuno Makhado; Inge Corless; Christine Horvat Davey; Diane Santa Maria; Rebecca Schnall; Wei Ti Chen; Solymar Solís-Báez; J. Craig Phillips; Carol S. Dawson-Rose

doi:10.1097/JNC.0000000000000639

A Postpandemic Assessment of COVID-19 Prevention Disparities Among People Living With HIV: A Multisite International Study

Tongyao Wang
, Jialing Chen
, Chia Chin Lin
, Yvette P. Cuca
, Panta Apiruknapanond
, Sheila Shaibu
, G. E. Canaval-Erazo
, Emilia Iwu
, Motshedisi Sabone
, Lufuno Makhado
, Inge Corless
, Christine Horvat Davey
, Diane Santa Maria
, Rebecca Schnall
, Wei Ti Chen
, Solymar Solís-Báez
, J. Craig Phillips
, Carol S. Dawson-Rose

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

Abstract

ABSTRACT: The COVID-19 pandemic highlighted global health care disparities, significantly affecting people living with HIV. Widespread access to testing and vaccines is crucial to safeguard this susceptible group. This multisite, cross-sectional study examined determinants of COVID-19 prevention among 1,397 people living with HIV across eight countries. Participants were from Botswana, China (Hong Kong), Colombia, Kenya, Nigeria, South Africa, Thailand, and the United States. Key outcomes included adherence to restrictions, vaccination, and testing. Results showed that South Africa had the lowest adherence to COVID-19 restrictions, Nigeria had the lowest vaccination rates, and testing access was limited in Colombia, Kenya, and Nigeria. Influential factors included country, housing stability, sexual activity, age, race, information sources, and local prevention policies. These findings reveal how social, structural, geospatial, and informational factors drive COVID-19 prevention disparities among people living with HIV. Context-tailored interventions are critical to reduce inequities and boost future pandemic preparedness among people living with HIV.

Original language	English (US)
Pages (from-to)	337-350
Number of pages	14
Journal	Journal of the Association of Nurses in AIDS Care
Volume	37
Issue number	3
DOIs	https://doi.org/10.1097/JNC.0000000000000639
Publication status	Published - 1 May 2026
Externally published	Yes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

COVID-19
disparities
health information
people living with HIV
testing
vaccination

Access to Document

10.1097/JNC.0000000000000639

Cite this

Wang, T., Chen, J., Lin, C. C., Cuca, Y. P., Apiruknapanond, P., Shaibu, S., Canaval-Erazo, G. E., Iwu, E., Sabone, M., Makhado, L., Corless, I., Horvat Davey, C., Santa Maria, D., Schnall, R., Chen, W. T., Solís-Báez, S., Phillips, J. C., & Dawson-Rose, C. S. (2026). A Postpandemic Assessment of COVID-19 Prevention Disparities Among People Living With HIV: A Multisite International Study. Journal of the Association of Nurses in AIDS Care, 37(3), 337-350. https://doi.org/10.1097/JNC.0000000000000639

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title = "A Postpandemic Assessment of COVID-19 Prevention Disparities Among People Living With HIV: A Multisite International Study",

abstract = "ABSTRACT: The COVID-19 pandemic highlighted global health care disparities, significantly affecting people living with HIV. Widespread access to testing and vaccines is crucial to safeguard this susceptible group. This multisite, cross-sectional study examined determinants of COVID-19 prevention among 1,397 people living with HIV across eight countries. Participants were from Botswana, China (Hong Kong), Colombia, Kenya, Nigeria, South Africa, Thailand, and the United States. Key outcomes included adherence to restrictions, vaccination, and testing. Results showed that South Africa had the lowest adherence to COVID-19 restrictions, Nigeria had the lowest vaccination rates, and testing access was limited in Colombia, Kenya, and Nigeria. Influential factors included country, housing stability, sexual activity, age, race, information sources, and local prevention policies. These findings reveal how social, structural, geospatial, and informational factors drive COVID-19 prevention disparities among people living with HIV. Context-tailored interventions are critical to reduce inequities and boost future pandemic preparedness among people living with HIV.",

keywords = "COVID-19, disparities, health information, people living with HIV, testing, vaccination",

author = "Tongyao Wang and Jialing Chen and Lin, \{Chia Chin\} and Cuca, \{Yvette P.\} and Panta Apiruknapanond and Sheila Shaibu and Canaval-Erazo, \{G. E.\} and Emilia Iwu and Motshedisi Sabone and Lufuno Makhado and Inge Corless and \{Horvat Davey\}, Christine and \{Santa Maria\}, Diane and Rebecca Schnall and Chen, \{Wei Ti\} and Solymar Sol{\'i}s-B{\'a}ez and Phillips, \{J. Craig\} and Dawson-Rose, \{Carol S.\}",

note = "Publisher Copyright: Copyright {\textcopyright} 2026 Association of Nurses in AIDS Care.",

year = "2026",

month = may,

day = "1",

doi = "10.1097/JNC.0000000000000639",

language = "English (US)",

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Wang, T, Chen, J, Lin, CC, Cuca, YP, Apiruknapanond, P, Shaibu, S, Canaval-Erazo, GE, Iwu, E, Sabone, M, Makhado, L, Corless, I, Horvat Davey, C, Santa Maria, D, Schnall, R, Chen, WT, Solís-Báez, S, Phillips, JC & Dawson-Rose, CS 2026, 'A Postpandemic Assessment of COVID-19 Prevention Disparities Among People Living With HIV: A Multisite International Study', Journal of the Association of Nurses in AIDS Care, vol. 37, no. 3, pp. 337-350. https://doi.org/10.1097/JNC.0000000000000639

TY - JOUR

T1 - A Postpandemic Assessment of COVID-19 Prevention Disparities Among People Living With HIV

T2 - A Multisite International Study

AU - Wang, Tongyao

AU - Chen, Jialing

AU - Lin, Chia Chin

AU - Cuca, Yvette P.

AU - Apiruknapanond, Panta

AU - Shaibu, Sheila

AU - Canaval-Erazo, G. E.

AU - Iwu, Emilia

AU - Sabone, Motshedisi

AU - Makhado, Lufuno

AU - Corless, Inge

AU - Horvat Davey, Christine

AU - Santa Maria, Diane

AU - Schnall, Rebecca

AU - Chen, Wei Ti

AU - Solís-Báez, Solymar

AU - Phillips, J. Craig

AU - Dawson-Rose, Carol S.

PY - 2026/5/1

Y1 - 2026/5/1

N2 - ABSTRACT: The COVID-19 pandemic highlighted global health care disparities, significantly affecting people living with HIV. Widespread access to testing and vaccines is crucial to safeguard this susceptible group. This multisite, cross-sectional study examined determinants of COVID-19 prevention among 1,397 people living with HIV across eight countries. Participants were from Botswana, China (Hong Kong), Colombia, Kenya, Nigeria, South Africa, Thailand, and the United States. Key outcomes included adherence to restrictions, vaccination, and testing. Results showed that South Africa had the lowest adherence to COVID-19 restrictions, Nigeria had the lowest vaccination rates, and testing access was limited in Colombia, Kenya, and Nigeria. Influential factors included country, housing stability, sexual activity, age, race, information sources, and local prevention policies. These findings reveal how social, structural, geospatial, and informational factors drive COVID-19 prevention disparities among people living with HIV. Context-tailored interventions are critical to reduce inequities and boost future pandemic preparedness among people living with HIV.

AB - ABSTRACT: The COVID-19 pandemic highlighted global health care disparities, significantly affecting people living with HIV. Widespread access to testing and vaccines is crucial to safeguard this susceptible group. This multisite, cross-sectional study examined determinants of COVID-19 prevention among 1,397 people living with HIV across eight countries. Participants were from Botswana, China (Hong Kong), Colombia, Kenya, Nigeria, South Africa, Thailand, and the United States. Key outcomes included adherence to restrictions, vaccination, and testing. Results showed that South Africa had the lowest adherence to COVID-19 restrictions, Nigeria had the lowest vaccination rates, and testing access was limited in Colombia, Kenya, and Nigeria. Influential factors included country, housing stability, sexual activity, age, race, information sources, and local prevention policies. These findings reveal how social, structural, geospatial, and informational factors drive COVID-19 prevention disparities among people living with HIV. Context-tailored interventions are critical to reduce inequities and boost future pandemic preparedness among people living with HIV.

KW - COVID-19

KW - disparities

KW - health information

KW - people living with HIV

KW - testing

KW - vaccination

UR - https://www.scopus.com/pages/publications/105037154509

U2 - 10.1097/JNC.0000000000000639

DO - 10.1097/JNC.0000000000000639

M3 - Article

C2 - 42010748

AN - SCOPUS:105037154509

SN - 1055-3290

VL - 37

SP - 337

EP - 350

JO - Journal of the Association of Nurses in AIDS Care

JF - Journal of the Association of Nurses in AIDS Care

IS - 3

ER -

A Postpandemic Assessment of COVID-19 Prevention Disparities Among People Living With HIV: A Multisite International Study

Abstract

UN SDGs

Keywords

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