Abstract：
BACKGROUND: Human immunodeficiency virus (HIV) is a sexually transmitted infection impacting populations worldwide. While there have been major improvements in controlling HIV over recent years, the COVID-19 pandemic may have potentially resulted in major interruptions to this control of HIV. Bharat (India) is a country that has been greatly impacted by the COVID-19 pandemic, and we aimed to analyse the trends in HIV control since the start of the pandemic.
METHODS: In this study we evaluated changes in rates of HIV incidence and mortality across Bharat for the years both before, and after, the start of the COVID-19 pandemic. Percent and absolute changes were determined, and thereafter, both bivariate and multi linear regression was conducted to evaluate the relationship between COVID-19 burden and changes in HIV epidemiology across the nation.
RESULTS: It was shown that, despite the COVID-19 pandemic, annual incidence and deaths of HIV/AIDS have both decreased across Bharat. From 2019-2021, in Bharat, the total number of new HIV cases annually decreased by 9.03%, and the total number of HIV/AIDS deaths annually decreased by 28.82%. A similar trend was shown across most states/union territories; however, there were notable exceptions (such as Karnataka, Bihar, and Assam) where the rates have instead increased.
CONCLUSIONS: Our analysis has demonstrated that government efforts to control the HIV/AIDS epidemic have not been greatly impacted across the majority of Bharat since the emergence of COVID-19. The reduction in annual HIV/AIDS deaths in the country has been better than the world average, and the improvements from the period of 2019 to 2021 were greater than those from 2017 to 2019. Regardless, there are regions in the nation where the epidemic has instead worsened during this period.
METHODS: In this study we evaluated changes in rates of HIV incidence and mortality across Bharat for the years both before, and after, the start of the COVID-19 pandemic. Percent and absolute changes were determined, and thereafter, both bivariate and multi linear regression was conducted to evaluate the relationship between COVID-19 burden and changes in HIV epidemiology across the nation.
RESULTS: It was shown that, despite the COVID-19 pandemic, annual incidence and deaths of HIV/AIDS have both decreased across Bharat. From 2019-2021, in Bharat, the total number of new HIV cases annually decreased by 9.03%, and the total number of HIV/AIDS deaths annually decreased by 28.82%. A similar trend was shown across most states/union territories; however, there were notable exceptions (such as Karnataka, Bihar, and Assam) where the rates have instead increased.
CONCLUSIONS: Our analysis has demonstrated that government efforts to control the HIV/AIDS epidemic have not been greatly impacted across the majority of Bharat since the emergence of COVID-19. The reduction in annual HIV/AIDS deaths in the country has been better than the world average, and the improvements from the period of 2019 to 2021 were greater than those from 2017 to 2019. Regardless, there are regions in the nation where the epidemic has instead worsened during this period.
摘要：
背景：人类免疫缺陷病毒（HIV）是一种影响全球人群的性传播感染。虽然近年来在控制艾滋病毒方面取得了重大进展，COVID-19大流行可能导致对艾滋病毒控制的重大中断。巴拉特（印度）是一个受到COVID-19大流行影响很大的国家，我们的目标是分析艾滋病大流行以来的趋势。
方法：在这项研究中，我们评估了此前几年巴拉特地区艾滋病毒发病率和死亡率的变化，之后,COVID-19大流行的开始。确定了百分比和绝对变化，此后,进行了双变量和多元线性回归,以评估COVID-19负担与全国HIV流行病学变化之间的关系.
结果：结果表明，尽管COVID-19大流行，在巴拉特，艾滋病毒/艾滋病的年发病率和死亡率都有所下降。从2019年到2021年，在巴拉特，艾滋病毒新发病例总数每年下降9.03%，艾滋病毒/艾滋病死亡总数每年下降28.82%。在大多数州/工会地区都显示出类似的趋势；但是，有值得注意的例外(例如卡纳塔克邦，比哈尔邦,和阿萨姆邦），利率反而增加了。
结论：我们的分析表明，自COVID-19出现以来，政府控制艾滋病毒/艾滋病流行的努力并未在巴拉特大部分地区受到重大影响。该国每年艾滋病毒/艾滋病死亡人数的减少幅度超过了世界平均水平，2019年至2021年的改善幅度大于2017年至2019年。无论如何,在此期间，该国有些地区的流行病反而恶化了。
方法：在这项研究中，我们评估了此前几年巴拉特地区艾滋病毒发病率和死亡率的变化，之后,COVID-19大流行的开始。确定了百分比和绝对变化，此后,进行了双变量和多元线性回归,以评估COVID-19负担与全国HIV流行病学变化之间的关系.
结果：结果表明，尽管COVID-19大流行，在巴拉特，艾滋病毒/艾滋病的年发病率和死亡率都有所下降。从2019年到2021年，在巴拉特，艾滋病毒新发病例总数每年下降9.03%，艾滋病毒/艾滋病死亡总数每年下降28.82%。在大多数州/工会地区都显示出类似的趋势；但是，有值得注意的例外(例如卡纳塔克邦，比哈尔邦,和阿萨姆邦），利率反而增加了。
结论：我们的分析表明，自COVID-19出现以来，政府控制艾滋病毒/艾滋病流行的努力并未在巴拉特大部分地区受到重大影响。该国每年艾滋病毒/艾滋病死亡人数的减少幅度超过了世界平均水平，2019年至2021年的改善幅度大于2017年至2019年。无论如何,在此期间，该国有些地区的流行病反而恶化了。
