To examine HIV service interruptions during the COIVD-19 outbreak in South Carolina (SC) and identify geospatial and socioeconomic correlates of such interruptions, we collected qualitative, geospatial, and quantitative data from 27 Ryan White HIV clinics in SC in March, 2020. HIV service interruptions were categorized (none, minimal, partial, and complete interruption) and analyzed for geospatial heterogeneity. Nearly 56% of the HIV clinics were partially interrupted and 26% were completely closed. Geospatial heterogeneity of service interruption existed but did not exactly overlap with the geospatial pattern of COVID-19 outbreak. The percentage of uninsured in the service catchment areas was significantly correlated with HIV service interruption (F = 3.987, P = .02). This mixed-method study demonstrated the disparity of HIV service interruptions in the COVID-19 in SC and suggested a contribution of existing socioeconomic gaps to this disparity. These findings may inform the resources allocation and future strategies to respond to public health emergencies.

中文翻译：

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南卡罗来纳州 COVID-19 爆发中 HIV 服务中断的差异。

为了检查南卡罗来纳州 (SC) 爆发 COIVD-19 期间的 HIV 服务中断并确定此类中断的地理空间和社会经济相关性，我们于 2020 年 3 月从 SC 的 27 家 Ryan White HIV 诊所收集了定性、地理空间和定量数据。艾滋病毒服务中断被分类（无、最小、部分和完全中断）并分析地理空间异质性。近 56% 的 HIV 诊所被部分中断，26% 的诊所完全关闭。服务中断的地理空间异质性存在，但与 COVID-19 爆发的地理空间模式不完全重叠。服务范围内未投保的百分比与 HIV 服务中断显着相关（F = 3.987，P = .02）。这项混合方法研究证明了南卡罗来纳州 COVID-19 中 HIV 服务中断的差异，并表明现有社会经济差距对这种差异的贡献。这些发现可能会为应对突发公共卫生事件的资源分配和未来战略提供信息。