The impact of the COVID-19 pandemic on HIV testing in Peru: an interrupted time series analysis from 2014 to 2022

Objectives Our objective was to evaluate the impact of COVID-19 on the proportion of past-year HIV testing in Peru. Methods Utilizing data from the National Demographic and Health Survey of Peru from 2014 to 2022, we conducted an interrupted time series analysis. The proportion of past-year HIV test...

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Autores principales: Yrene-Cubas, Robinson A., Pérez-Castilla, Jesus, Reynaga-Cottle, Daniel E., Bringas, Maria José, Soriano Moreno, David, Fernandez-Guzman, Daniel, Gonzales-Zamora, Jose
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Publicado: BioMed Central Ltd 2025
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author Yrene-Cubas, Robinson A.
Pérez-Castilla, Jesus
Reynaga-Cottle, Daniel E.
Bringas, Maria José
Soriano Moreno, David
Fernandez-Guzman, Daniel
Gonzales-Zamora, Jose
author_browse Bringas, Maria José
Fernandez-Guzman, Daniel
Gonzales-Zamora, Jose
Pérez-Castilla, Jesus
Reynaga-Cottle, Daniel E.
Soriano Moreno, David
Yrene-Cubas, Robinson A.
author_facet Yrene-Cubas, Robinson A.
Pérez-Castilla, Jesus
Reynaga-Cottle, Daniel E.
Bringas, Maria José
Soriano Moreno, David
Fernandez-Guzman, Daniel
Gonzales-Zamora, Jose
author_sort Yrene-Cubas, Robinson A.
collection Producción científica
description Objectives Our objective was to evaluate the impact of COVID-19 on the proportion of past-year HIV testing in Peru. Methods Utilizing data from the National Demographic and Health Survey of Peru from 2014 to 2022, we conducted an interrupted time series analysis. The proportion of past-year HIV testing per quarter of each year was considered our unit of analysis. Statistical analysis involved segmented regression with Newey-West standard errors, dividing each year of evaluation into four quarters. Additionally, we applied an Autoregressive Integrated Moving Average (ARIMA) model. Results We included 211,359 participants aged 15 to 49 years. The proportion of past-year HIV testing in Peru showed a mean decrease of 8.33% (95%CI: -10.73% to -5.93%) after the COVID-19 lockdown (from August-2020) compared to the previous period (before March-2020). Prior to lockdown, there was a mean quarterly increase of 0.30% (95%CI: 0.21-0.40%) in testing proportion, while after the lockdown, there was a mean quarterly decrease of -0.24% (95%CI: -0.56-0.09%). HIV testing declined in 23 of the 25 regions, ranging from - 23.7% to -3.0%, except in Amazonas and Cajamarca, where increases of 5.3% and 6.8% were observed. Predictions of counterfactual values without the pandemic using the ARIMA model revealed a percentage drop of -9.20% (95%CI: -13.70 to -4.80) in observed compared to predicted values. Conclusions This study highlights the decrease in proportion of past-year HIV testing in Peru following the COVID-19 lockdown, emphasizing the urgent need for targeted interventions to address disparities and ensure equitable access to testing services.
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spelling oai:cris.upeu.edu.pe:20.500.15037/28382026-10-30T17:10:20ZThe impact of the COVID-19 pandemic on HIV testing in Peru: an interrupted time series analysis from 2014 to 2022Yrene-Cubas, Robinson A.Pérez-Castilla, JesusReynaga-Cottle, Daniel E.Bringas, Maria JoséSoriano Moreno, DavidFernandez-Guzman, DanielGonzales-Zamora, JosePeruHiv TestingInterrupted Time Series AnalysisSociodemographic DisparitiesCovid-19 ImpactObjectives Our objective was to evaluate the impact of COVID-19 on the proportion of past-year HIV testing in Peru. Methods Utilizing data from the National Demographic and Health Survey of Peru from 2014 to 2022, we conducted an interrupted time series analysis. The proportion of past-year HIV testing per quarter of each year was considered our unit of analysis. Statistical analysis involved segmented regression with Newey-West standard errors, dividing each year of evaluation into four quarters. Additionally, we applied an Autoregressive Integrated Moving Average (ARIMA) model. Results We included 211,359 participants aged 15 to 49 years. The proportion of past-year HIV testing in Peru showed a mean decrease of 8.33% (95%CI: -10.73% to -5.93%) after the COVID-19 lockdown (from August-2020) compared to the previous period (before March-2020). Prior to lockdown, there was a mean quarterly increase of 0.30% (95%CI: 0.21-0.40%) in testing proportion, while after the lockdown, there was a mean quarterly decrease of -0.24% (95%CI: -0.56-0.09%). HIV testing declined in 23 of the 25 regions, ranging from - 23.7% to -3.0%, except in Amazonas and Cajamarca, where increases of 5.3% and 6.8% were observed. Predictions of counterfactual values without the pandemic using the ARIMA model revealed a percentage drop of -9.20% (95%CI: -13.70 to -4.80) in observed compared to predicted values. Conclusions This study highlights the decrease in proportion of past-year HIV testing in Peru following the COVID-19 lockdown, emphasizing the urgent need for targeted interventions to address disparities and ensure equitable access to testing services.Article10.1186/s12879-024-10407-y2-s2.0-85214418516https://hdl.handle.net/20.500.15037/2838enBMC Infectious DiseasesBMC Infectious Diseases1471-2334BioMed Central Ltd2025-01-072026-06-27T02:34:12Z2026-06-27T02:34:12Z
spellingShingle Peru
Hiv Testing
Interrupted Time Series Analysis
Sociodemographic Disparities
Covid-19 Impact
Yrene-Cubas, Robinson A.
Pérez-Castilla, Jesus
Reynaga-Cottle, Daniel E.
Bringas, Maria José
Soriano Moreno, David
Fernandez-Guzman, Daniel
Gonzales-Zamora, Jose
The impact of the COVID-19 pandemic on HIV testing in Peru: an interrupted time series analysis from 2014 to 2022
title The impact of the COVID-19 pandemic on HIV testing in Peru: an interrupted time series analysis from 2014 to 2022
title_full The impact of the COVID-19 pandemic on HIV testing in Peru: an interrupted time series analysis from 2014 to 2022
title_fullStr The impact of the COVID-19 pandemic on HIV testing in Peru: an interrupted time series analysis from 2014 to 2022
title_full_unstemmed The impact of the COVID-19 pandemic on HIV testing in Peru: an interrupted time series analysis from 2014 to 2022
title_short The impact of the COVID-19 pandemic on HIV testing in Peru: an interrupted time series analysis from 2014 to 2022
title_sort impact of the covid 19 pandemic on hiv testing in peru an interrupted time series analysis from 2014 to 2022
topic Peru
Hiv Testing
Interrupted Time Series Analysis
Sociodemographic Disparities
Covid-19 Impact
topic_facet Peru
Hiv Testing
Interrupted Time Series Analysis
Sociodemographic Disparities
Covid-19 Impact
url https://hdl.handle.net/20.500.15037/2838
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