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<p>We aimed to determine differences in the occurrence and timing of all-cause excess mortality among people with HIV (PWH) in Florida early in the COVID-19 pandemic by sex, race and ethnicity, age, rural/urban residence, and neighborhood poverty levels. We used de-identified data from the Florida Department of Health enhanced HIV/AIDS reporting system. Expected numbers of monthly deaths and the 95% upper bound from March to December 2020 were estimated from observed deaths during January 2016–February 2020. The difference between expected and observed deaths was considered excess mortality. We also compared the age-adjusted all-cause mortality rate for PWH in 2020 to the average age-adjusted mortality rate for 2016 − 2019 using direct standardization. During the observation period from 2016 to 2020, there were a total of 9843 deaths among PWH. From March to December 2020, there were an estimated 314 excess deaths, and 61 excess deaths above the estimated 95% upper bound. The highest excess mortality occurred in July and August and was primarily due to increases in COVID-19 deaths. All groups of PWH experienced excess mortality except rural residents. Deaths among female, non-Hispanic Black, andurban-residing PWH exceeded the 95% upper bound of expected deaths. Compared to males, female PWH experienced a greater absolute increase in the 2020 age-adjusted mortality rate. Non-Hispanic Black and non-Hispanic White PWH had larger absolute and relative increases in the 2020 age-adjusted mortality rate compared to Hispanic PWH. Findings related to excess mortality should be considered in pandemic planning and preparation efforts for vulnerable groups like PWH.</p>

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Excess Mortality Among People with HIV in Florida During the Initial Onset of the COVID-19 Pandemic: A Surveillance-Based Analysis

  • 期刊论文

  • 发表日期：

    2025年12月30日

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  • Saurya Dhungel,
  • Melissa K. Ward,
  • Giselle A. Barreto,
  • Tendai Gwanzura,
  • Ekaterina Zagaynova,
  • Md Ariful Hoque,
  • Colby Cohen,
  • Zoran Bursac,
  • Mary Jo Trepka

摘要

We aimed to determine differences in the occurrence and timing of all-cause excess mortality among people with HIV (PWH) in Florida early in the COVID-19 pandemic by sex, race and ethnicity, age, rural/urban residence, and neighborhood poverty levels. We used de-identified data from the Florida Department of Health enhanced HIV/AIDS reporting system. Expected numbers of monthly deaths and the 95% upper bound from March to December 2020 were estimated from observed deaths during January 2016–February 2020. The difference between expected and observed deaths was considered excess mortality. We also compared the age-adjusted all-cause mortality rate for PWH in 2020 to the average age-adjusted mortality rate for 2016 − 2019 using direct standardization. During the observation period from 2016 to 2020, there were a total of 9843 deaths among PWH. From March to December 2020, there were an estimated 314 excess deaths, and 61 excess deaths above the estimated 95% upper bound. The highest excess mortality occurred in July and August and was primarily due to increases in COVID-19 deaths. All groups of PWH experienced excess mortality except rural residents. Deaths among female, non-Hispanic Black, andurban-residing PWH exceeded the 95% upper bound of expected deaths. Compared to males, female PWH experienced a greater absolute increase in the 2020 age-adjusted mortality rate. Non-Hispanic Black and non-Hispanic White PWH had larger absolute and relative increases in the 2020 age-adjusted mortality rate compared to Hispanic PWH. Findings related to excess mortality should be considered in pandemic planning and preparation efforts for vulnerable groups like PWH.