6bded33b73da23b98d1baadd9e39fc68 pmc_10819920.pdf d3ec9cfde5a74aca7697e90e72b4beaf9dff40fb pmc_10819920.pdf 8f93949c4c01c09392785a74a53f90e1053d062b80b00dfce6a6fcc5d8fe95a2 pmc_10819920.pdf Title: Comparative Analysis of Primary and Monovalent Booster SARS-CoV-2 Vaccination Coverage in Adults with and without HIV in Catalonia, Spain Subject: People with HIV (PWH) may be more susceptible to SARS-CoV-2 infection and worse clinical outcomes. We investigated the disparity in SARS-CoV-2 vaccination coverage between PWH and those without HIV (PWoH) in Catalonia, Spain, assessing primary and monovalent booster vaccination coverage from December 2021 to July 2022. The vaccines administered were BNT162, ChAdOx1-S, mRNA-127, and Ad26.COV2.S. Using a 1:10 ratio of PWH to PWoH based on sex, age, and socioeconomic deprivation, the analysis included 201,630 individuals (183,300 PWoH and 18,330 PWH). Despite a higher prevalence of comorbidities, PWH exhibited lower rates of complete primary vaccination (78.2% vs. 81.8%, p < 0.001) but surpassed PWoH in booster coverage (68.5% vs. 63.1%, p < 0.001). Notably, complete vaccination rates were lower among PWH with CD4 <200 cells/L, detectable HIV viremia, and migrants compared to PWoH (p < 0.001, all). However, PWH with CD4 < 200 cells/L received more boosters (p < 0.001). In multivariable logistic regression analysis of the overall population, a prior SARS-CoV-2 diagnosis, HIV status, migrants, and mild-to-severe socioeconomic deprivation were associated with lower primary vaccination coverage, reflecting barriers to healthcare and vaccine access. However, booster vaccination was higher among PWH. Targeted interventions are needed to improve vaccine coverage and address hesitancy in vulnerable populations. Keywords: HIV; SARS-CoV-2; COVID-19; vaccination; booster doses Author: Daniel Kwakye Nomah, Juliana Reyes-Urueña, Lucía Alonso, Yesika Díaz, Sergio Moreno-Fornés, Jordi Aceiton, Andreu Bruguera, Raquel Martín-Iguacel, Arkaitz Imaz, Maria del Mar Gutierrez, Ramón W. Román, Paula Suanzes, Juan Ambrosioni, Jordi Casabona, Jose M. Miro, Josep M. Llibre and the PISCIS Study Group Creator: LaTeX with hyperref Producer: pdfTeX-1.40.21 CreationDate: Sat Dec 30 09:27:02 2023 CET ModDate: Sat Dec 30 09:36:22 2023 CET Custom Metadata: no Metadata Stream: no Tagged: no UserProperties: no Suspects: no Form: none JavaScript: no Pages: 29 Encrypted: no Page size: 595.276 x 841.89 pts (A4) Page rot: 0 File size: 1404374 bytes Optimized: no PDF version: 1.7 name type encoding emb sub uni object ID ------------------------------------ ----------------- ---------------- --- --- --- --------- SXQPWE+VnURWPalladioL Type 1 Custom yes yes no 10 0 OVNEXW+EURM10 Type 1 Builtin yes yes no 15 0 OJKQLM+URWPalladioL-Bold Type 1 Custom yes yes no 19 0 NOLZTS+URWPalladioL-Roma Type 1 Custom yes yes no 24 0 JEAMJO+URWPalladioL-Ital Type 1 Custom yes yes no 28 0 JYPLJJ+VnURWPalladioL-Bold Type 1 Custom yes yes no 32 0 PDTLUH+CMSY10 Type 1 Builtin yes yes no 68 0 WBVKDJ+URWPalladioL-BoldItal Type 1 Custom yes yes no 75 0 AMIDOO+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 98 0 AMIDOP+PalatinoLinotype CID TrueType Identity-H yes yes yes 101 0 AMIDPA+PalatinoLinotype TrueType WinAnsi yes yes no 107 0 AMIDPC+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 110 0 AMIEHP+PalatinoLinotype TrueType MacRoman yes yes no 113 0 AMIFDN+PalatinoLinotype,BoldItalic TrueType WinAnsi yes yes no 116 0 AMIDOO+PalatinoLinotype,Bold TrueType WinAnsi yes yes no 130 0 AMIDOP+PalatinoLinotype CID TrueType Identity-H yes yes yes 133 0 AMIDPA+PalatinoLinotype TrueType WinAnsi yes yes no 139 0 AMIDPC+PalatinoLinotype,Italic TrueType WinAnsi yes yes no 142 0 AMIEHP+PalatinoLinotype TrueType MacRoman yes yes no 145 0 AMIFDN+PalatinoLinotype,BoldItalic TrueType WinAnsi yes yes no 148 0 SYVAVM+VnURWPalladioL-Italic Type 1 Custom yes yes no 214 0 Jhove (Rel. 1.28.0, 2023-05-18) Date: 2024-05-07 04:22:58 CEST RepresentationInformation: pmc_10819920.pdf ReportingModule: PDF-hul, Rel. 1.12.4 (2023-03-16) LastModified: 2024-04-24 02:37:52 CEST Size: 1404374 Format: PDF Version: 1.7 Status: Well-Formed and valid SignatureMatches: PDF-hul MIMEtype: application/pdf PDFMetadata: Objects: 394 FreeObjects: 1 IncrementalUpdates: 0 DocumentCatalog: PageLayout: SinglePage PageMode: UseNone Outlines: Item: Title: Introduction Destination: section.1 Item: Title: Materials and Methods Destination: section.2 Children: Item: Title: Study Design and Population Destination: subsection.2.1 Item: Title: Outcomes Destination: subsection.2.2 Item: Title: Covariates Destination: subsection.2.3 Item: Title: Statistical Analysis Destination: subsection.2.4 Item: Title: Ethics Destination: subsection.2.5 Item: Title: Results Destination: section.3 Children: Item: Title: Baseline Characteristics of Study Population Destination: subsection.3.1 Item: Title: Vaccination Coverage Destination: subsection.3.2 Item: Title: Factors Associated with Vaccine Coverage Destination: subsection.3.3 Item: Title: Comparing Primary Complete Vaccination and Boosters between Key HIV Groups and the HIV-Negative Population Destination: subsection.3.4 Item: Title: Discussion Destination: section.4 Item: Title: Conclusions Destination: section.5 Item: Title: Appendix A Destination: section.A. Item: Title: Appendix B Destination: section.B. Item: Title: References Destination: section.C. Info: Title: Comparative Analysis of Primary and Monovalent Booster SARS-CoV-2 Vaccination Coverage in Adults with and without HIV in Catalonia, Spain Author: Daniel Kwakye Nomah, Juliana Reyes-Urueña, Lucía Alonso, Yesika Díaz, Sergio Moreno-Fornés, Jordi Aceiton, Andreu Bruguera, Raquel Martín-Iguacel, Arkaitz Imaz, Maria del Mar Gutierrez, Ramón W. Román, Paula Suanzes, Juan Ambrosioni, Jordi Casabona, Jose M. Miro, Josep M. Llibre and the PISCIS Study Group Subject: People with HIV (PWH) may be more susceptible to SARS-CoV-2 infection and worse clinical outcomes. We investigated the disparity in SARS-CoV-2 vaccination coverage between PWH and those without HIV (PWoH) in Catalonia, Spain, assessing primary and monovalent booster vaccination coverage from December 2021 to July 2022. The vaccines administered were BNT162, ChAdOx1-S, mRNA-127, and Ad26.COV2.S. Using a 1:10 ratio of PWH to PWoH based on sex, age, and socioeconomic deprivation, the analysis included 201,630 individuals (183,300 PWoH and 18,330 PWH). Despite a higher prevalence of comorbidities, PWH exhibited lower rates of complete primary vaccination (78.2% vs. 81.8%, p < 0.001) but surpassed PWoH in booster coverage (68.5% vs. 63.1%, p < 0.001). Notably, complete vaccination rates were lower among PWH with CD4 <200 cells/L, detectable HIV viremia, and migrants compared to PWoH (p < 0.001, all). However, PWH with CD4 < 200 cells/L received more boosters (p < 0.001). In multivariable logistic regression analysis of the overall population, a prior SARS-CoV-2 diagnosis, HIV status, migrants, and mild-to-severe socioeconomic deprivation were associated with lower primary vaccination coverage, reflecting barriers to healthcare and vaccine access. However, booster vaccination was higher among PWH. Targeted interventions are needed to improve vaccine coverage and address hesitancy in vulnerable populations. 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