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Article

Efficacy of COVID-19 Vaccination in People Living with HIV/AIDS in a Northern Brazil: Cross-Sectional Study

by
Carolinne de Jesus Santos e Santos
1,
Ricardo Roberto de Souza Fonseca
2,
Sandra Souza Lima
2,
Thais Mayara da Silva Carvalho
2,
Letícia França das Mercês
2,
Maria Eduarda de Sousa Avelino
2,
Diogo Oliveira de Araújo
2,
Felipe Bonfim Freitas
3,
Igor Brasil-Costa
4,
Aldemir Branco Oliveira-Filho
5,
Antonio Carlos Rosário Vallinoto
1,2,† and
Luiz Fernando Almeida Machado
1,2,*,†
1
Biology of Infectious and Parasitic Agents Post-Graduate Program, Federal University of Pará, Belém 66075-110, PA, Brazil
2
Virology Laboratory, Institute of Biological Sciences, Federal University of Pará, Belém 66075-110, PA, Brazil
3
Evandro Chagas Institute, Health Ministry of Brazil, Ananindeua 67030-000, PA, Brazil
4
Immunology Laboratory, Evandro Chagas Institute, Health Ministry of Brazil, Ananindeua 67030-000, PA, Brazil
5
Study and Research Group on Vulnerable Populations, Institute for Coastal Studies, Federal University of Pará, Bragança 68600-000, PA, Brazil
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Vaccines 2025, 13(3), 283; https://doi.org/10.3390/vaccines13030283
Submission received: 4 November 2024 / Revised: 26 February 2025 / Accepted: 5 March 2025 / Published: 7 March 2025

Abstract

Background/Objectives: The evaluation of the efficacy of COVID-19 vaccination in immunocompromised individuals, such as people living with HIV/AIDS (PLWH), still is of great global importance. The present study aimed to describe the presence of anti-SARS-CoV-2 IgG antibodies in PLWH vaccinated and unvaccinated against COVID-19 in the city of Belém, northern Brazil. Methods: A cross-sectional study involving 510 PLWH was conducted from December 2021 to May 2022. Participants answered a sociodemographic questionnaire and subsequently underwent an anti-SARS-CoV-2 enzyme immunoassay for the detection of IgG antibodies, as well as quantification of CD4+ T lymphocytes and HIV-1 plasma viral load. Results: Most participants were male (70%), aged 25–50 years (72%), single (71.4%), and low-income (50.4%). The prevalence of anti-SARS-CoV-2 IgG antibodies was 94.3% (481/510), with most vaccinated individuals having received at least two doses of a COVID-19 vaccine. An association was observed between antibody levels and the number of vaccine doses, CD4+ T lymphocyte count, CD4+/CD8+ T lymphocyte ratio, and HIV-1 viral load. Conclusions: PLWH developed high levels of antibodies against SARS-CoV-2 after receiving the vaccine, demonstrating that COVID-19 vaccination is of fundamental importance for the protection against severe COVID-19 in this specific group of immunocompromised individuals.
Keywords: HIV; anti-SARS-CoV-2; COVID-19 vaccine; public health HIV; anti-SARS-CoV-2; COVID-19 vaccine; public health

Share and Cite

MDPI and ACS Style

Santos, C.d.J.S.e.; Fonseca, R.R.d.S.; Lima, S.S.; Carvalho, T.M.d.S.; das Mercês, L.F.; Avelino, M.E.d.S.; de Araújo, D.O.; Freitas, F.B.; Brasil-Costa, I.; Oliveira-Filho, A.B.; et al. Efficacy of COVID-19 Vaccination in People Living with HIV/AIDS in a Northern Brazil: Cross-Sectional Study. Vaccines 2025, 13, 283. https://doi.org/10.3390/vaccines13030283

AMA Style

Santos CdJSe, Fonseca RRdS, Lima SS, Carvalho TMdS, das Mercês LF, Avelino MEdS, de Araújo DO, Freitas FB, Brasil-Costa I, Oliveira-Filho AB, et al. Efficacy of COVID-19 Vaccination in People Living with HIV/AIDS in a Northern Brazil: Cross-Sectional Study. Vaccines. 2025; 13(3):283. https://doi.org/10.3390/vaccines13030283

Chicago/Turabian Style

Santos, Carolinne de Jesus Santos e, Ricardo Roberto de Souza Fonseca, Sandra Souza Lima, Thais Mayara da Silva Carvalho, Letícia França das Mercês, Maria Eduarda de Sousa Avelino, Diogo Oliveira de Araújo, Felipe Bonfim Freitas, Igor Brasil-Costa, Aldemir Branco Oliveira-Filho, and et al. 2025. "Efficacy of COVID-19 Vaccination in People Living with HIV/AIDS in a Northern Brazil: Cross-Sectional Study" Vaccines 13, no. 3: 283. https://doi.org/10.3390/vaccines13030283

APA Style

Santos, C. d. J. S. e., Fonseca, R. R. d. S., Lima, S. S., Carvalho, T. M. d. S., das Mercês, L. F., Avelino, M. E. d. S., de Araújo, D. O., Freitas, F. B., Brasil-Costa, I., Oliveira-Filho, A. B., Rosário Vallinoto, A. C., & Machado, L. F. A. (2025). Efficacy of COVID-19 Vaccination in People Living with HIV/AIDS in a Northern Brazil: Cross-Sectional Study. Vaccines, 13(3), 283. https://doi.org/10.3390/vaccines13030283

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