# A questionnaire-based survey on the epidemiological and clinical characteristics of SARS-CoV-2 infection in patients with chronic HBV infection and HIV infection

**Authors:** Lu Chen, Chao Cai, Si-Jie Zheng, Liang Hong, Hui Zhao, Fei-Fei Su, Ming-Qin Lu

PMC · DOI: 10.3389/fpubh.2025.1536794 · Frontiers in Public Health · 2025-03-13

## TL;DR

This study found that people with HBV or HIV infections are more likely to get SARS-CoV-2 but experience fewer symptoms, possibly due to antiviral treatments.

## Contribution

The study provides new insights into how antiviral therapy may alleviate symptoms of COVID-19 in patients with HBV or HIV.

## Key findings

- HBV and HIV-infected patients had a higher incidence of SARS-CoV-2 infection compared to the control group.
- Patients with HBV or HIV infections exhibited fewer symptoms of COVID-19 than the general population.
- Antiviral therapy appears to reduce the severity of symptoms in these patients.

## Abstract

Traditional observational studies have yielded inconsistent findings regarding the association between COVID-19 and HBV/HIV infections, as well as the protective effects of antiviral therapy against severe COVID-19. This study aimed to investigate the potential links between the current use of antiviral therapy and the rates of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and symptoms of infection in patients with SARS-CoV-2 and HBV/HIV.

Using a questionnaire-based survey, we recorded whether participants had been infected with SARS-CoV-2, and the symptoms and severity of COVID-19 after the illness.

Among 756 participants, chi-square tests showed a higher incidence of COVID-19 in the HBV infection group (75.6%, p = 0.047) and the HIV infection group (77.6%, p = 0.036). These two groups exhibited fewer symptoms than the control group (p < 0.001). The differences in the prevalence of most symptoms were also significant.

Our findings suggest that patients with HBV or HIV infection have a higher risk of contracting SARS-CoV-2 than the general population; however, antiviral treatment relieves the symptoms of COVID-19.

## Linked entities

- **Diseases:** HIV infection (MONDO:0005109), COVID-19 (MONDO:0100096)

## Full-text entities

- **Diseases:** COVID-19 (MESH:D000086382), infected (MESH:D007239), HBV infection (MESH:D006509), HBV or HIV infection (MESH:D015658)
- **Species:** Severe acute respiratory syndrome coronavirus 2 (no rank) [taxon 2697049], Homo sapiens (human, species) [taxon 9606], Human immunodeficiency virus 1 (no rank) [taxon 11676]

## Full text

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## Figures

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## References

25 references — full list in the complete paper: https://tomesphere.com/paper/PMC11965930/full.md

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Source: https://tomesphere.com/paper/PMC11965930