Experiences of queer women and nonbinary individuals with mental health care services during the COVID-19 pandemic

Background: The COVID-19 pandemic has had a negative effect on mental health. Queer women and nonbinary individuals disproportionately experience mental health issues when compared to heterosexuals, often facing challenges in receiving care from providers who are sensitive to their concerns and competent in their care. Objective: To report experience of queer women and nonbinary individuals in the United States with mental health care services before and during the pandemic. Methods: Data were gathered via a 43-item survey about experiences with mental health care services before and during the pandemic that was posted on four social media sites, and flyers hung in university student centers and businesses friendly to LGBTQ individuals. Queer women and nonbinary individuals between the ages of 18 and 75 were invited to participate. Descriptive statistics and Spearman?s correlations were used for data analysis. Results: There were 175 participants who met inclusion criteria and were included in the analysis. During the pandemic, more survey participants received mental health services compared with before the pandemic. How they received care significantly changed from before the pandemic (mostly in-person) to during the pandemic (mostly remote). Participants reported being seen significantly more frequently for mental health care during the pandemic compared to before. A higher percentage of participants received both psychotherapy and medication during the pandemic compared with before. They were generally satisfied with their mental health care;however, satisfaction was significantly higher during the pandemic. Conclusion: During the pandemic, compared with before, significantly more participants received mental health care and there were significantly more virtual mental health visits, more frequent mental health visits, more intensive therapies, and higher patient satisfaction. Telehealth care was perceived to be beneficial by most participants. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Vulnerabilidades das travestis e das mulheres trans no contexto pandêmico

Este artigo objetiva analisar os impactos da pandemia de Covid-19 na comunidade LGBTQIA+, em específico a situação das travestis e mulheres trans. Nessa direção, este texto privilegia a análise secundária em uma pesquisa direcionada à população nacional LGBTQIA+ e outra pesquisa direcionada às travestis e mulheres trans da cidade de São Paulo, bem como a revisão bibliográfica do tema proposto. Para tanto, nos apropriamos das categorias que perpassam e vão além da questão de gênero e incorporam a diversidade humana, contemplando as relações sociais de sexo, raça e classe social, bem como aquelas que determinam as mutações do mundo do trabalho no contexto do "capitalismo pandêmico”.Alternate :This article aims to analyze the impact of pandemic the new coronavirus of Covid-19 on the LGBTQIA+ community, particularly the situation of transvestites and transgender women. With this in mind, this text advocates a secondary analysis in one research aimed at the national LGBTQIA+ population and another research aimed at transvestites and transgender women in the city of São Paulo, as well as the bibliographical review of the proposed. To this end, we use the categories that permeate and go beyond gender and include human diversity, taking into account the social relationships of gender, race and social class, as well as those that determine the changes in the world of work in the context of "pandemic capitalism”.

Teaching menopause to health care professionals

The menopause is a stage in the life cycle that affects all women. Managing perimenopausal and postmenopausal health is therefore a key issue for all healthcare professionals, not just gynecologists. The curriculum should include terminology and definitions, assessment, diagnosis and evidence-based management strategies. Healthcare professionals should be aware that women have different perceptions and experiences of the menopause which may be determined by: age and type of menopause, pre-existing health conditions, disability, employment and adverse childhood events. Specialist services may be required for some. These include women with chronic disease, premature ovarian insufficiency or early menopause or pre-existing health conditions and disability, as well as transgender and gender-nonconforming people. The COVID-19 pandemic has changed the mode of delivering healthcare from face-to-face only to include virtual consultations. Teaching now needs to include both types of consultations. A holistic approach is required and teaching should be provided by an accredited expert. Rees M, Abernethy K, Bachmann G, et al. The essential menopause curriculum for healthcare professionals: A European Menopause and Andropause Society (EMAS) position statement. Maturitas. 2022;158:70-77. doi: https://doi.org/10.1016/j.maturitas.2021.12.001Copyright © 2023

Heteronormativity in health settings: Realities of LGBT youth's access to healthcare in South Africa

In South Africa, sexual and gender minorities experience a wide array of health inequities and face many difficulties in accessing health services. This is largely due to the general heteronormative-based health system that is not well equipped to meet the needs of those not conforming to "normal" forms of gender and sexuality. In addition, the heteronormative-based approach to LGBT health has rendered the unique needs and experiences of sexual and gender minorities invisible within mainstream health data, systems and policies. Increasing evidence suggests that the COVID-19 pandemic has worsened health disparities and this is likely a consequence of existing challenges related to structural violence that persisted prior to its emergence. Given the current structure of South Africa's health system, this chapter examines structural violence in the context of healthcare and draws on in-depth interviews conducted with 12 LGBT students at a university in South Africa. The findings highlight the importance of raising awareness on the spectrum of sexual orientation and gender identity, applying an intersectional lens to the health system to address health inequities and gearing healthcare programs to provide services for all. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

An exploratory study of the social and emotional impact of COVID-19 on LGBTQ+ adolescents living in rural communities

This study examined the impact of COVID-19 restrictions on 16 LGBTQ+ individuals 16 -18 years of age in rural Washington. Data were collected using semi structured virtual interviews, an Experience Questionnaire (EQ) and the Behavioral Assessment Scale for Children - Edition 3 Behavioral and Emotional Screening System (BASC-3). A few major themes emerged from the data: changes in relationships, negative psychological impacts, resiliency, and challenges such as barriers, tensions, and routine changes. Participants found COVID-19 restrictions created barriers to accessing social outlets such as extracurricular activities, LGBTQ+ community center, and so on, as well as engaging with resources for mental and physical health. Participants reported that navigating the significant changes in routines due to school closings and social distancing measures negatively impacted their mental health. Online school, increased home responsibilities, lack of structure or routine, and pressure to maintain grades were the main stressors found to contribute to a decline in mental health. Tensions related to having differing opinions from family members were often triggered or exacerbated by increased proximity with family, due to being stuck at home. Tensions also included experiences of homophobia, transphobia, and racism. These tensions contributed to lower mental health, as many participants felt "trapped" in their own home and unable to reveal parts of their identity. Participants reported that COVID-19 restrictions also impacted their relationships positively in some ways. Some participants found that COVID-19 restrictions allowed them to get out of negative relationships, identify healthy or positive friendships, and be more intentional in their friendships. Although most participants experienced negative psychological impacts on their mental health, many were also able to identify areas of resiliency and improvement. Participants identified new methods for coping, found new and innovative ways to engage with support networks, and found that increased time alone allowed for self-improvement and unprecedented identity exploration. Results of the study add to the limited research currently available about the impact COVID-19 restrictions had on LGBTQ+ youth in rural areas and provide critical information for professionals who work with school-aged LGBTQ+ populations, especially those living in rural communities. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

The impact of transgender minority stress and emotion regulation on suicidality and self-harm

Transgender and gender diverse (TGD) individuals experience high levels of minority stress, as well as a high prevalence of suicidality and self-harm. The current study investigates if emotion regulation mediates the relationships of minority stressors with self-harm and suicidality. TGD adult primary care patients (N = 115) completed a survey including measures of minority stressors, emotion dysregulation, self-harm, and suicidality. Emotion regulation mediated the relationship between victimisation and suicidality. Emotion regulation did not mediate the relationship between victimisation and self-harm. TGD individuals' suicide risk may be increased when they experience victimisation through increased emotion dysregulation.

"Covid couldn't get us down": pandemic impact on effective access to transgender hormone therapy in Cordoba, Argentina / "La covid no ha podido con nosotrxs": impacto de la pandemia en el acceso efectivo de personas trans a tratamientos hormonales integrales en Córdoba, Argentina

Resumen El objetivo de este trabajo fue indagar el impacto de la pandemia de la covid-19 en el acceso de personas trans a tratamientos hormonales en los servicios de salud pública de la provincia de Córdoba, Argentina. En los meses de junio/julio de 2020, se realizaron 16 entrevistas telefónicas a personas trans en proceso de hormonización y usuarias de servicios públicos de salud, a profesionales sanitarios de dispositivos específicos de atención a personas trans, integrantes de organizaciones sociales y de gestión. Se aplicó un análisis temático que identificó tres temas y subtemas: 1) Estar a la deriva en relación al tratamiento hormonal: Reestructuración de servicios de salud; Sentimientos de incertidumbre; 2) Lo necesito, el cuerpo lo pide: suministro de hormonas: Significados en torno al tratamiento; Estrategias y resistencias; 3) Oportunidad de visibilizar fallas estructurales: las hormonas como la punta del iceberg: Déficit en las políticas públicas: en pandemia desde hace muchos años; Exclusiones del CIStema de salud. Se concluyó que la pandemia acarreó un grave retroceso para los derechos de las personas trans. Sin embargo, se identificaron estrategias claves de acceso, vinculadas principalmente a las organizaciones y activistas trans y travestis.

Abstract The purpose of this research was to study the impact of covid-19 pandemic on transgender people's access to healthcare and hormone gender-affirming treatments in public healthcare services of the province of Córdoba, Argentina. Between June/July-2020, sixteen telephone interviews were conducted with people in gender-affirming hormone treatments in public healthcare services, professionals, members of social organizations and management. A thematic analysis was carried out, identifiying three themes and sub-themes: 1) Being adrift in relation to hormonal treatment: Restructuring of healthcare services; Feelings of uncertainty. 2) I need it, the body asks for it: supply of hormones: Meanings around treatment; Strategies and resistance. 3) Opportunity to make visible structural failures: hormones as the tip of the iceberg: Deficit in public policies: in a pandemic for many years; Exclusions from the CISHealthcare System. We conclude that the pandemic implied a serious setback for transgender people's rights. However, strategies were identified, mainly linked to transgender organizations and activists, which were key to access.

How the COVID-19 Pandemic Influenced HIV Care: Are We Prepared Enough for Future Pandemics? An Assessment of Factors Influencing Access, Utilization, Affordability, and Motivation to Engage with HIV Services amongst African, Caribbean, and Black Women.

The COVID-19 pandemic resulted in disruption in healthcare delivery for people living with human immunodeficiency virus (HIV). African, Caribbean, and Black women living with HIV (ACB WLWH) in British Columbia (BC) faced barriers to engage with HIV care services prior to the COVID-19 pandemic that were intensified by the transition to virtual care during the pandemic. This paper aims to assess which factors influenced ACB WLWH's access to, utilization and affordability of, and motivation to engage with HIV care services. This study utilized a qualitative descriptive approach using in-depth interviews. Eighteen participants were recruited from relevant women's health, HIV, and ACB organizations in BC. Participants felt dismissed by healthcare providers delivering services only in virtual formats and suggested that services be performed in a hybrid model to increase access and utilization. Mental health supports, such as support groups, dissolved during the pandemic and overall utilization decreased for many participants. The affordability of services pertained primarily to expenses not covered by the provincial healthcare plan. Resources should be directed to covering supplements, healthy food, and extended health services. The primary factor decreasing motivation to engage with HIV services was fear, which emerged due to the unknown impact of the COVID-19 virus on immunocompromised participants.

Tracing Dystopian Insta-Emotions among Hong Kong Trans Men

Digital media is often understood as the primary platform to open up new social worlds for transgender men. The plethora of information from DIY videos on testosterone injections to daily transition vlogs has seen transgender men creating, developing, and curating themselves on digital platforms. This study focuses on the representation of Hong Kong trans men on digital media. The ongoing COVID pandemic has conjured up a wide array of cultural imaginations on the end of the world. Hong Kong has also long collected global imaginations of dystopia, cyberpunk, and science fiction. Under this larger context, I draw upon McKenzie and Patulny's (2021) notion of dystopia as "a process, a practice, a method of understanding and critiquing" to examine dystopian emotions among Hong Kong trans men through digital ethnographic fieldwork on Instagram and face-to-face in-depth interviews in 2020-2021. I argue that dystopia beliefs lay the groundwork for Insta-emotions to emerge, in overt and subversive ways, that speak to the resilience of transgender men.

"Solidarity and community on our terms and through our lens": Community care and shared trauma for transgender and nonbinary peer supporters during the COVID-19 pandemic

Community support is an essential resource for psychological wellbeing among transgender and nonbinary communities. As the COVID-19 pandemic draws on, the role of community support in managing mental health concerns and the effects of structural inequity becomes increasingly important, yet few studies have focused on this dynamic. The present study examined how six transgender and nonbinary peer supporters understood the COVID-19 pandemic as a unique community crisis through their roles as helping professionals from a reflexive, thematic qualitative approach. The analysis resulted in 4 themes with 13 subthemes: (a) COVID pandemic as a trans-specific crisis;(b) shared membership;(c) healing role of community care;and (d) long-term impacts. Results show how transgender and nonbinary peer supporters undergo complex processes of vicarious traumatization and posttraumatic growth while engaging in peer support with community members, as well as how the COVID-19 pandemic has evolved as a crisis with unique implications for transgender and nonbinary groups. Findings provide evidence for the need to consider how post-traumatic sequelae develop in response to oppressive experiences, particularly that of gendered-racial marginalization within transgender and nonbinary communities of color, and how post-traumatic processes (i.e., responses to vicarious traumatization, post-traumatic growth) evolve among transgender and nonbinary communities. Implications on how to respond to community care and trauma during the COVID-19 pandemic within trans and nonbinary communities are provided: advocating for additional resources;building awareness around trauma processes;attending to clinical issues stemming from intersectional oppression. (PsycInfo Database Record (c) 2023 APA, all rights reserved) Impact Statement This study suggests that transgender and nonbinary individuals who provide emotional support for community members undergo processes of vicarious traumatization and post-traumatic growth. Additionally, the results highlight how the COVID-19 pandemic has evolved as a crisis with unique implications for transgender and nonbinary groups. (PsycInfo Database Record (c) 2023 APA, all rights reserved)

Depressive and Anxiety Symptoms Were More Common for Transgender Individuals Whose Gender-Affirming Surgeries Were Cancelled or Delayed Due to COVID-19: A Global Cross-Sectional Study

Gender-affirming surgeries, which have well-established mental health benefits, were cancelled and delayed for transgender people worldwide during the COVID-19 crisis. Of 253 scheduled gender-affirming surgeries among transgender adults across 35 countries in late 2020, 27% (n=69) reported that the COVID-19 crisis limited their access to gender-affirming surgery (i.e., cancelled, postponed indefinitely, or rescheduled). In adjusted models, respondents with reduced access to surgeries were somewhat more likely to screen positive for depressive or anxiety symptoms, whereas those who maintained access were more likely to report higher levels of happiness. Our findings illustrate the transgender-specific harms of the COVID-19 crisis on gender-affirming surgeries and mental health.

Mental Health Disparities Among Cisgender, Transgender, and Gender Nonconforming College Students in the United States

Many researchers attribute factors of identity, acculturation, sexual orientation, and substance use and other maladaptive behaviors as potential risk factors associated with increased mental illnesses reported by college students (Castillo & Schwartz, 2013;Wyatt & Oswalt, 2013). [...]the COVID-19 pandemic has further exacerbated mental health problems in college students (Lopez Steinmetz et al., 2021;Son et al., 2020), with 71% experiencing more stress, anxiety, problems with concentration, and worry about a loved one's health as well as their own (Son et al., 2020). Approximately 75% of first-year college students with any mental illness do not seek help (Bruffaerts et al, 2019). [...]there is a growing need to address possible factors contributing to reduced help seeking and to identify vulnerable groups in college populations (Castillo & Schwartz, 2013). Men's decreased treatment utilization may be in part due to shame, stigma, and parental and peer norms toward seeking out mental health services (Seehuus et al, 2021). Given the impact that gender-related stressors play in the rise of mental illness in college students, this study aims to bridge the gap in mental health clinicians' and researchers' understanding of how diverse gender identities influence mental health-related outcomes and mental illness. [...]this study addresses two research questions: (1) Do gender differences (i.e., between cisgender men, cisgender women, and TGNC individuals) exist among college students in the prevalence of mental illness, utilization of psychological services, and mental health-related outcomes (i.e., psychological distress, stress, resilience, overall health, and loneliness)? (2) Do mental health-related variables differentially predict mental illness diagnoses among college students? METHOD Participants and Data Collection The ACHA (2020) National College Health Assessment-Ill Fall 2020 (NCHA-III) is a survey that gathers information regarding students' health.

Temporary changes in STI & HIV testing & diagnoses across different phases of the COVID-19 pandemic, Chicago IL.

Introduction: While the U.S. has seen a sustained rise in STI cases over the past decade, the impact of the COVID-19 on STIs and HIV is unclear. Methods: To examine the short- and medium-term impacts of COVID-19 and HIV and STI testing and diagnosis, we compared pre-pandemic trends to three periods of the pandemic: early- pandemic, March-May 2020; mid-pandemic June 2020-May 2021; and late-pandemic, June 2021-May 2022. We compared average number of monthly tests and diagnoses, overall and by gender, as well as the monthly change (slope) in testing and diagnoses. Results: We find that after decreases in average monthly STI and HIV testing and diagnoses during the early- and mid-pandemic, cases were largely back to pre-pandemic levels by the late-pandemic, with some variation by gender. Conclusion: Changes in testing and diagnoses varied by phase of the pandemic. Some key populations may require additional outreach efforts to attain pre-pandemic testing levels.

SEXUAL BEHAVIOR AND STI INCIDENCE DURING THE FIRST 4 YEARS OF PrEP USE AMONG MSM

Background: A prospective demonstration project in Amsterdam (AMPrEP) provided pre-exposure prophylaxis (PrEP) to people vulnerable to HIV in 2015- 2020. Data on long-term trends in sexual behavior and incidence of STIs during PrEP use are needed to inform future PrEP programs. Therefore, we assessed sexual behavior and incidence rates of STIs among MSM and transgender women on PrEP over four years. Method(s): AMPrEP participants chose between oral PrEP daily (dPrEP) or event-driven (edPrEP) at baseline and could switch regimens at each 3-monthly study visit. They were tested for STIs at these visits and if necessary in between. Follow-up began at PrEP initiation and continued until 48 months of follow-up or was censored at March 15, 2020 (start COVID-19), whichever occurred first. We assessed changes over time in incidence rates (IR) of chlamydia, gonorrhea, and infectious syphilis using Poisson regression. We estimated the IR of Hepatitis C (HCV) diagnoses per consecutive year. We described the number of HIV diagnoses, and sexual behavior (i.e. number of sex partners, condomless anal sex acts with casual partners [CAS]). Result(s): A total of 367 (365 MSM) started PrEP and contributed 1249 person-years of observation. IRs of any STI was 87[95%CI 82-93]/100PY. There was no change in the IR of any STI and infectious syphilis over time on PrEP. We observed a slight decrease in incident chlamydia and gonorrhea in daily PrEP users (Table). Two incident HIV cases were diagnosed in the first year of follow-up. IRs for HCV were 1.5[0.6-3.6], 2.5[1.3-5.0], 0.7[0.2-2.7], and 0.4[0.1- 2.8]/100PY, per consecutive year on PrEP. Median number of sex partners per 3-month period decreased from 16[IQR 8-34] and 12[6-25] (dPrEP and edPrEP, respectively) at baseline, 15[7-30] and 8[3-16] at 24 months, and 12[6-26] and 5[2-12] at 48 months. Median number of CAS acts with casual partners were respectively 7[3-15] and 4[1-9] at baseline, 14[5-25] and 4[1-12] at 24 months, and 12[4-25] and 4[1-9] at 48 months. Conclusion(s): Over the first 4 years of PrEP use overall STI incidence was high and stable. Chlamydia and gonorrhea incidence declined slightly in daily users. Numbers of sex partners seemed to decrease in both dPrEP and edPrEP users. Number of CAS acts with casual partners appeared to increase first, and then stabilized. Notably, this did not result in increased incidence of STIs. Regular testing and treatment of STIs remain a priority among PrEP users. Biomedical prevention of STIs can be examined in this context.

A Rose by Any Other Name: Gender-Affirming Care and Severe Mental Illness

The transgender population has higher rates of psychiatric disorders and stigma within medical settings. Literature suggests that gender-affirming care is the standard when working with such patients. There are limited studies regarding treating these patients with severe mental illness (SMI). This article explores how to treat SMI that impacts patients' reality to the point where their assigned sex cannot be acknowledged. The case presented is that of a transgender woman, where clarification of her natal sex was crucial to treatment. The patient denied her natal sex, endorsing a history of miscarriage. Studies on treatment of transgender SMI patients are limited. Gender-affirming treatment is the standard of care for these patients. Training how to ask pertinent questions and communicate effectively is necessary to prevent misdiagnosis, unnecessary treatment, and agitation. [Psychiatr Ann. 2023;53(5):221–223.]

Trans Comedy as Trans Care

Malatino compares two billboards, one declaring "Trans lives are sacred," found in Detroit in July 2019, and one stating "Trans people deserve health care, support, justice, safety, love," stationed near the border of Joshua Tree and Twentynine Palms in November 2018 (2020, 25–26 and 30–31). (Nothing works for staving off isolation, illness, and routine workplace discrimination like stabbing your friends dressed as a neon cartoon alien with funky accessories, am I right?) Play, laughter, and jokes—collective endeavors, done with others, whether real or imaginary, present or distant (Freud 1905, Bergson 1912)—are key to trans care via media2. Playing together, via media, including the comedy of our own making, on the other hand, can take on a form of care, and we in turn keep each other alive. The newest iteration of the decades-long irony wherein cis/straight people reveal themselves as relying on the very healthcare they would deny trans and queer folks but with a new toxic twist, a spoof image of the cover of trans theorist Paul B. Preciado's Testo Junkies with Rogan photoshopped on the cover was soon circulating through the trans internet.

Pandemic Rendering the Transgender People More Vulnerable, as If It Was Not Already Enough: A Qualitative Exploration from Odisha, India

The COVID-19 pandemic impacted people's livelihoods worldwide to an unprecedented magnitude, the most affected being the socially and economically disadvantaged and marginalized communities, including the transgender people that constitute one of the most vulnerable sections that are often subjected to discriminated in various sectors such as education, health, housing, and livelihood opportunities. The present study attempts to offer insights into the impact of the pandemic on the livelihood of transgender people in India, given that the pandemic adversely affected their primary sources of livelihood, such as begging, sex-work, singing, and dancing, due mainly to the restrictive measures: lockdown, shutdown, social/physical distancing, etc., imposed by government authorities to curb the spread of the virus, in turn depriving them of their livelihood choices and rendering them even more vulnerable. This study draws from twelve transgender respondents in the city of Bhubaneswar, India recruited through the snowball method and uses thematic analysis of qualitative data obtained through telephonic interviews. The study finds that the pandemic-induced measures have negatively affected the lives and livelihood of transgender people during this time of crisis. Despite the government's sustained efforts in providing temporary livelihood options and monetary supports during the crisis, the transgender people continued to remain marginalized. Approaches to making them self-sufficient over a longer term and empowering them financially would have been of more significant impact.

RETENTION IN CARE AMONG PERUVIAN MSM AND TGW IN A REAL-WORLD HIV PrEP PROGRAM

Background: Tenofovir-based daily oral HIV pre-exposure prophylaxis (HIV PrEP) is a highly efficacious HIV prevention modality, but sustained use over time is needed for continued protection among individuals at high risk for HIV exposure. Suboptimal adherence and retention in care threaten to diminish the impact of HIV PrEP on reducing HIV burden. PrEP PERU is an ongoing, multi-site, prospective cohort study evaluating HIV PrEP implementation among adult men who have sex with men (MSM) and transgender women (TGW) accessing care at non-government health centers in Peru. We sought to evaluate HIV PrEP adherence and retention in care among PrEP PERU participants prior to the onset of COVID-19 service disruptions. Method(s): We analyzed baseline and follow-up data from the PrEP PERU study through 3/15/2020, the first day of Peru's COVID-19 lockdown. MSM and TGW >=18 years of age with at least one HIV risk factor were eligible for enrollment. After the first follow-up visit at 4 weeks, TDF/FTC refills and clinic visits occur quarterly, at the discretion of the prescribing clinician. The medication is provided free of charge, but participants pay for laboratory testing plus a small service fee for clinic visits. Data is collected at baseline and quarterly follow-up visits on sexual risk behaviors and HIV PrEP use. We used bivariate analysis to evaluate the association between baseline factors and 6-month HIV PrEP retention in care. As a proxy for adherence, pharmacy dispensation records were used to calculate the proportion of days covered (PDC) by TDF/FTC. Result(s): Overall, 351 participants started TDF/FTC at four study sites in Lima from 1/23/2017 to 3/15/2020. Of this analysis population, 94% were cisgender men, 10% identified as bisexual, and median age was 31 (interquartile range [IQR], 27 - 38). Among those with at least 6 months of observation time (n=302), 91% attended >=1 follow-up visit and 77% attended >=2 follow-up visits during the 6 months after enrollment. The proportion with favorable adherence (PDC >=0.8) was 85%. There were 6 confirmed HIV seroconversions in the analysis period (1.2 per 100 person-years). Conclusion(s): In this analysis of HIV PrEP outcomes among MSM and TGW prior to COVID-19 pandemic disruptions in Peru, over 3/4 of the population remained in care and had favorable measures of adherence during the first 6 months after.

122nd Annual Meeting Medical Library Association, Inc. New Orleans, LA May 3–6, 2022

The Medical Library Association (MLA) held its 122nd annual meeting May 3-6, 2022, in New Orleans LA. The meeting was entitled "MLA '22: Reconnect. Renew. Reflect" and utilized a hybrid model with some events in person, and some virtually. The virtual meeting was again broken into segments, all available using a variety of online platforms. Total attendance for the meeting was 1,250 with 575 attending in-person, and 675 virtually. Additional meeting content--including the meeting program and various electronic presentations from the business meetings, plenary sessions, poster sessions, and program sessions can be accessed by all meeting registrants via the MLA '22 website.

When support is "pawsed": Increased attachment mediates the association between loss of support and pet bereavement during the pandemic

The COVID-19 pandemic has introduced and exacerbated innumerable stressors for Americans. Pet ownership has been shown to help individuals cope with stress and loneliness. However, given the shorter life spans of most pets compared to humans, many pet owners inevitably dealt with pet loss and its associated grief during the pandemic. We surveyed 284 community and college participants that had suffered the loss of a pet during the pandemic. We asked these pet owners about their pandemic-related experiences over the preceding year with regard to the types of losses they experienced, whether they experienced isolation through quarantine and their perception of social support. We also measured their general attachment to pets along with the grief they felt as a result of pet loss. We hypothesized that greater loss, increased isolation, and reduced social support would lead to increased attachment to pets, which would intensify the experience of grief. Mediated regression analyses revealed a direct effect of loss on grief that was not mediated through attachment. Unexpectedly, greater perceived social support showed an indirect effect on grief through stronger attachment to pets. Results confirm prior findings that greater pet attachment leads to more intense pet grief, but the attachment was not intensified through loss of support social or increased isolation as predicted. It is important to recognize the substantial impact of pet loss, especially during stressful times, and this topic deserves further investigation, perhaps with a greater focus on the type of pet and pet-specific measures of attachment. (PsycInfo Database Record (c) 2023 APA, all rights reserved)