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Psychosocial and behavioral correlates with HIV testing among men who have sex with men during the COVID-19 pandemic in China.
Shi, Lingen; Liu, Guangxia; Fu, Gengfeng; Zaller, Nick; Wei, Chongyi; Yang, Cui; Yan, Hongjing.
  • Shi L; Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
  • Liu G; Geriatric Hospital of Nanjing Medical University, Nanjing, China.
  • Fu G; Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
  • Zaller N; Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, Arkansas, United States of America.
  • Wei C; Department of Health Behavior, Society, and Policy, Rutgers University School of Public Health, New Brunswick, New Jersey, United States of America.
  • Yang C; Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America.
  • Yan H; Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, China.
PLoS One ; 17(1): e0262472, 2022.
Article in English | MEDLINE | ID: covidwho-1650442
ABSTRACT

OBJECTIVES:

Some of community mitigation efforts on COVID-19 created challenges to ongoing public health programs, including HIV care and prevention services among men who have sex with men (MSM). The goal of the current study was to explore sociodemographic factors and the impact of COVID-19 on HIV testing among Chinese MSM during state-enforced quarantine.

METHODS:

We conducted a community based survey between May 1st to June 30th, 2020 on COVID-19 related impacts on HIV testing among 436 China MSM during the COVID-19 state-enforced quarantine.

RESULTS:

One-third (33.7%) of MSM received HIV testing during the quarantine period. Few participants reported difficulty accessing facility-based testing (n = 13, 3.0%) or obtaining HIV self-test kit online (n = 22, 5.0%). However, 12.1% of participants reported being afraid of getting facility-based HIV test due to concerns about the risk of COVID-19. In the multivariate logistic regression model, participants who were married (aOR 1.89, 95%CI 1.19-3.01), reported increased quality of sleep (aOR 2.07, 95%CI 1.11-3.86), and increased difficulty in accessing health care (aOR 2.34, 95%CI 1.37-3.99) were more likely to get an HIV test during the state-enforced quarantine.

CONCLUSION:

The mitigation measures of COVID-19 have created various barriers to access HIV related prevention services in China, including HIV testing. To mitigate these impacts on HIV prevention and care services, future programs need to address barriers to HIV-related services, such as providing high-quality HIV self-testing. Meanwhile, psychological services or other social services are needed to those experiencing mental distress.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Sexual Behavior / HIV Infections / Sexual and Gender Minorities / HIV Testing / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adolescent / Adult / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0262472

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Sexual Behavior / HIV Infections / Sexual and Gender Minorities / HIV Testing / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study / Qualitative research / Randomized controlled trials Limits: Adolescent / Adult / Humans / Male / Middle aged Country/Region as subject: Asia Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2022 Document Type: Article Affiliation country: Journal.pone.0262472