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Perceived Interruptions to HIV Prevention and Treatment Services Associated With COVID-19 for Gay, Bisexual, and Other Men Who Have Sex With Men in 20 Countries.
Rao, Amrita; Rucinski, Katherine; Jarrett, Brooke A; Ackerman, Benjamin; Wallach, Sara; Marcus, Julia; Adamson, Tyler; Garner, Alex; Santos, Glenn-Milo; Beyrer, Chris; Howell, Sean; Baral, Stefan.
  • Rao A; Departments of Epidemiology.
  • Rucinski K; International Health; and.
  • Jarrett BA; Departments of Epidemiology.
  • Ackerman B; Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
  • Wallach S; Departments of Epidemiology.
  • Marcus J; Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA.
  • Adamson T; Fenway Institute, Boston, MA.
  • Garner A; Departments of Epidemiology.
  • Santos GM; Hornet, San Francisco, CA.
  • Beyrer C; Community Health Systems Department, University of California San Francisco, San Francisco, CA; and.
  • Howell S; Center of Public Health Research, San Francisco Department of Public Health, San Francisco, CA.
  • Baral S; Departments of Epidemiology.
J Acquir Immune Defic Syndr ; 87(1): 644-651, 2021 05 01.
Article in English | MEDLINE | ID: covidwho-1865024
Semantic information from SemMedBD (by NLM)
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2. Coitus PROCESS_OF Male population group
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ABSTRACT

BACKGROUND:

The coronavirus pandemic has necessitated a range of population-based measures to stem the spread of infection. These measures may be associated with disruptions to other health services including for gay, bisexual, and other men who have sex with men (MSM) at risk for or living with HIV. Here, we assess the relationship between stringency of COVID-19 control measures and interruptions to HIV prevention and treatment services for MSM.

SETTING:

Data for this study were collected between April 16, 2020, and May 24, 2020, as part of a COVID-19 Disparities Survey implemented by the gay social networking app, Hornet. Pandemic control measures were quantified using the Oxford Government Response Tracker Stringency Index each country received a score (0-100) based on the number and strictness of 9 indicators related to restrictions, closures, and travel bans.

METHODS:

We used a multilevel mixed-effects generalized linear model with Poisson distribution to assess the association between stringency of pandemic control measures and access to HIV services.

RESULTS:

A total of 10,654 MSM across 20 countries were included. Thirty-eight percent (3992/10,396) reported perceived interruptions to in-person testing, 55% (5178/9335) interruptions to HIV self-testing, 56% (5171/9173) interruptions to pre-exposure prophylaxis, and 10% (990/9542) interruptions to condom access. For every 10-point increase in stringency, there was a 3% reduction in the prevalence of perceived access to in-person testing (aPR 0·97, 95% CI [0·96 to 0·98]), a 6% reduction in access to self-testing (aPR 0·94, 95% CI [0·93 to 0·95]), and a 5% reduction in access to pre-exposure prophylaxis (aPR 0·95, 95% CI [0·95 to 0·97]). Among those living with HIV, 20% (218/1105) were unable to access their provider; 65% (820/1254) reported being unable to refill their treatment prescription remotely.

CONCLUSIONS:

More stringent responses were associated with decreased perceived access to services. These results support the need for increasing emphasis on innovative strategies in HIV-related diagnostic, prevention, and treatment services to minimize service interruptions during this and potential future waves of COVID-19 for gay men and other MSM at risk for HIV acquisition and transmission.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: HIV Infections / Homosexuality, Male / Sexual and Gender Minorities / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Humans / Male / Middle aged / Young adult Language: English Journal: J Acquir Immune Defic Syndr Journal subject: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: HIV Infections / Homosexuality, Male / Sexual and Gender Minorities / COVID-19 Type of study: Diagnostic study / Observational study / Prognostic study / Randomized controlled trials Limits: Adult / Humans / Male / Middle aged / Young adult Language: English Journal: J Acquir Immune Defic Syndr Journal subject: SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Year: 2021 Document Type: Article