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Impact of COVID-19 Pandemic on Sexual Minority Populations in Brazil: An Analysis of Social/Racial Disparities in Maintaining Social Distancing and a Description of Sexual Behavior.
Torres, Thiago S; Hoagland, Brenda; Bezerra, Daniel R B; Garner, Alex; Jalil, Emilia M; Coelho, Lara E; Benedetti, Marcos; Pimenta, Cristina; Grinsztejn, Beatriz; Veloso, Valdilea G.
  • Torres TS; Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, STD/AIDS Clinical Research Lab, Av. Brasil 4365, Manguinhos, Rio de Janeiro, 21040-900, Brazil. thiago.torres@ini.fiocruz.br.
  • Hoagland B; Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, STD/AIDS Clinical Research Lab, Av. Brasil 4365, Manguinhos, Rio de Janeiro, 21040-900, Brazil.
  • Bezerra DRB; Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, STD/AIDS Clinical Research Lab, Av. Brasil 4365, Manguinhos, Rio de Janeiro, 21040-900, Brazil.
  • Garner A; Hornet INC, Los Angeles, CA, USA.
  • Jalil EM; Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, STD/AIDS Clinical Research Lab, Av. Brasil 4365, Manguinhos, Rio de Janeiro, 21040-900, Brazil.
  • Coelho LE; Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, STD/AIDS Clinical Research Lab, Av. Brasil 4365, Manguinhos, Rio de Janeiro, 21040-900, Brazil.
  • Benedetti M; Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, STD/AIDS Clinical Research Lab, Av. Brasil 4365, Manguinhos, Rio de Janeiro, 21040-900, Brazil.
  • Pimenta C; Brazilian Ministry of Health, Brasilia, DF, Brazil.
  • Grinsztejn B; Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, STD/AIDS Clinical Research Lab, Av. Brasil 4365, Manguinhos, Rio de Janeiro, 21040-900, Brazil.
  • Veloso VG; Fundação Oswaldo Cruz, Instituto Nacional de Infectologia Evandro Chagas, STD/AIDS Clinical Research Lab, Av. Brasil 4365, Manguinhos, Rio de Janeiro, 21040-900, Brazil.
AIDS Behav ; 25(1): 73-84, 2021 Jan.
Article in English | MEDLINE | ID: covidwho-691201
ABSTRACT
We conducted a web-based survey to understand the impact of social distancing measures on Brazilian MSM and transgender/non-binary lives. A total of 3486 respondents were included in this analysis and the great majority were cismen (98%). The median age was 32 years (IQR 27-40), 44% non-white, 36% low schooling and 38% low income. Most of participants reported HIV negative/unknown status (77%). Participants on-PrEP reported more condomless anal sex than those off-PrEP. Conversely, 24% off-PrEP were at substantial HIV-risk. PrEP/ART continuation were reported by the majority, despite reports of impediments to medication refill. Transgender/non-binary reported more mental health problems and challenges to access health care. Social and racial disparities were associated with unattainability of maintaining social distancing. Tailored social and economic support policies during COVID-19 pandemic should be made available to these populations. Challenges for PrEP/ART access will demand the implementation of innovative solutions to avoid the expansion of the HIV epidemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Sexual Behavior / Homosexuality, Male / Unsafe Sex / Transgender Persons / Physical Distancing / SARS-CoV-2 / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research Limits: Adult / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: AIDS Behav Journal subject: Behavioral Sciences / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Year: 2021 Document Type: Article Affiliation country: S10461-020-02984-1

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Sexual Behavior / Homosexuality, Male / Unsafe Sex / Transgender Persons / Physical Distancing / SARS-CoV-2 / COVID-19 Type of study: Experimental Studies / Observational study / Prognostic study / Qualitative research Limits: Adult / Female / Humans / Male Country/Region as subject: South America / Brazil Language: English Journal: AIDS Behav Journal subject: Behavioral Sciences / SINDROME DA IMUNODEFICIENCIA ADQUIRIDA (AIDS) Year: 2021 Document Type: Article Affiliation country: S10461-020-02984-1