Article ; Online: Changes in Sexual Behavior, PrEP Adherence, and Access to Sexual Health Services Because of the COVID-19 Pandemic Among a Cohort of PrEP-Using MSM in the South.
Journal of acquired immune deficiency syndromes (1999)
2021 Volume 87, Issue 1, Page(s) 639–643
Abstract: ... changes in sexual behaviors and utilization of and access to sexual health services. Using linear mixed ... discontinued or changed how often they take PrEP because of COVID-19. A quarter of the cohort documented ... Methods: Data come from an online cohort of PrEP-using MSM in the Southern United States from October ...
| Abstract | Background: The coronavirus disease 2019 (COVID-19) pandemic has had unforeseen consequences on the delivery of HIV and sexually transmitted disease (STD) prevention services. However, little is known about how the pandemic has impacted pre-exposure prophylaxis (PrEP)-using men who have sex with men (MSM). Methods: Data come from an online cohort of PrEP-using MSM in the Southern United States from October 2019 to July 2020. Participants were administered 10 surveys in total, including 1 ad hoc survey specifically on COVID-19. We conducted a cross-sectional analysis of this ad hoc survey (n = 56) and present changes in sexual behaviors and utilization of and access to sexual health services. Using linear mixed-effect regression models, we also analyzed data from the larger cohort and document how sexual behaviors and PrEP use varied longitudinally across several months. Results: A fifth of participants discontinued or changed how often they take PrEP because of COVID-19. A quarter of the cohort documented challenges when attempting to access PrEP, HIV testing, or STD testing. For all sexual behaviors examined longitudinally-number of male sexual partners, anal sex acts, condomless anal sex, and oral sex (all measured in the past 2 weeks)-there was a decrease from February to April followed by an increase from April to June. Discussion: Our findings suggest reduced access to and utilization of STD and HIV services coupled with a continuation of behaviors which confer STD/HIV risk. Ensuring appropriate delivery of STD/HIV prevention services during this pandemic is imperative. |
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| MeSH term(s) | Adolescent ; Adult ; Anti-HIV Agents/therapeutic use ; COVID-19/epidemiology ; Cohort Studies ; Cross-Sectional Studies ; HIV Infections/drug therapy ; Homosexuality, Male/statistics & numerical data ; Humans ; Longitudinal Studies ; Male ; Medication Adherence ; Pandemics ; Pre-Exposure Prophylaxis/statistics & numerical data ; SARS-CoV-2/isolation & purification ; Safe Sex ; Sexual Behavior/statistics & numerical data ; Sexual and Gender Minorities/statistics & numerical data ; Surveys and Questionnaires ; United States/epidemiology ; Young Adult |
| Chemical Substances | Anti-HIV Agents |
| Language | English |
| Publishing date | 2021-01-28 |
| Publishing country | United States |
| Document type | Journal Article ; Research Support, N.I.H., Extramural |
| ZDB-ID | 645053-2 |
| ISSN | 1944-7884 ; 1077-9450 ; 0897-5965 ; 0894-9255 ; 1525-4135 |
| ISSN (online) | 1944-7884 ; 1077-9450 |
| ISSN | 0897-5965 ; 0894-9255 ; 1525-4135 |
| DOI | 10.1097/QAI.0000000000002640 |
| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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