COVID-19-Related Disruptions to HIV Testing and Prevention Among Young Sexual Minority Men 17–24 Years Old: A Qualitative Study Using Synchronous Online Focus Groups, April–September 2020

Zapata, Juan Pablo; Dang, Madeline; Quinn, Katherine; Horvath, Keith J.; Stephenson, Rob; Dickson‐Gómez, Julia; John, Steven A.

doi:10.1007/s10508-021-02166-7

Cited by 20 publications

(21 citation statements)

References 35 publications

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“…As HIV prevention services like PrEP are not the first priority in an university hospital, individual personal capacities consumed by other challenges during the pandemic may also have resulted in decreasing PrEP access and HIV/STI testing (14,(20)(21)(22). Consistent with this, we observe that more than a quarter of the participants in our study did not present for follow-up after the first lockdown.…”

Section: Discussionsupporting

confidence: 78%

HIV pre-exposure prophylaxis during the SARS-CoV-2 pandemic: Results from a prospective observational study in Germany

Uhrmacher

Skaletz‐Rorowski²,

Nambiar³

et al. 2022

Front. Public Health

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AimsSince 2017, HIV pre-exposure prophylaxis (PrEP) care has been provided through an intersectoral collaboration at WIR (Walk-in-Ruhr, Center for Sexual Health and Medicine, Bochum, Germany). The aim of this study was to establish possible impact of COVID-restrictions on the sexual behavior of PrEP users in North Rhine-Westphalia.MethodsThe current PrEP study collected data of individuals using PrEP, their sexual behavior and sexually transmitted infections (STIs) before (each quarter of year 2018) and during the COVID-19 pandemic (each quarter of year 2020).ResultsDuring the first lockdown in Germany from mid-March until May 2020, PrEP-care appointments at WIR were postponed or canceled. Almost a third of PrEP users had discontinued their PrEP intake in the 2nd quarter of 2020 due to alteration of their sexual behavior. The number of sexual partners decreased from a median of 14 partners in the previous 6 months in 1st quarter of 2020, to 7 partners in 4th quarter of 2020. Despite such a significant reduction in partner number during the pandemic in comparison to the pre-pandemic period, a steady rate of STIs was observed among PrEP users in 2020.ConclusionThe SARS-CoV-2-pandemic has impacted PrEP-using MSM in North Rhine-Westphalia with respect to their PrEP intake regimen and sexual behavior in 2020. Our study revealed a steady rate of STI among PrEP users even during the pandemic, thus highlighting the importance of ensuring appropriate HIV/STI prevention services in times of crisis.

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Section: Discussionsupporting

confidence: 78%

HIV pre-exposure prophylaxis during the SARS-CoV-2 pandemic: Results from a prospective observational study in Germany

Uhrmacher

Skaletz‐Rorowski²,

Nambiar³

et al. 2022

Front. Public Health

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“…A full description and details of included studies’ characteristics are summarized (see Table 1 ) . These studies were conducted in the United States ( n = 18)[ 21 , 29 – 45 ], United Kingdom ( n = 6)[ 22 , 46 – 50 ], Australia ( n = 4)[ 23 , 51 – 53 ], Brazil ( n = 4)[ 54 – 57 ], Portugal ( n = 3)[ 54 , 56 , 58 ], Kenya ( n = 2)[ 59 , 60 ], Belgium ( n = 2)[ 24 , 26 ], South Africa ( n = 2)[ 25 , 27 ]. The rest of the studies were conducted in Canada[ 61 ], Croatia[ 62 ], Ireland[ 63 ], Zimbabwe[ 64 ], Netherlands[ 65 ], the Philippines[ 66 ], France[ 67 ].…”

Section: Resultsmentioning

confidence: 99%

Characterizing the Impact of the COVID-19 Pandemic on HIV PrEP care: A Review and Synthesis of the Literature

Hong¹

2022

AIDS Behav

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The global COVID-19 pandemic and associated lockdown measures have caused disruptions to sexual health services and created additional barriers to the continuity of HIV pre-exposure prophylaxis (PrEP) among key populations. This review provides an examination of the influences of the pandemic on engagement in the PrEP care continuum. Using the PRISMA guideline, 46 studies were included in this review and the synthesis. Most of the studies were conducted in high-income settings through quantitative analysis. A majority of studies examining the changes in PrEP use suggested a decline or discontinuation in PrEP uptake during the pandemic. The most common reasons for stopping using PrEP were perceived barriers to PrEP-related care, having reduced sexual behaviors and fewer sexual partners, and reduced perceived risk of HIV infection. Limited studies documenting an increase in PrEP uptake were all in specific PrEP optimizing programs. During the pandemic, there is also an emerging trend of switching to on-demand PrEP from daily oral PrEP. Future studies should understand the mechanism of strategies that facilitated the improvements during the pandemic. PrEP implementation programs should consider alternative PrEP modalities and provide consistent and comprehensive knowledge about correct information.

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“…Reducing HIV transmission, morbidity, and mortality might be sped up, and inequities could be narrowed by stepping up efforts to execute these methods fairly and equally. However, due to social distancing regulation occasioned by the Covid-19 pandemic, it has been forecasted that the chances of HIV and STI increasing are lower if a more extended period of sexual distancing is maintained (Jewell, Smith, and Hallett 2020;Stephenson et al 2021;Ponticiello et al 2020;Zapata et al 2021;Jenness et al 2021).…”

Section: Introductionmentioning

confidence: 99%

Care/Support, Location, and the Monitoring/Evaluation of HIV/AIDs Prevention Programs: The Case of Southern Senatorial District of Cross River State, Nigeria

Akah¹,

Ekpo²,

Owan³

2022

The International Journal of Interdisciplinary Educational Stud

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This study analysed the monitoring and evaluation of HIV/AIDS prevention programmes in the Southern Senatorial District of Cross River State, Nigeria. The study considered different levels of care/support and tested for locational variations in the monitoring/evaluation of HIV/AIDs prevention programmes. A descriptive survey design was utilised. This study covered 596 public health employees (doctors, nurses, pharmacists, and laboratory employees) in the study area. Using the proportional stratified random sampling procedure, a sample of 239 respondents was chosen. Data was collected using a questionnaire constructed by the researchers and validated by specialists. Data gathered were analysed using descriptive and inferential statistics. Results indicated that HIV/AIDs programmes had been successfully monitored/evaluated to a high extent. High success rates in the monitoring/evaluation of HIV/AIDs prevention programmes are attributable to high rates of care/support provided to people living with HIV/AIDs. There was a significant variation in the monitoring/evaluation of HIV/AIDs prevention programmes based on the location of health facilities, with higher rates recorded for urban areas. Based on the findings, it was concluded that the monitoring/evaluation of HIV/AIDs prevention programmes in the Southern Senatorial District of Cross River State had recorded a significant level of success. The study recommended, among others, that there should be even distribution of medical facilities, resources and personnel to both urban and rural areas to promote equity and access to materials needed to contain or mitigate the spread of the pandemic across all locations.

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COVID-19-Related Disruptions to HIV Testing and Prevention Among Young Sexual Minority Men 17–24 Years Old: A Qualitative Study Using Synchronous Online Focus Groups, April–September 2020

Cited by 20 publications

References 35 publications

HIV pre-exposure prophylaxis during the SARS-CoV-2 pandemic: Results from a prospective observational study in Germany

HIV pre-exposure prophylaxis during the SARS-CoV-2 pandemic: Results from a prospective observational study in Germany

Characterizing the Impact of the COVID-19 Pandemic on HIV PrEP care: A Review and Synthesis of the Literature

Care/Support, Location, and the Monitoring/Evaluation of HIV/AIDs Prevention Programs: The Case of Southern Senatorial District of Cross River State, Nigeria

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