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10.1097/QAI.0000000000002640

http://scihub22266oqcxt.onion/10.1097/QAI.0000000000002640
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33512848!8533029!33512848
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suck abstract from ncbi


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pmid33512848      J+Acquir+Immune+Defic+Syndr 2021 ; 87 (1): 639-643
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  • 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 #MMPMID33512848
  • Pampati S; Emrick K; Siegler AJ; Jones J
  • J Acquir Immune Defic Syndr 2021[May]; 87 (1): 639-643 PMID33512848show ga
  • 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.
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Anti-HIV Agents/therapeutic use[MESH]
  • |COVID-19/*epidemiology[MESH]
  • |Cohort Studies[MESH]
  • |Cross-Sectional Studies[MESH]
  • |HIV Infections/drug therapy[MESH]
  • |Homosexuality, Male/*statistics & numerical data[MESH]
  • |Humans[MESH]
  • |Longitudinal Studies[MESH]
  • |Male[MESH]
  • |Medication Adherence[MESH]
  • |Pandemics[MESH]
  • |Pre-Exposure Prophylaxis/*statistics & numerical data[MESH]
  • |SARS-CoV-2/isolation & purification[MESH]
  • |Safe Sex[MESH]
  • |Sexual Behavior/*statistics & numerical data[MESH]
  • |Sexual and Gender Minorities/statistics & numerical data[MESH]
  • |Surveys and Questionnaires[MESH]
  • |United States/epidemiology[MESH]


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