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Impacts of COVID-19 on sexual behaviors, HIV prevention and care among men who have sex with men: A comparison of New York City and Metropolitan Atlanta.
Goodreau, Steven M; Delaney, Kevin P; Zhu, Weiming; Smith, Dawn K; Mann, Laura M; Sanchez, Travis H; Hamilton, Deven T; Hoover, Karen W.
Afiliação
  • Goodreau SM; Department of Anthropology, University of Washington, Seattle, Washington, United States of America.
  • Delaney KP; Center for Studies in Demography and Ecology, University of Washington, Seattle, Washington, United States of America.
  • Zhu W; Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
  • Smith DK; Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
  • Mann LM; Division of HIV Prevention, National Center for HIV, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
  • Sanchez TH; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
  • Hamilton DT; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, Georgia, United States of America.
  • Hoover KW; Center for Studies in Demography and Ecology, University of Washington, Seattle, Washington, United States of America.
PLoS One ; 18(3): e0282503, 2023.
Article em En | MEDLINE | ID: mdl-36943832
The COVID-19 pandemic has disrupted HIV prevention, care, and transmission opportunities. This likely varies by geography, given differences in COVID-19 burden and mandates over time, and by age, given different likelihoods of severe COVID-19 consequences. We consider changes in sexual behavior, HIV testing, pre-exposure prophylaxis (PrEP) use and antiretroviral therapy (ART) use among men who have sex with men (MSM) over the first year of the COVID-19 epidemic, comparing the Atlanta metropolitan area and New York City (NYC). We use two continuous time-series datasets and one panel dataset, assessing changes over time within city and comparing across cities, and disaggregate major findings by age. For clinical results, ART use showed by far the smallest reductions, and testing the largest. Disruptions occurred concurrently between cities, despite the major wave of COVID-19, and government mandates, occurring later in Atlanta. Test positivity increased in NYC only. In both cities, younger MSM saw the greatest reductions in testing and PrEP use, but the smallest in sexual behavior. Reduced clinical service usage would be unconcerning if stemming solely from reductions in exposure; however, the patterns for young MSM suggest that the COVID-19 epidemic likely generated new conditions for increased HIV transmission, especially in this cohort.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Infecções por HIV / Síndrome da Imunodeficiência Adquirida / Profilaxia Pré-Exposição / Minorias Sexuais e de Gênero / COVID-19 Idioma: En Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Infecções por HIV / Síndrome da Imunodeficiência Adquirida / Profilaxia Pré-Exposição / Minorias Sexuais e de Gênero / COVID-19 Idioma: En Ano de publicação: 2023 Tipo de documento: Article