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

被引:7
作者
Goodreau, Steven K. [1 ,2 ]
Delaney, Kevin M. [3 ]
Zhu, Weiming H. [3 ]
Smith, Dawn T. [3 ]
Mann, Laura W. [4 ]
Sanchez, Travis S. [4 ]
Hamilton, Deven S. [2 ]
Hoover, Karen S. [3 ]
机构
[1] Univ Washington, Dept Anthropol, Seattle, WA 98195 USA
[2] Univ Washington, Ctr Studies Demog & Ecol, Seattle, WA 98195 USA
[3] Ctr Dis Control & Prevent, Div HIV Prevent, Natl Ctr HIV Viral Hepatitis STD & TB Prevent, Atlanta, GA USA
[4] Emory Univ, Rollins Sch Publ Hlth, Dept Epidemiol, Atlanta, GA USA
来源
PLOS ONE | 2023年 / 18卷 / 03期
关键词
HUMAN-IMMUNODEFICIENCY-VIRUS; UNITED-STATES; PREEXPOSURE PROPHYLAXIS; DIAGNOSIS; SERVICES;
D O I
10.1371/journal.pone.0282503
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
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.
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页数:17
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