Psychosocial and behavioral correlates with HIV testing among men who have sex with men during the COVID-19 pandemic in China

被引:6
作者
Shi, Lingen [1 ]
Liu, Guangxia [2 ]
Fu, Gengfeng [1 ]
Zaller, Nick [3 ]
Wei, Chongyi [4 ]
Yang, Cui [5 ]
Yan, Hongjing [1 ]
机构
[1] Jiangsu Prov Ctr Dis Control & Prevent, Nanjing, Peoples R China
[2] Nanjing Med Univ, Geriatr Hosp, Nanjing, Peoples R China
[3] Univ Arkansas Med Sci, Fay W Boozman Coll Publ Hlth, Little Rock, AR USA
[4] Rutgers State Univ, Dept Hlth Behav Soc & Policy, Sch Publ Hlth, New Brunswick, NJ USA
[5] Johns Hopkins Bloomberg Sch Publ Hlth, Dept Hlth Behav & Soc, Baltimore, MD USA
来源
PLOS ONE | 2022年 / 17卷 / 01期
关键词
CARE; HEALTH; LINKAGE; RESTRICTIONS; MODEL;
D O I
10.1371/journal.pone.0262472
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
Objectives Some of community mitigation efforts on COVID-19 created challenges to ongoing public health programs, including HIV care and prevention services among men who have sex with men (MSM). The goal of the current study was to explore sociodemographic factors and the impact of COVID-19 on HIV testing among Chinese MSM during state-enforced quarantine. Methods We conducted a community based survey between May 1st to June 30th, 2020 on COVID-19 related impacts on HIV testing among 436 China MSM during the COVID-19 state-enforced quarantine. Results One-third (33.7%) of MSM received HIV testing during the quarantine period. Few participants reported difficulty accessing facility-based testing (n = 13, 3.0%) or obtaining HIV self-test kit online (n = 22, 5.0%). However, 12.1% of participants reported being afraid of getting facility-based HIV test due to concerns about the risk of COVID-19. In the multivariate logistic regression model, participants who were married (aOR: 1.89, 95%CI: 1.19-3.01), reported increased quality of sleep (aOR: 2.07, 95%CI: 1.11-3.86), and increased difficulty in accessing health care (aOR: 2.34, 95%CI: 1.37-3.99) were more likely to get an HIV test during the state-enforced quarantine. Conclusion The mitigation measures of COVID-19 have created various barriers to access HIV related prevention services in China, including HIV testing. To mitigate these impacts on HIV prevention and care services, future programs need to address barriers to HIV-related services, such as providing high-quality HIV self-testing. Meanwhile, psychological services or other social services are needed to those experiencing mental distress.
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页数:10
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