Characterizing the Impact of COVID-19 on Men Who Have Sex with Men Across the United States in April, 2020
The COVID-19 pandemic is reinforcing health inequities among vulnerable populations, including men who have sex with men (MSM). We conducted a rapid online survey (April 2 to April 13, 2020) of COVID-19 related impacts on the sexual health of 1051 US MSM. Many participants had adverse impacts to gen...
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| Published in: | AIDS and behavior Vol. 24; no. 7; pp. 2024 - 2032 |
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| Main Authors: | , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
New York
Springer US
01.07.2020
Springer Nature B.V |
| Subjects: | |
| ISSN: | 1090-7165, 1573-3254, 1573-3254 |
| Online Access: | Get full text |
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| Abstract | The COVID-19 pandemic is reinforcing health inequities among vulnerable populations, including men who have sex with men (MSM). We conducted a rapid online survey (April 2 to April 13, 2020) of COVID-19 related impacts on the sexual health of 1051 US MSM. Many participants had adverse impacts to general wellbeing, social interactions, money, food, drug use and alcohol consumption. Half had fewer sex partners and most had no change in condom access or use. Some reported challenges in accessing HIV testing, prevention and treatment services. Compared to older MSM, those 15–24 years were more likely to report economic and service impacts. While additional studies of COVID-19 epidemiology among MSM are needed, there is already evidence of emerging interruptions to HIV-related services. Scalable remote solutions such as telehealth and mailed testing and prevention supplies may be urgently needed to avert increased HIV incidence among MSM during the COVID-19 pandemic era. |
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| AbstractList | The COVID-19 pandemic is reinforcing health inequities among vulnerable populations, including men who have sex with men (MSM). We conducted a rapid online survey (April 2 to April 13, 2020) of COVID-19 related impacts on the sexual health of 1051 US MSM. Many participants had adverse impacts to general wellbeing, social interactions, money, food, drug use and alcohol consumption. Half had fewer sex partners and most had no change in condom access or use. Some reported challenges in accessing HIV testing, prevention and treatment services. Compared to older MSM, those 15–24 years were more likely to report economic and service impacts. While additional studies of COVID-19 epidemiology among MSM are needed, there is already evidence of emerging interruptions to HIV-related services. Scalable remote solutions such as telehealth and mailed testing and prevention supplies may be urgently needed to avert increased HIV incidence among MSM during the COVID-19 pandemic era. The COVID-19 pandemic is reinforcing health inequities among vulnerable populations, including men who have sex with men (MSM). We conducted a rapid online survey (April 2 to April 13, 2020) of COVID-19 related impacts on the sexual health of 1051 US MSM. Many participants had adverse impacts to general wellbeing, social interactions, money, food, drug use and alcohol consumption. Half had fewer sex partners and most had no change in condom access or use. Some reported challenges in accessing HIV testing, prevention and treatment services. Compared to older MSM, those 15-24 years were more likely to report economic and service impacts. While additional studies of COVID-19 epidemiology among MSM are needed, there is already evidence of emerging interruptions to HIV-related services. Scalable remote solutions such as telehealth and mailed testing and prevention supplies may be urgently needed to avert increased HIV incidence among MSM during the COVID-19 pandemic era.The COVID-19 pandemic is reinforcing health inequities among vulnerable populations, including men who have sex with men (MSM). We conducted a rapid online survey (April 2 to April 13, 2020) of COVID-19 related impacts on the sexual health of 1051 US MSM. Many participants had adverse impacts to general wellbeing, social interactions, money, food, drug use and alcohol consumption. Half had fewer sex partners and most had no change in condom access or use. Some reported challenges in accessing HIV testing, prevention and treatment services. Compared to older MSM, those 15-24 years were more likely to report economic and service impacts. While additional studies of COVID-19 epidemiology among MSM are needed, there is already evidence of emerging interruptions to HIV-related services. Scalable remote solutions such as telehealth and mailed testing and prevention supplies may be urgently needed to avert increased HIV incidence among MSM during the COVID-19 pandemic era. The COVID-19 pandemic is reinforcing health inequities among vulnerable populations, including men who have sex with men (MSM). We conducted a rapid online survey (April 2 to April 13, 2020) of COVID-19 related impacts on the sexual health of 1051 US MSM. Many participants had adverse impacts to general wellbeing, social interactions, money, food, drug use and alcohol consumption. Half had fewer sex partners and most had no change in condom access or use. Some reported challenges in accessing HIV testing, prevention and treatment services. Compared to older MSM, those 15–24 years were more likely to report economic and service impacts. While additional studies of COVID-19 epidemiology among MSM are needed, there is already evidence of emerging interruptions to HIV-related services. Scalable remote solutions such as telehealth and mailed testing and prevention supplies may be urgently needed to avert increased HIV incidence among MSM during the COVID-19 pandemic era. |
| Author | Zlotorzynska, Maria Baral, Stefan D. Sanchez, Travis H. Rai, Mona |
| Author_xml | – sequence: 1 givenname: Travis H. orcidid: 0000-0003-1133-4762 surname: Sanchez fullname: Sanchez, Travis H. email: Travis.Sanchez@emory.edu organization: Rollins School of Public Health, Emory University – sequence: 2 givenname: Maria surname: Zlotorzynska fullname: Zlotorzynska, Maria organization: Rollins School of Public Health, Emory University – sequence: 3 givenname: Mona surname: Rai fullname: Rai, Mona organization: Rollins School of Public Health, Emory University – sequence: 4 givenname: Stefan D. surname: Baral fullname: Baral, Stefan D. organization: Bloomberg School of Public Health, Johns Hopkins University |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/32350773$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1007/s10508-005-6278-5 10.1007/s10461-018-2168-4 10.1016/S0140-6736(20)30460-8 10.2196/publichealth.4314 |
| ContentType | Journal Article |
| Copyright | Springer Science+Business Media, LLC, part of Springer Nature 2020 Springer Science+Business Media, LLC, part of Springer Nature 2020. |
| Copyright_xml | – notice: Springer Science+Business Media, LLC, part of Springer Nature 2020 – notice: Springer Science+Business Media, LLC, part of Springer Nature 2020. |
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| Keywords | COVID-19 Coronavirus HIV MSM Gay |
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| License | This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
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| References | SanchezTHZlotorzynskaMSineathRCKahleETregearSSullivanPSNational trends in sexual behavior, substance use and HIV testing among United States men who have sex with men recruited online, 2013 through 2017AIDS Behav20182282413242510.1007/s10461-018-2168-4 ChiassonMAHirshfieldSHumberstoneMDifilippiJKoblinBARemienRHIncreased high risk sexual behavior after September 11 in men who have sex with men: an Internet surveyArch Sex Behav200534552753510.1007/s10508-005-6278-5 Kates J, Michaud J, Tolbert J. Stay-at-home orders to fight COVID-19 in the United States: the risks of a scattershot approach. 2020. https://www.kff.org/coronavirus-policy-watch/stay-at-home-orders-to-fight-covid19/. Accessed 04 Nov 2020. HIV Medical Association. COVID-19: Special considerations for people living with HIV. 2020. https://www.hivma.org/globalassets/covid-19-special-considerations. Accessed 4 Nov 2020. Centers for Disease Control and Prevention. Estimated HIV Incidence and Prevalence in the United States, 2010–2016. 2019. https://www.cdc.gov/hiv/ppt/library/slidesets/cdc-hiv-incidence-prevalence-2010-2016.pptx. Accessed 04 Nov 2020. Kochhar R, Barroso A. Young workers likely to be hard hit as COVID-19 strikes a blow to restaurants and other service sector jobs. 2020. https://www.pewresearch.org/fact-tank/2020/03/27/young-workers-likely-to-be-hard-hit-as-covid-19-strikes-a-blow-to-restaurants-and-other-service-sector-jobs/. Accessed 20 Apr 2020. Centers for Disease Control and Prevention. COVIDView: A Weekly Surveillance Summary of U.S. COVID-19 Activity. 2020. https://www.cdc.gov/coronavirus/2019-ncov/covid-data/covidview.html. Accessed 04 June 2020. BrooksSKWebsterRKSmithLEThe psychological impact of quarantine and how to reduce it: rapid review of the evidenceLancet2020395102279129201:CAS:528:DC%2BB3cXmvVShtbw%3D10.1016/S0140-6736(20)30460-8 Johns Hopkins Center for Systems Science and Engineering. Coronavirus COVID-19 Global Cases. 2020. https://coronavirus.jhu.edu/map.html. Accessed 04 June 2020. SanchezTHSineathRCKahleEMTregearSJSullivanPSThe annual American men's internet survey of behaviors of men who have sex with men in the United States: protocol and key indicators report 2013JMIR Publ Health Surveill201511e310.2196/publichealth.4314 The White House. 30 Days to Slow the Spread. 2020. https://www.whitehouse.gov/wp-content/uploads/2020/03/03.16.20_coronavirus-guidance_8.5x11_315PM.pdf. Accessed 31 Mar 2020. Thorbecke C. 6.6 million more Americans file for unemployment amid COVID-19 financial crisis. 2020. https://abcnews.go.com/Business/66-million-americans-file-unemployment/story?id=70061717. Accessed 04 Nov 2020. Centers for Disease Control and Prevention. Selected National HIV Prevention and Care Outcomes. 2019. https://www.cdc.gov/hiv/ppt/library/slidesets/cdc-hiv-prevention-and-care-outcomes-2016.pptx. Accessed 04 Dec 2020. World Health Organization. WHO announces COVID-19 outbreak a pandemic. 2020. https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/news/news/2020/3/who-announces-covid-19-outbreak-a-pandemic. Accessed 12 Mar 2020. 2894_CR1 2894_CR2 2894_CR3 2894_CR4 SK Brooks (2894_CR12) 2020; 395 TH Sanchez (2894_CR8) 2015; 1 TH Sanchez (2894_CR9) 2018; 22 2894_CR5 2894_CR6 2894_CR7 2894_CR11 MA Chiasson (2894_CR14) 2005; 34 2894_CR10 2894_CR13 |
| References_xml | – reference: World Health Organization. WHO announces COVID-19 outbreak a pandemic. 2020. https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/news/news/2020/3/who-announces-covid-19-outbreak-a-pandemic. Accessed 12 Mar 2020. – reference: Kates J, Michaud J, Tolbert J. Stay-at-home orders to fight COVID-19 in the United States: the risks of a scattershot approach. 2020. https://www.kff.org/coronavirus-policy-watch/stay-at-home-orders-to-fight-covid19/. Accessed 04 Nov 2020. – reference: BrooksSKWebsterRKSmithLEThe psychological impact of quarantine and how to reduce it: rapid review of the evidenceLancet2020395102279129201:CAS:528:DC%2BB3cXmvVShtbw%3D10.1016/S0140-6736(20)30460-8 – reference: ChiassonMAHirshfieldSHumberstoneMDifilippiJKoblinBARemienRHIncreased high risk sexual behavior after September 11 in men who have sex with men: an Internet surveyArch Sex Behav200534552753510.1007/s10508-005-6278-5 – reference: Centers for Disease Control and Prevention. Selected National HIV Prevention and Care Outcomes. 2019. https://www.cdc.gov/hiv/ppt/library/slidesets/cdc-hiv-prevention-and-care-outcomes-2016.pptx. Accessed 04 Dec 2020. – reference: SanchezTHSineathRCKahleEMTregearSJSullivanPSThe annual American men's internet survey of behaviors of men who have sex with men in the United States: protocol and key indicators report 2013JMIR Publ Health Surveill201511e310.2196/publichealth.4314 – reference: HIV Medical Association. COVID-19: Special considerations for people living with HIV. 2020. https://www.hivma.org/globalassets/covid-19-special-considerations. Accessed 4 Nov 2020. – reference: Centers for Disease Control and Prevention. Estimated HIV Incidence and Prevalence in the United States, 2010–2016. 2019. https://www.cdc.gov/hiv/ppt/library/slidesets/cdc-hiv-incidence-prevalence-2010-2016.pptx. Accessed 04 Nov 2020. – reference: Kochhar R, Barroso A. Young workers likely to be hard hit as COVID-19 strikes a blow to restaurants and other service sector jobs. 2020. https://www.pewresearch.org/fact-tank/2020/03/27/young-workers-likely-to-be-hard-hit-as-covid-19-strikes-a-blow-to-restaurants-and-other-service-sector-jobs/. Accessed 20 Apr 2020. – reference: SanchezTHZlotorzynskaMSineathRCKahleETregearSSullivanPSNational trends in sexual behavior, substance use and HIV testing among United States men who have sex with men recruited online, 2013 through 2017AIDS Behav20182282413242510.1007/s10461-018-2168-4 – reference: Johns Hopkins Center for Systems Science and Engineering. Coronavirus COVID-19 Global Cases. 2020. https://coronavirus.jhu.edu/map.html. Accessed 04 June 2020. – reference: The White House. 30 Days to Slow the Spread. 2020. https://www.whitehouse.gov/wp-content/uploads/2020/03/03.16.20_coronavirus-guidance_8.5x11_315PM.pdf. Accessed 31 Mar 2020. – reference: Thorbecke C. 6.6 million more Americans file for unemployment amid COVID-19 financial crisis. 2020. https://abcnews.go.com/Business/66-million-americans-file-unemployment/story?id=70061717. Accessed 04 Nov 2020. – reference: Centers for Disease Control and Prevention. COVIDView: A Weekly Surveillance Summary of U.S. COVID-19 Activity. 2020. https://www.cdc.gov/coronavirus/2019-ncov/covid-data/covidview.html. Accessed 04 June 2020. – ident: 2894_CR13 – ident: 2894_CR7 – volume: 34 start-page: 527 issue: 5 year: 2005 ident: 2894_CR14 publication-title: Arch Sex Behav doi: 10.1007/s10508-005-6278-5 – ident: 2894_CR5 – ident: 2894_CR6 – ident: 2894_CR4 – volume: 22 start-page: 2413 issue: 8 year: 2018 ident: 2894_CR9 publication-title: AIDS Behav doi: 10.1007/s10461-018-2168-4 – ident: 2894_CR10 – ident: 2894_CR11 – ident: 2894_CR1 – ident: 2894_CR2 – ident: 2894_CR3 – volume: 395 start-page: 912 issue: 10227 year: 2020 ident: 2894_CR12 publication-title: Lancet doi: 10.1016/S0140-6736(20)30460-8 – volume: 1 start-page: e3 issue: 1 year: 2015 ident: 2894_CR8 publication-title: JMIR Publ Health Surveill doi: 10.2196/publichealth.4314 |
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