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[Preprint]. 2020 Nov 12:2020.11.09.20228494.
doi: 10.1101/2020.11.09.20228494.

Changes in sexual behavior, PrEP adherence, and access to sexual health services due to the COVID-19 pandemic among a cohort of PrEP-using MSM in the South

Sanjana Pampati  1 , Kayla Emrick  1 , Aaron J Siegler  1 , Jeb Jones  1
Affiliations

Changes in sexual behavior, PrEP adherence, and access to sexual health services due to the COVID-19 pandemic among a cohort of PrEP-using MSM in the South

Sanjana Pampati et al. medRxiv. .

Update in

Abstract

Background: The COVID-19 pandemic has had unforeseen consequences on the delivery of HIV and STD prevention services. However, little is known about how the pandemic has impacted 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 ten surveys in total, including one 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-effects regression models, we also analyzed data from the larger cohort (n=78) and document how sexual behaviors and PrEP use varied longitudinally focusing on three months: February (pre-pandemic), April (early pandemic), and June (later in the pandemic).

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, oral sex (all measured in the past 2 weeks)-there was a significant decrease from February to April followed by a significant 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.

Keywords: COVID-19; HIV pre-exposure prophylaxis; STD testing; health services; men who have sex with men.

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Conflict of interest statement

Disclosure: The authors have no conflicts of interest to disclose.

References

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