Changes in high-risk sexual behavior, HIV and other STI testing, and PrEP use during the COVID-19 pandemic in a longitudinal cohort of adolescent men who have sex with men 13 to 18 years old in the United States

Chenglin Hong*, David Huh, Rebecca Schnall, Robert Garofalo, Lisa M. Kuhns, Josh Bruce, D. Scott Batey, Asa Radix, Uri Belkind, Marco A. Hidalgo, Sabina Hirshfield, Cynthia R. Pearson

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

The COVID-19 pandemic has disrupted sexual health services among those most vulnerable to HIV acquisition, such as adolescent men who have sex with men (AMSM). We sought to characterize the changes in sexual-risk behaviors, HIV and other STI testing, and pre-exposure prophylaxis (PrEP) use among a longitudinal cohort of AMSM aged 13 to 18 years before and during the COVID-19 pandemic. We observed a significant decline in HIV testing and a marginal decrease in other STI testing since the pandemic began in March 2020. Outreach efforts and innovative remote delivery of sexual health services are needed to support access to healthcare services among AMSM as the pandemic persists.

Original languageEnglish (US)
Pages (from-to)1133-1139
Number of pages7
JournalAIDS and behavior
Volume27
Issue number4
DOIs
StatePublished - Apr 2023

Keywords

  • HIV prevention
  • adolescent MSM
  • condomless anal sex
  • coronavirus
  • health disparities
  • prevalence rates
  • prospective analysis

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Infectious Diseases
  • Social Psychology

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