Adapting to the COVID-19 Pandemic: Continuing HIV Prevention Services for Adolescents Through Telemonitoring, Brazil

Dourado, Inês; Magno, Laio; Soares, Fabiane; Massa, Paula Andréa; Nunn, Amy; Dalal, Shona; Grangeiro, Alexandre

doi:10.1007/s10461-020-02927-w

Cited by 59 publications

(64 citation statements)

References 14 publications

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“…To avoid PrEP/ART shortage, the Brazilian Ministry of Health has recommended an extension of the PrEP refill dispensation from 90- to 120-days and for ART from 90- to 180-days [ 35 ]. In addition, telemedicine and HIV self-testing have been used as options to maintain PrEP programs, including in Brazil [ 36 – 38 ]. These and other initiatives such as PrEP/ART home delivery would be essential to avoid medication shortage.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 Pandemic on Sexual Minority Populations in Brazil: An Analysis of Social/Racial Disparities in Maintaining Social Distancing and a Description of Sexual Behavior

et al. 2020

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We conducted a web-based survey to understand the impact of social distancing measures on Brazilian MSM and transgender/non-binary lives. A total of 3486 respondents were included in this analysis and the great majority were cismen (98%). The median age was 32 years (IQR: 27–40), 44% non-white, 36% low schooling and 38% low income. Most of participants reported HIV negative/unknown status (77%). Participants on-PrEP reported more condomless anal sex than those off-PrEP. Conversely, 24% off-PrEP were at substantial HIV-risk. PrEP/ART continuation were reported by the majority, despite reports of impediments to medication refill. Transgender/non-binary reported more mental health problems and challenges to access health care. Social and racial disparities were associated with unattainability of maintaining social distancing. Tailored social and economic support policies during COVID-19 pandemic should be made available to these populations. Challenges for PrEP/ART access will demand the implementation of innovative solutions to avoid the expansion of the HIV epidemic.

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Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 Pandemic on Sexual Minority Populations in Brazil: An Analysis of Social/Racial Disparities in Maintaining Social Distancing and a Description of Sexual Behavior

et al. 2020

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“…In its recent position statement, the European Society for Sexual Medicine (ESSM) emphasized the great potential of e - sexual health (Kirana et al, 2020 ); however, using telemedicine in sexual health comes with diverse challenges (Shindel & Rowen, 2020 ). Nonetheless, good practice examples are already available (e.g., for the provision of comprehensive HIV PrEP service via telehealth for adolescent MSM and TGW in Brazil: Dourado et al, 2020 ; for the prevention of consumption of child sexual abuse material via online cognitive behavioral therapy: Parks et al, 2020 ). In addition to the development of new digital delivery formats, sexual and reproductive healthcare services and sexual education are required to incorporate pandemic-specific topics such as coping with domestic isolation for couples experiencing increased domestic estrangement or conflicts, coping with domestic isolation for singles experiencing increased loneliness, and dealing with technology-mediated sexual interactions and relationships among adolescents, adults, and seniors.…”

Section: Covid-19 Effects On Sexual and Reproductive Healthcare And Smentioning

confidence: 99%

Section: Covid-19 Effects On Sexual and Reproductive Healthcare And Smentioning

confidence: 99%

How Is the COVID-19 Pandemic Affecting Our Sexualities? An Overview of the Current Media Narratives and Research Hypotheses

2020

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“…PrEP1519 is a demonstration study that aims to evaluate the effectiveness of PrEP use among adolescent MSM and TGW aged 15–19, in three Brazilian cities: Belo Horizonte, Salvador, and São Paulo. 25 Combina is a demonstration study that analyses the effectiveness of PrEP among participants aged 16 years and older. It takes place in six public healthcare services from five Brazilian cities—São Paulo, Ribeirão Preto, Fortaleza, Curitiba and Porto Alegre.…”

Section: Methodsmentioning

confidence: 99%

Effects of the COVID-19 pandemic on the sexual and mental health of adolescent and adult men who have sex with men and transgender women participating in two PrEP cohort studies in Brazil: COBra study protocol

et al. 2021

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IntroductionThe COVID-19 pandemic and its control measures have impacted health and healthcare provision in various levels. Physical distancing measures, for instance, may affect sexual health, impacting access to HIV prevention supplies and changing sexual behaviour, as well as mental health, increasing feelings of unsafety and weakening community support ties. These effects can be worsened among socially marginalised groups, such as men who have sex with men (MSM) and transgender women (TGW). Brazil is among the countries most affected by COVID-19 in the world, where control measures have been inconsistently implemented. We aim to investigate the effects of the COVID-19 pandemic on the sexual and mental health of adolescent and adult MSM and TGW in Brazil.MethodsConvergent mixed-method prospective cohort study, nested in two ongoing HIV pre-exposure prophylaxis (PrEP) cohorts in Brazil, named PrEP1519 and Combina. Participants will be invited to answer, at baseline and after 6 months, a questionnaire about the effects of the COVID-19 pandemic on sexual behaviour, HIV prevention and mental health. Data on HIV infection and sexually transmitted infections (STI) will be collected as part of routine follow-up from the cohorts. Main outcome measures (HIV infection, STI and depression symptoms) will be observed within 12 months after baseline. Sample size is estimated at 426 participants. Complementarily, 50 participants will be invited to in-depth interviews through video calls or interactive voice response, and 20 will be invited to chronicle their lives during the pandemic through digital diaries. Triangulation will be done across qualitative methods and with the quantitative data.Ethics and disseminationThe study was approved by Research Ethics Committees from the Brazilian Universities coordinating the study. Findings will be published in scientific journals and presented at meetings. Informative flyers will be elaborated to communicate study findings to participants and key stakeholders.

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Adapting to the COVID-19 Pandemic: Continuing HIV Prevention Services for Adolescents Through Telemonitoring, Brazil

Cited by 59 publications

References 14 publications

Impact of COVID-19 Pandemic on Sexual Minority Populations in Brazil: An Analysis of Social/Racial Disparities in Maintaining Social Distancing and a Description of Sexual Behavior

Impact of COVID-19 Pandemic on Sexual Minority Populations in Brazil: An Analysis of Social/Racial Disparities in Maintaining Social Distancing and a Description of Sexual Behavior

How Is the COVID-19 Pandemic Affecting Our Sexualities? An Overview of the Current Media Narratives and Research Hypotheses

Effects of the COVID-19 pandemic on the sexual and mental health of adolescent and adult men who have sex with men and transgender women participating in two PrEP cohort studies in Brazil: COBra study protocol

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