HIV and COVID-19: Lessons From HIV and STI Harm Reduction Strategies

Gravett, Ronnie M; Marrazzo, Jeanne

doi:10.1007/s11904-021-00562-1

Cited by 5 publications

(4 citation statements)

References 100 publications

(96 reference statements)

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“…This is also true for COVID-19, requiring public health practitioners to offer clear messages that address the complexities of making these decisions, especially for young people. A harm reduction (rather than abstinence-based) approach to public health strategies may be beneficial (Packel et al, 2021), although this has not been a typical framework during the COVID-19 pandemic (Marcus, 2020;Gravett and Marrazzo, 2021). One option would be less focus on firm rules of green/yellow/red behaviors, and more focus on conversation and risk negotiation with others.…”

Section: Discussionmentioning

confidence: 99%

Risky business: A mixed methods study of decision-making regarding COVID-19 risk at a public university in the United States

et al. 2022

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IntroductionUntil vaccines became available in late 2020, our ability to prevent the spread of COVID-19 within countries depended largely on voluntary adherence to mitigation measures. However, individual decision-making regarding acceptable COVID-19 risk is complex. To better understand decision-making regarding COVID-19 risk, we conducted a qualitative substudy within a larger Berkeley COVID-19 Safe Campus Initiative (BCSCI) during the summer of 2020, and completed a mixed-methods analysis of factors influencing decision-making.Materials and methodsWe interviewed 20 participants who tested positive for SARS-CoV-2 and 10 who remained negative, and analyzed quantitative survey data from 3,324 BCSCI participants. The BCSCI study enrolled university-affiliated people living in the local area during summer of 2020, collected data on behaviors and attitudes toward COVID-19, and conducted SARS-CoV-2 testing at baseline and endline.ResultsAt baseline, 1362 students (57.5%) and 285 non-students (35.1%) said it had been somewhat or very difficult to comply with COVID-19-related mandates. Most-cited reasons were the need to go out for food/essentials, difficulty of being away from family/friends, and loneliness. Eight interviewees explicitly noted they made decisions partially because of others who may be at high risk. We did not find significant differences between the behaviors of students and non-students.DiscussionDespite prevailing attitudes about irresponsibility of college students during the COVID-19 pandemic, students in our study demonstrated a commitment to making rational choices about risk behavior, not unlike non-students around them. Decision-making was driven by perceived susceptibility to severe disease, need for social interaction, and concern about risk to others. A harm reduction public health approach may be beneficial.

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Section: Discussionmentioning

confidence: 99%

Risky business: A mixed methods study of decision-making regarding COVID-19 risk at a public university in the United States

et al. 2022

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“…Providers should also keep in mind that rates of sexually transmitted infections (STIs) have increased during the COVID-19 pandemic. As appropriate to a TGD patient’s sexual health history and behaviors, providers should inform TGD patients about HIV and STI harm-reduction strategies (Gravett & Marrazzo, 2021 ), including the availability of pre-exposure prophylaxis for HIV ( https://preplocator.org ).…”

Section: Clinical and Ethical Challengesmentioning

confidence: 99%

Gender-Affirming Telepsychology During and After the COVID-19 Pandemic: Recommendations for Adult Transgender and Gender Diverse Populations

Pankey

Heredia²,

Vencill³

et al. 2021

J Health Serv Psychol

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The implementation of telepsychology soared in response to the 2019 novel coronavirus (COVID-19) pandemic. For most health service psychologists, this surge preceded formal training in telepsychology. Transgender and gender diverse (TGD) individuals reported significant vulnerabilities and health disparities during the COVID-19 pandemic. To ensure the health and well-being of adult transgender and gender diverse individuals during the COVD-19 pandemic and beyond, it is critical to promote the delivery of gender-affirming telepsychology. This article highlights clinical issues observed by health service psychologists at a high-volume gender clinic during the COVID-19 pandemic. The authors provide anticipatory guidance and recommendations to promote gender-affirming telepsychology.

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“…Harm reduction facilities are considered to face particular challenges in response to COVID‐19 (Dunlop et al., 2020 ; Khatri & Perrone, 2020 ; Sarosi, 2020 ; Tyndall, 2020 ). However, previous responses to pandemics, such as the HIV and SARS‐CoV‐2 pandemics, have meant that harm reduction principles and responses could benefit from lessons learnt for early implementation of public health measures among vulnerable groups (Gravett & Marrazzo, 2021 ). In particular, Australia's comprehensive and early response to HIV prevention among PWID has been internationally recognised as effective in preventing the spread of HIV within this community (Madden & Wodak, 2014 ).…”

Section: Introductionmentioning

confidence: 99%

Health worker perceptions of the impact of COVID‐19 on harm reduction services for people who inject drugs

Brener

Horwitz

Rance

et al. 2022

Health Social Care Comm

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The COVID‐19 pandemic has affected entire systems of health service provision globally, including health service closure, redeployment of staff and resources and implementation of infection prevention protocols. Harm reduction facilities face particular challenges responding to COVID‐19, attempting to continue service provision to people who inject drugs with minimal service disruption whilst protecting their staff. This research assessed the impact of COVID‐19 on staff working at harm reduction and alcohol and other drug (AOD) services in Australia in the first 9 months of the pandemic. The research employed mixed methods, using survey data to inform in‐depth interviews. Surveys were completed by 207 participants working in the AOD sector and the harm reduction sector nationally. Interviews were conducted with 16 staff at three harm reduction sites in metropolitan Sydney and one regional NSW service. Staff felt able to respond to the trying circumstances of this pandemic, especially as practical messages around the COVID‐19 response were similar to those already in place for clients in relation to blood‐borne virus prevention. Staff felt that they were still able to provide core services to clients with some modifications in delivery. They were willing to take on additional responsibilities to ensure their own safety and that of clients, including conducting temperature checks and screening questions, whilst also adopting novel service provision strategies to reach clients during lockdowns such as postal services, outreach work and telehealth. NSP and AOD services were able to implement COVID‐19 infection control strategies, whilst maintaining and expanding service access through remote and innovative strategies in a manner which supported both clients and service providers, during the first wave of the pandemic in 2020.

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HIV and COVID-19: Lessons From HIV and STI Harm Reduction Strategies

Cited by 5 publications

References 100 publications

Risky business: A mixed methods study of decision-making regarding COVID-19 risk at a public university in the United States

Risky business: A mixed methods study of decision-making regarding COVID-19 risk at a public university in the United States

Gender-Affirming Telepsychology During and After the COVID-19 Pandemic: Recommendations for Adult Transgender and Gender Diverse Populations

Health worker perceptions of the impact of COVID‐19 on harm reduction services for people who inject drugs

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