Widespread closure of HIV prevention and care services places youth at higher risk during the COVID-19 pandemic.
Widespread closure of HIV prevention and care services places youth at higher risk during the COVID-19 pandemic.
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DOI：
10.1371/journal.pone.0249740
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发表时间：
2021
期刊：
影响因子：
3.7
通讯作者：
Sullivan PS
中科院分区：
文献类型：
--
作者：
Stephenson R;Walsh AR;Chavanduka TMD;Sallabank G;Horvath KJ;Castel AD;Bonar EE;Hightow-Weidman L;Bauermeister JA;Sullivan PS
衡量 COVID-19 大流行对艾滋病毒影响的核心是了解诊所和社区组织关闭导致无法获得基本艾滋病毒预防和护理服务的影响。在本文中，我们使用了美国四个受艾滋病毒严重影响的走廊的艾滋病毒预防服务综合清单（作为大型随机对照试验的一部分），以说明服务关闭对 LGBTQ+ 青少年的潜在影响。我们确定并绘制了 LGBTQ+ 友善服务，至少提供以下一项与 HIV 相关的服务： HIV 检测；性传播感染检测； PrEP/PEP；艾滋病毒治疗和护理；美国人口普查地区受艾滋病毒严重影响的四个主要州际走廊的 109 个县的其他艾滋病毒相关服务： 太平洋地区（加利福尼亚州旧金山至加利福尼亚州圣地亚哥）；南大西洋（华盛顿特区至佐治亚州亚特兰大）；东西部 - 北部 - 中部（伊利诺伊州芝加哥至密歇根州底特律）；和中东部（田纳西州孟菲斯至路易斯安那州新奥尔良）。 109 个县共有 831 个 LGBTQ+ 青年友好型艾滋病毒服务提供者。各县有一系列对 LGBTQ+ 青年友好的艾滋病毒服务提供者（范围：每 10,000 名 13-24 岁青年有 0-14.33 个（IQR：2.13），中位数：1.09）； 9 个 (8.26%) 的分析县没有任何 LGBTQ+ 青年友好的艾滋病毒服务提供者。县艾滋病毒流行率与 LGBTQ+ 青年友好型艾滋病毒服务提供者密度之间的皮尔逊相关系数为 0.16 (p = 0.09)，表明县内可用的 LGBTQ+ 青年友好型艾滋病毒服务提供者与其艾滋病毒负担之间仅存在很小的、非统计显着的线性关系。随着 COVID-19 大流行的持续，我们必须找到新颖且负担得起的方式，继续为 LGBTQ+ 青少年提供性健康、心理健康和其他支持服务。
Central to measuring the impact of the COVID-19 pandemic on HIV is understanding the role of loss of access to essential HIV prevention and care services created by clinic and community-based organization closures. In this paper, we use a comprehensive list of HIV prevention services in four corridors of the US heavily impacted by HIV, developed as part of a large RCT, to illustrate the potential impact of service closure on LGBTQ+ youth. We identified and mapped LGBTQ+ friendly services offering at least one of the following HIV-related services: HIV testing; STI testing; PrEP/PEP; HIV treatment and care; and other HIV-related services in 109 counties across four major interstate corridors heavily affected by HIV US Census regions: Pacific (San Francisco, CA to San Diego, CA); South-Atlantic (Washington, DC to Atlanta, GA); East-North-Central (Chicago, IL to Detroit, MI); and East-South-Central (Memphis, TN to New Orleans, LA). There were a total of 831 LGBTQ+ youth-friendly HIV service providers across the 109 counties. There was a range of LGBTQ+ youth-friendly HIV-service provider availability across counties (range: 0–14.33 per 10,000 youth aged 13–24 (IQR: 2.13), median: 1.09); 9 (8.26%) analyzed counties did not have any LGBTQ+ youth-friendly HIV service providers. The Pearson correlation coefficient for the correlation between county HIV prevalence and LGBTQ+ youth-friendly HIV service provider density was 0.16 (p = 0.09), suggesting only a small, non-statistically significant linear relationship between a county’s available LGBTQ+ youth-friendly HIV service providers and their HIV burden. As the COVID-19 pandemic continues, we must find novel, affordable ways to continue to provide sexual health, mental health and other support services to LGBTQ+ youth.
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影响因子：
1.7
作者：
Philbin MM;Tanner AE;Chambers BD;Ma A;Ware S;Lee S;Fortenberry JD;The Adolescent Trials Network
通讯作者：
The Adolescent Trials Network
影响因子：
25.8
作者：
Lin LA;Fernandez AC;Bonar EE
通讯作者：
Bonar EE
影响因子：
11.3
作者：
Liu, Cindy H.;Zhang, Emily;Hahm, Hyeouk Chris
通讯作者：
Hahm, Hyeouk Chris
影响因子：
7.6
作者：
Doll, Mimi;Fortenberry, J. Dennis;Boyer, Cherrie B.
通讯作者：
Boyer, Cherrie B.
影响因子：
4.7
作者：
Gentry, Melanie T.;Puspitasari, Ajeng J.;Hilty, Donald M.
通讯作者：
Hilty, Donald M.