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Impact of the Covid-19 pandemic on sexual behaviour and welfare of HIV preexposure prophylaxis users

A mixed-method study

Bibliographic Data

ID19440659
AuthorsAudrey Kamadjou (Centre Hospitalier de Tourcoing), Anna Decock (Centre Hospitalier de Tourcoing), Thomas Huleux (Centre Hospitalier de Tourcoing), Alma Depreux (Centre Hospitalier de Tourcoing), Emmanuelle Aissi, Laura Landre (Centre Hospitalier de Tourcoing), Véronique Baclet, Nathalie Viget, Michel Valette (0000-0001-5434-8852), Olivier Robineau (0000-0001-8196-5442, Centre Hospitalier de Tourcoing), Agnès Meybeck (Centre Hospitalier de Tourcoing, corresponding author)
Year2024
Volume36
Issue3
Pages343-350
Publication date2024-03-03
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2023.2206100
PMID37128640
OpenAlexW4367668788
LanguageEN
Citations received1
References cited21

COVID-19 pandemic can affect people using HIV preexposure prophylaxis (PrEP). To assess its consequences on PrEP users' sexual behaviour and welfare, we conducted a mixed-method study. A self-administered questionnaire was given to PrEP users during scheduled consultation in Tourcoing Hospital from February to May 2021. In addition, a qualitative study included 14 participants who took part in semi-structured in-depth interviews (IDIs). Ninety-four PrEP users completed the questionnaire. During lockdown, 62% of participants continued PrEP. After lockdown release, the average number of sexual intercourses and partners increased from 6 ± 12 to 13 ± 17 intercourses/month (p < 0.001) and from 3 ± 11 to 11 ± 34 partners/month (p < 0.001). Similarly, the proportion of PrEP users who engaged in group sex, sex with alcohol or chemsex increased respectively from 28% to 55% (p < 0.001), 28% to 45% (p < 0.001) and 28% to 38% (p < 0.001). Analysis of IDIs revealed emotional deprivation and sexual frustration during the lockdown. After its release, frequent clandestine chemsex parties and curfew forcing overnight stay increased fears of intimate violence and overdoses. In conclusion, PrEP users reduced their sexual activity during the lockdown. Its release led to an increase in sexual risk-taking. Social distancing measures could favour medical and social harm of sexual risk-taking

Condom · Curfew · Family medicine · Men who have sex with men · Pandemic · Pre-exposure prophylaxis · Syphilis · Welfare · Adolescent Sexual and Reproductive Health · Clinical Psychology · Demography · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Medicine · Psychology · Internal Medicine

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Citations per year1
Citation span2025 - 2025 (1)
Highly citedNo

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