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      Exploring the Social Impacts of the COVID-19 Pandemic on People Living with HIV (PLHIV): A Scoping Review

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          Abstract

          Understanding the clinical impact of COVID-19 has been central to emerging research in the HIV field, but in focusing on the biomedical, researchers must not overlook the socially embedded nature of HIV and the potential social impacts of this new pandemic on PLHIV. We conducted a scoping review to explore emerging research examining the social impacts of COVID-19 on PLHIV in OECD countries over the first 12 months of the pandemic. Twenty articles were identified and included for review. Key themes included: impacts on HIV care access/telehealth; stress and mental health; social isolation and loneliness; food insecurity; changes to sexual behaviour; changes to substance use; impacts on income, education and employment; and racial and social inequality. Results from this review can help guide research into areas where it is needed to help minimise the negative social impacts of the COVID-19 pandemic.

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          Using thematic analysis in psychology

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            Social isolation: a predictor of mortality comparable to traditional clinical risk factors.

            We explored the relationship between social isolation and mortality in a nationally representative US sample and compared the predictive power of social isolation with that of traditional clinical risk factors.
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              Characterizing the Impact of COVID-19 on Men Who Have Sex with Men Across the United States in April, 2020

              The COVID-19 pandemic is reinforcing health inequities among vulnerable populations, including men who have sex with men (MSM). We conducted a rapid online survey (April 2 to April 13, 2020) of COVID-19 related impacts on the sexual health of 1051 US MSM. Many participants had adverse impacts to general wellbeing, social interactions, money, food, drug use and alcohol consumption. Half had fewer sex partners and most had no change in condom access or use. Some reported challenges in accessing HIV testing, prevention and treatment services. Compared to older MSM, those 15–24 years were more likely to report economic and service impacts. While additional studies of COVID-19 epidemiology among MSM are needed, there is already evidence of emerging interruptions to HIV-related services. Scalable remote solutions such as telehealth and mailed testing and prevention supplies may be urgently needed to avert increased HIV incidence among MSM during the COVID-19 pandemic era. Electronic supplementary material The online version of this article (10.1007/s10461-020-02894-2) contains supplementary material, which is available to authorized users.
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                Author and article information

                Contributors
                j.winwood@uqconnect.edu.au
                Journal
                AIDS Behav
                AIDS Behav
                AIDS and Behavior
                Springer US (New York )
                1090-7165
                1573-3254
                21 May 2021
                : 1-16
                Affiliations
                [1 ]GRID grid.1003.2, ISNI 0000 0000 9320 7537, School of Public Health, , University of Queensland, ; 288 Herston Road, Brisbane, QLD 4006 Australia
                [2 ]Queensland Positive People (QPP), 21 Manilla St, East Brisbane, QLD 4169 Australia
                Author information
                http://orcid.org/0000-0003-3503-6524
                Article
                3300
                10.1007/s10461-021-03300-1
                8137806
                34019203
                50a63748-9c51-466b-937a-decbe74cc9b2
                © The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2021

                This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                : 6 May 2021
                Categories
                Substantive Review

                Infectious disease & Microbiology
                hiv,plhiv,covid-19,coronavirus,social impact
                Infectious disease & Microbiology
                hiv, plhiv, covid-19, coronavirus, social impact

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