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Characterizing the Impact of COVID-19 on Pre-Exposure Prophylaxis (PrEP) Care
Brooke G Rogers1,2,3, Jun Tao1,2, Michaela Maynard1
1Department of Medicine, Infectious Diseases, The Miriam Hospital, 14 Third Street, Providence, RI, 02906, USA.
Insights
The COVID-19 pandemic minimally impacted pre-exposure prophylaxis (PrEP) care, with flexible delivery methods ensuring continued patient access to essential HIV prevention services.
Area of Science:
- Public Health
- Infectious Disease Prevention
- HIV/AIDS Research
Background:
- COVID-19 significantly disrupted global healthcare systems and services.
- Pre-exposure prophylaxis (PrEP) is a critical component of HIV prevention strategies.
- Understanding the pandemic's effect on PrEP care is vital for maintaining HIV prevention efforts.
Purpose of the Study:
- To assess the impact of the COVID-19 pandemic on pre-exposure prophylaxis (PrEP) care delivery.
- To evaluate changes in PrEP encounters during the early stages of the pandemic.
Main Methods:
- Retrospective review of patient records at a PrEP program in Providence, Rhode Island.
- Data collected from September 1st, 2019, to May 29th, 2020, encompassing pre-pandemic and pandemic periods.
- Statistical analysis to determine the significance of changes in PrEP encounters over time.
Main Results:
- A decrease in the number of PrEP encounters was observed during the COVID-19 pandemic.
- This decrease was not statistically significant, indicating sustained access to care.
- Patients continued to access PrEP clinical services despite the public health crisis.
Conclusions:
- Flexible and timely PrEP delivery approaches were crucial in mitigating disruptions.
- The study highlights the resilience of PrEP programs during public health emergencies.
- Maintaining access to PrEP is essential for ongoing HIV prevention efforts, even amidst crises.
Abstract:
COVID-19 is a public health crisis that has fundamentally altered health care provision. The purpose of this study was to examine the impact of COVID-19 on pre-exposure prophylaxis (PrEP) care. We reviewed all patient records for those who presented for PrEP care at a PrEP program in Providence, Rhode Island from September 1st, 2019 to May 29th, 2020. The number of PrEP encounters decreased but was not significantly different over time (ps > .05). Patients were still able to access PrEP clinical services during the COVID-19 pandemic. Implementing flexible and timely PrEP delivery approaches in this setting likely minimized the disruption of PrEP care during COVID-19.
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