{"doi":"10.1521/aeap.2023.35.4.255","title":"Qualitative Examination of the Impact of the COVID-19 Pandemic on Access and Adherence to Pre-exposure Prophylaxis (PrEP) Among Sexual and Gender Minorities","abstract":"During the COVID-19 pandemic, pre-exposure prophylaxis (PrEP) access and adherence decreased nationwide. This study examined pandemic-related disruptions to PrEP access and adherence among clients of a health center (Center) in Los Angeles, California. Clients (n = 25) and Center personnel (n = 11) completed qualitative interviews from March to July 2021. Although the Center provided options for remote PrEP care (i.e., telehealth, STI self-testing kits, and prescription delivery), clients experienced difficulty navigating services or lacked equipment for telehealth. More than half (n = 13) of clients discontinued PrEP during COVID-19 due to decreased sexual partners, relocation, or insurance status changes. Among those who continued PrEP, the majority reported no change in adherence, while a minority reported worsening adherence due to distractions/forgetting, prescription refill issues, lack of insurance coverage, and fear of completing in-person visits. Findings highlight the challenges of navigating PrEP services during COVID-19 and suggest PrEP services enhancement to adapt to crisis events.","journal":"AIDS Education and Prevention","year":2023,"id":388598,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9336,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1158119,"name":"Vanessa Serrano","orcid":"0000-0003-1575-7666","position":1,"is_corresponding":false},{"id":975678,"name":"Dafna Paltin","orcid":"0000-0001-7632-4464","position":2,"is_corresponding":false},{"id":938823,"name":"Arin Fisher","orcid":null,"position":3,"is_corresponding":false},{"id":394762,"name":"Maile Karris","orcid":"0000-0001-5614-030X","position":4,"is_corresponding":false},{"id":284858,"name":"Gregory A. Aarons","orcid":"0000-0001-8969-5002","position":5,"is_corresponding":false},{"id":1158529,"name":"Alvy Rangel","orcid":null,"position":6,"is_corresponding":false},{"id":1140858,"name":"Risa Flynn","orcid":"0000-0003-0289-2842","position":7,"is_corresponding":false},{"id":325519,"name":"Robert Bolan","orcid":"0000-0002-6686-1052","position":8,"is_corresponding":false},{"id":69470,"name":"David J. Moore","orcid":"0000-0001-9699-318X","position":9,"is_corresponding":false},{"id":738502,"name":"Jessica L. Montoya","orcid":"0000-0002-0318-7590","position":10,"is_corresponding":false},{"id":881123,"name":"Samantha Yeager","orcid":"0000-0002-0533-1875","position":0,"is_corresponding":true}],"reference_count":32,"raw_metadata":null,"created_at":"2026-07-19T01:18:18.214733Z","pmid":"37535324","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}