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COVID-19 Conspiracy Beliefs are not Barriers to HIV Status Neutral Care Among Black Cisgender Sexual Minority Men and Black Transgender Women at the Initial Peak of the COVID-19 Pandemic in Chicago, USA

Yen-Tyng Chen Orcid Logo, Dustin T. Duncan, Natascha Del Vecchio, Liadh Timmins Orcid Logo, Jade Pagkas-Bather, Justin Knox, Shaina Lacap, Hillary Hanson, John A. Schneider

AIDS and Behavior

Swansea University Author: Liadh Timmins Orcid Logo

  • Accepted Manuscript under embargo until: 22nd June 2023

Abstract

We examined associations between COVID-19 conspiracy beliefs and HIV status neutral care engagement among Black cisgender sexual minority men (BCSMM) and Black transgender women (BTW). Throughout April-July 2020, a total of 226 (222 in the current analysis: 196 BCSMM, 20 BTW, and 6 other) participan...

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Published in: AIDS and Behavior
ISSN: 1090-7165 1573-3254
Published: Springer Science and Business Media LLC 2022
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa60405
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Abstract: We examined associations between COVID-19 conspiracy beliefs and HIV status neutral care engagement among Black cisgender sexual minority men (BCSMM) and Black transgender women (BTW). Throughout April-July 2020, a total of 226 (222 in the current analysis: 196 BCSMM, 20 BTW, and 6 other) participants in Chicago's Neighborhoods and Networks (N2) cohort study completed virtual assessments. Participants reported their HIV status, changes in the frequency of PrEP/ART use, and COVID-19 conspiracy beliefs. Three-quarters of the sample believed at least one conspiracy theory that COVID-19 was either government-created or lab-created accidentally or purposefully. Believing one or more COVID-19 conspiracy theories was significantly associated with better PrEP or ART engagement (using PrEP more frequently or continuously using PrEP/Missing ART less or continuously using ART) (aPR = 0.75 [95% CI 0.56-0.99], p < 0.05). Believing COVID-19 came about naturally was strongly associated with worse PrEP engagement (i.e., use PrEP less or not on PrEP) or worse ART engagement (i.e., missed ART more or not on ART) (aPR = 1.56 [95% CI 1.23, 1.98], p < 0.001). Findings suggested substantial COVID-19 conspiracies among BCSMM and BTW, and this was associated with HIV care engagement. [Abstract copyright: © 2022. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.]
Item Description: Data Availability: Data of the study can be obtained by contacting the corresponding author.
Keywords: COVID-19; Conspiracy beliefs; PrEP; ART; Black sexual minority men; Black transgender women
College: College of Human and Health Sciences
Funders: This study was funded by the National Institutes of Health (Grant Nos. R01MH112406, R03DA053161, R01HL160325, R01DA054553) and Centers for Disease Control and Prevention (Grant No. U01PS005202).