2023-09-28 14:46:10 +00:00
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abstract: 'Scant empirical research from Asia has addressed the impact of COVID-19
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on sexual minority health. We aimed to explore and understand the impact
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of COVID-19 on income security, mental health, HIV risk and access to
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health services among men who have sex with men (MSM) in India. We
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conducted a concurrent mixed methods study from April to June 2020,
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including a cross-sectional survey and in-depth semi-structured
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interviews with MSM recruited from three non-governmental organisations
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providing HIV prevention services in Chandigarh, India. We examined the
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associations of sexual minority stressors (sexual stigma, internalised
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homonegativity), economic stressors, and stress due to social
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distancing, with depression and anxiety, HIV risk, and access to health
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services. Survey findings (n = 132) indicated that internalised
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homonegativity and stress related to social distancing were
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significantly associated with depressive and anxiety symptoms. Results
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also showed reduced access to condoms, HIV testing and counselling
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services. Qualitative findings (n = 10) highlighted adverse economic
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impacts of COVID-19, including loss of employment/wages and engaging in
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survival sex work, which contributed to psychological distress and HIV
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risk. The COVID-19 pandemic has resulted in considerable psychological
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and financial distress among low socioeconomic status MSM in India,
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including those involved in sex work - communities already marginalised
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in economic, family and healthcare sectors. Structural interventions to
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improve access to mental health and HIV services and decrease financial
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burden are critical to mitigate the impact of COVID-19.'
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affiliation: 'Chakrapani, V (Corresponding Author), Ctr Sexual \& Hlth Res \& Policy
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C SHaRP, Chennai, India.
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Chakrapani, V (Corresponding Author), Humsafar Trust, Mumbai, India.
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Chakrapani, Venkatesan, Ctr Sexual \& Hlth Res \& Policy C SHaRP, Chennai, India.
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Newman, Peter A., Univ Toronto, Factor Inwentash Fac Social Work, Toronto, ON, Canada.
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Sebastian, Aleena, Natl Inst Adv Studies NIAS, Bangalore, India.
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Chakrapani, Venkatesan; Rawat, Shruta, Humsafar Trust, Mumbai, India.
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Mittal, Sandeep, Chandigarh State AIDS Control Soc CSACS, Targeted Intervent, Chandigarh,
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India.
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Gupta, Vanita, Chandigarh State AIDS Control Soc CSACS, Chandigarh, India.
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Kaur, Manmeet, Postgrad Inst Med Educ \& Res PGIMER, Chandigarh, India.'
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article-number: '2144087'
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author: Chakrapani, Venkatesan and Newman, Peter A. and Sebastian, Aleena and Rawat,
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Shruta and Mittal, Sandeep and Gupta, Vanita and Kaur, Manmeet
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author-email: venkatesan.chakrapani@gmail.com
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author_list:
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- family: Chakrapani
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given: Venkatesan
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- family: Newman
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given: Peter A.
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- family: Sebastian
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given: Aleena
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- family: Rawat
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given: Shruta
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- family: Mittal
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given: Sandeep
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- family: Gupta
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given: Vanita
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- family: Kaur
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given: Manmeet
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da: '2023-09-28'
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doi: 10.1080/26410397.2022.2144087
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eissn: 2641-0397
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files: []
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journal: SEXUAL AND REPRODUCTIVE HEALTH MATTERS
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keywords: MSM; COVID-19; depression; anxiety; social distancing; income security
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keywords-plus: 'TRANSGENDER WOMEN; MINORITY STRESS; HIV; MSM; DEPRESSION; BARRIERS;
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CHENNAI; RISK; PREVALENCE; INSIGHTS'
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language: English
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month: DEC 31
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number: '1'
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number-of-cited-references: '45'
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orcid-numbers: 'Newman, Peter A/0000-0003-0444-5915
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Chakrapani, Venkatesan/0000-0001-9998-9135
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SEBASTIAN, ALEENA/0000-0002-2049-4445'
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papis_id: e2a4e236dea3c0b0925b3939cf3080c0
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ref: Chakrapani2022mentalhealth
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researcherid-numbers: 'Newman, Peter A/P-7056-2019
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sebastian, aleena/AAX-6970-2020
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Chakrapani, Venkatesan/P-8056-2014
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'
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times-cited: '1'
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title: 'Mental health, economic well-being and health care access amid the COVID-19
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pandemic: a mixed methods study among urban men who have sex with men in India'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000894095800001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '1'
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volume: '30'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2022'
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